Medica with SSM Health Expanded Bronze Standard
Expanded Bronze · EPO · Medica · Missouri
At age 40 it costs $490.77 a month before any subsidy.
What CMS publishes about it
| Plan ID | 47840MO0010017 |
|---|---|
| Insurer | Medica |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 Copay after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-877-379-7599 · TTY 1-877-379-7599 |
Where it is sold, and what it costs there
4 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Saint Charles County | $384.01 | $435.86 | $490.77 | $685.85 | $1,042.21 |
| Saint Louis County | $384.01 | $435.86 | $490.77 | $685.85 | $1,042.21 |
| Saint Louis City | $384.01 | $435.86 | $490.77 | $685.85 | $1,042.21 |
| Warren County | $384.01 | $435.86 | $490.77 | $685.85 | $1,042.21 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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When this plan’s price or benefits change.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.