Select by Medica Gold Standard
Gold · EPO · Medica · Missouri
At age 40 it costs between $898.98 and $921.96 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 53461MO0010055 |
|---|---|
| Insurer | Medica |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | 1-888-592-8211 · TTY 1-800-676-3777 |
Where it is sold, and what it costs there
13 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 |
|---|---|---|---|---|---|
| Henry County | $703.42 | $798.39 | $898.98 | $1,256.31 | $1,909.09 |
| Johnson County | $703.42 | $798.39 | $898.98 | $1,256.31 | $1,909.09 |
| Lafayette County | $703.42 | $798.39 | $898.98 | $1,256.31 | $1,909.09 |
| Cass County | $718.97 | $816.03 | $918.84 | $1,284.08 | $1,951.28 |
| Clay County | $718.97 | $816.03 | $918.84 | $1,284.08 | $1,951.28 |
| Jackson County | $718.97 | $816.03 | $918.84 | $1,284.08 | $1,951.28 |
| Platte County | $718.97 | $816.03 | $918.84 | $1,284.08 | $1,951.28 |
| Caldwell County | $721.41 | $818.80 | $921.96 | $1,288.44 | $1,957.91 |
| Clinton County | $721.41 | $818.80 | $921.96 | $1,288.44 | $1,957.91 |
| Daviess County | $721.41 | $818.80 | $921.96 | $1,288.44 | $1,957.91 |
| DeKalb County | $721.41 | $818.80 | $921.96 | $1,288.44 | $1,957.91 |
| Grundy County | $721.41 | $818.80 | $921.96 | $1,288.44 | $1,957.91 |
| Livingston County | $721.41 | $818.80 | $921.96 | $1,288.44 | $1,957.91 |
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.