Balance by Medica Bronze Premier
Expanded Bronze · EPO · Medica · Missouri
At age 40 it costs between $491.16 and $669.52 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 | 53461MO0080051 |
|---|---|
| Insurer | Medica |
| Metal level | Expanded Bronze |
| Plan type | EPO |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | No Charge after Deductible |
| Specialist visit | $160 Copay after deductible |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $35 |
| Preferred brand drugs | $200 |
| Specialty drugs | 60% Coinsurance 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 | 1-888-592-8211 · TTY 1-800-676-3777 |
Where it is sold, and what it costs there
31 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 |
|---|---|---|---|---|---|
| Franklin County | $384.32 | $436.20 | $491.16 | $686.39 | $1,043.04 |
| Jefferson County | $384.32 | $436.20 | $491.16 | $686.39 | $1,043.04 |
| Lincoln County | $384.32 | $436.20 | $491.16 | $686.39 | $1,043.04 |
| Saint Charles County | $384.32 | $436.20 | $491.16 | $686.39 | $1,043.04 |
| Saint Louis County | $384.32 | $436.20 | $491.16 | $686.39 | $1,043.04 |
| Saint Louis City | $384.32 | $436.20 | $491.16 | $686.39 | $1,043.04 |
| Warren County | $384.32 | $436.20 | $491.16 | $686.39 | $1,043.04 |
| Barry County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Cedar County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Christian County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Dade County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Dallas County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Douglas County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Greene County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Hickory County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Laclede County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Lawrence County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Ozark County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Polk County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Stone County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Taney County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Webster County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Wright County | $396.85 | $450.42 | $507.17 | $708.77 | $1,077.04 |
| Barton County | $430.28 | $488.36 | $549.89 | $768.47 | $1,167.77 |
| Jasper County | $430.28 | $488.36 | $549.89 | $768.47 | $1,167.77 |
| McDonald County | $430.28 | $488.36 | $549.89 | $768.47 | $1,167.77 |
| Newton County | $430.28 | $488.36 | $549.89 | $768.47 | $1,167.77 |
| Howell County | $438.30 | $497.47 | $560.14 | $782.80 | $1,189.54 |
| Texas County | $438.30 | $497.47 | $560.14 | $782.80 | $1,189.54 |
| Saint Clair County | $523.88 | $594.61 | $669.52 | $935.66 | $1,421.82 |
| Vernon County | $523.88 | $594.61 | $669.52 | $935.66 | $1,421.82 |
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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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.