QHP Index

Engage by Medica Gold $0 Copay PCP Visits

Gold · EPO · Medica · Wisconsin

At age 40 it costs between $622.35 and $818.11 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 ID57845WI0050074
InsurerMedica
Metal levelGold
Plan typeEPO
Deductible (individual)$1,500
Deductible (family)$3,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,800
Family maximum$17,600
Primary care visitNo Charge
Specialist visit$75
Emergency room30% Coinsurance after deductible
Inpatient stay30% Coinsurance after deductible
Generic drugs$15
Preferred brand drugs$75
Specialty drugs60% Coinsurance after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-888-592-8211 · TTY 1-800-947-3529

Where it is sold, and what it costs there

14 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Pierce County $486.97$552.71 $622.35$869.73 $1,321.64
Saint Croix County $486.97$552.71 $622.35$869.73 $1,321.64
Buffalo County $533.74$605.80 $682.12$953.26 $1,448.57
Jackson County $533.74$605.80 $682.12$953.26 $1,448.57
La Crosse County $533.74$605.80 $682.12$953.26 $1,448.57
Monroe County $533.74$605.80 $682.12$953.26 $1,448.57
Trempealeau County $533.74$605.80 $682.12$953.26 $1,448.57
Chippewa County $623.67$707.86 $797.05$1,113.87 $1,692.64
Dunn County $623.67$707.86 $797.05$1,113.87 $1,692.64
Eau Claire County $623.67$707.86 $797.05$1,113.87 $1,692.64
Pepin County $623.67$707.86 $797.05$1,113.87 $1,692.64
Crawford County $624.37$708.66 $797.94$1,115.12 $1,694.53
Vernon County $624.37$708.66 $797.94$1,115.12 $1,694.53
Barron County $640.15$726.57 $818.11$1,143.31 $1,737.37

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.