Engage by Medica Gold Share
Gold · EPO · Medica · Wisconsin
At age 40 it costs between $635.31 and $835.16 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 | 57845WI0050076 |
|---|---|
| Insurer | Medica |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $2,500 |
| Deductible (family) | $5,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $5,900 |
| Family maximum | $11,800 |
| Primary care visit | $30 |
| Specialist visit | $90 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $80 |
| 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 1-800-947-3529 |
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.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Pierce County | $497.12 | $564.23 | $635.31 | $887.85 | $1,349.17 |
| Saint Croix County | $497.12 | $564.23 | $635.31 | $887.85 | $1,349.17 |
| Buffalo County | $544.86 | $618.42 | $696.33 | $973.12 | $1,478.75 |
| Jackson County | $544.86 | $618.42 | $696.33 | $973.12 | $1,478.75 |
| La Crosse County | $544.86 | $618.42 | $696.33 | $973.12 | $1,478.75 |
| Monroe County | $544.86 | $618.42 | $696.33 | $973.12 | $1,478.75 |
| Trempealeau County | $544.86 | $618.42 | $696.33 | $973.12 | $1,478.75 |
| Chippewa County | $636.66 | $722.61 | $813.65 | $1,137.08 | $1,727.90 |
| Dunn County | $636.66 | $722.61 | $813.65 | $1,137.08 | $1,727.90 |
| Eau Claire County | $636.66 | $722.61 | $813.65 | $1,137.08 | $1,727.90 |
| Pepin County | $636.66 | $722.61 | $813.65 | $1,137.08 | $1,727.90 |
| Crawford County | $637.37 | $723.42 | $814.56 | $1,138.35 | $1,729.83 |
| Vernon County | $637.37 | $723.42 | $814.56 | $1,138.35 | $1,729.83 |
| Barron County | $653.49 | $741.71 | $835.16 | $1,167.13 | $1,773.56 |
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.
Get told when this changes
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.