QHP Index

Medica Individual Choice Gold Share

Gold · HMO · Medica · North Dakota

At age 40 it costs $863.30 a month before any subsidy.

What CMS publishes about it

Plan ID73751ND0130074
InsurerMedica
Metal levelGold
Plan typeHMO
Deductible (individual)$2,500
Deductible (family)$5,000
Drug deductibleIncluded 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 room20% Coinsurance after deductible
Inpatient stay20% Coinsurance after deductible
Generic drugs$15
Preferred brand drugs$80
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 1-800-269-7477

Where it is sold, and what it costs there

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

CountyAt 21At 30At 40At 50At 60
Adams County $675.51$766.70 $863.30$1,206.46 $1,833.33
Barnes County $675.51$766.70 $863.30$1,206.46 $1,833.33
Billings County $675.51$766.70 $863.30$1,206.46 $1,833.33
Bottineau County $675.51$766.70 $863.30$1,206.46 $1,833.33
Bowman County $675.51$766.70 $863.30$1,206.46 $1,833.33
Cavalier County $675.51$766.70 $863.30$1,206.46 $1,833.33
Dickey County $675.51$766.70 $863.30$1,206.46 $1,833.33
Dunn County $675.51$766.70 $863.30$1,206.46 $1,833.33
Emmons County $675.51$766.70 $863.30$1,206.46 $1,833.33
Foster County $675.51$766.70 $863.30$1,206.46 $1,833.33
Golden Valley County $675.51$766.70 $863.30$1,206.46 $1,833.33
Grant County $675.51$766.70 $863.30$1,206.46 $1,833.33
Hettinger County $675.51$766.70 $863.30$1,206.46 $1,833.33
Kidder County $675.51$766.70 $863.30$1,206.46 $1,833.33
LaMoure County $675.51$766.70 $863.30$1,206.46 $1,833.33
Logan County $675.51$766.70 $863.30$1,206.46 $1,833.33
McHenry County $675.51$766.70 $863.30$1,206.46 $1,833.33
McIntosh County $675.51$766.70 $863.30$1,206.46 $1,833.33
McLean County $675.51$766.70 $863.30$1,206.46 $1,833.33
Mercer County $675.51$766.70 $863.30$1,206.46 $1,833.33
Oliver County $675.51$766.70 $863.30$1,206.46 $1,833.33
Pembina County $675.51$766.70 $863.30$1,206.46 $1,833.33
Pierce County $675.51$766.70 $863.30$1,206.46 $1,833.33
Renville County $675.51$766.70 $863.30$1,206.46 $1,833.33
Rolette County $675.51$766.70 $863.30$1,206.46 $1,833.33
Sheridan County $675.51$766.70 $863.30$1,206.46 $1,833.33
Sioux County $675.51$766.70 $863.30$1,206.46 $1,833.33
Slope County $675.51$766.70 $863.30$1,206.46 $1,833.33
Stark County $675.51$766.70 $863.30$1,206.46 $1,833.33
Stutsman County $675.51$766.70 $863.30$1,206.46 $1,833.33
Towner County $675.51$766.70 $863.30$1,206.46 $1,833.33
Traill County $675.51$766.70 $863.30$1,206.46 $1,833.33
Ward County $675.51$766.70 $863.30$1,206.46 $1,833.33
Wells County $675.51$766.70 $863.30$1,206.46 $1,833.33
Williams County $675.51$766.70 $863.30$1,206.46 $1,833.33

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.