Medica Insure Silver Share
Silver · EPO · Medica · Iowa
At age 40 it costs between $736.68 and $1,052.56 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $3,525 | $8,850 | $30 | $20 |
| up to 150% of the federal poverty level | $0 | $1,650 | $5 | $5 |
| 150% to 200% | $500 | $3,500 | $5 | $10 |
| 200% to 250% | $1,875 | $8,450 | $30 | $20 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 93078IA0060027 |
|---|---|
| Insurer | Medica |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $3,525 |
| Deductible (family) | $7,050 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,850 |
| Family maximum | $17,700 |
| Primary care visit | $30 |
| Specialist visit | $110 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $125 |
| 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 1-888-516-4692 |
Where it is sold, and what it costs there
68 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 |
|---|---|---|---|---|---|
| Jasper County | $576.43 | $654.25 | $736.68 | $1,029.50 | $1,564.43 |
| Madison County | $576.43 | $654.25 | $736.68 | $1,029.50 | $1,564.43 |
| Marion County | $576.43 | $654.25 | $736.68 | $1,029.50 | $1,564.43 |
| Appanoose County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Davis County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Des Moines County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Henry County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Jefferson County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Keokuk County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Lee County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Louisa County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Lucas County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Mahaska County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Monroe County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Van Buren County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Wapello County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Washington County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Wayne County | $645.53 | $732.67 | $824.98 | $1,152.91 | $1,751.96 |
| Calhoun County | $681.56 | $773.58 | $871.04 | $1,217.27 | $1,849.77 |
| Carroll County | $681.56 | $773.58 | $871.04 | $1,217.27 | $1,849.77 |
| Hamilton County | $681.56 | $773.58 | $871.04 | $1,217.27 | $1,849.77 |
| Hardin County | $681.56 | $773.58 | $871.04 | $1,217.27 | $1,849.77 |
| Poweshiek County | $681.56 | $773.58 | $871.04 | $1,217.27 | $1,849.77 |
| Story County | $681.56 | $773.58 | $871.04 | $1,217.27 | $1,849.77 |
| Webster County | $681.56 | $773.58 | $871.04 | $1,217.27 | $1,849.77 |
| Clinton County | $682.89 | $775.08 | $872.73 | $1,219.64 | $1,853.36 |
| Johnson County | $682.89 | $775.08 | $872.73 | $1,219.64 | $1,853.36 |
| Adair County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Adams County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Audubon County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Clarke County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Decatur County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Fremont County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Guthrie County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Page County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Ringgold County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Taylor County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Union County | $690.57 | $783.80 | $882.55 | $1,233.37 | $1,874.22 |
| Buena Vista County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Cherokee County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Clay County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Crawford County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Dickinson County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Ida County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Lyon County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Monona County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| O'Brien County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Osceola County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Palo Alto County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Plymouth County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Pocahontas County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Sac County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Sioux County | $713.83 | $810.19 | $912.27 | $1,274.90 | $1,937.33 |
| Allamakee County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Cerro Gordo County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Chickasaw County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Emmet County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Floyd County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Franklin County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Hancock County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Howard County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Humboldt County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Kossuth County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Mitchell County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Winnebago County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Winneshiek County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Worth County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
| Wright County | $823.60 | $934.79 | $1,052.56 | $1,470.95 | $2,235.26 |
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.