Medica Insure Gold $0 Copay PCP Visits
Gold · EPO · Medica · Iowa
At age 40 it costs between $703.88 and $1,005.70 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 | 93078IA0060045 |
|---|---|
| Insurer | Medica |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $1,500 |
| Deductible (family) | $3,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,800 |
| Family maximum | $17,600 |
| Primary care visit | No Charge |
| Specialist visit | $75 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $75 |
| 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 | $550.77 | $625.12 | $703.88 | $983.67 | $1,494.78 |
| Madison County | $550.77 | $625.12 | $703.88 | $983.67 | $1,494.78 |
| Marion County | $550.77 | $625.12 | $703.88 | $983.67 | $1,494.78 |
| Appanoose County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Davis County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Des Moines County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Henry County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Jefferson County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Keokuk County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Lee County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Louisa County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Lucas County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Mahaska County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Monroe County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Van Buren County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Wapello County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Washington County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Wayne County | $616.79 | $700.05 | $788.25 | $1,101.58 | $1,673.96 |
| Calhoun County | $651.22 | $739.14 | $832.26 | $1,163.08 | $1,767.42 |
| Carroll County | $651.22 | $739.14 | $832.26 | $1,163.08 | $1,767.42 |
| Hamilton County | $651.22 | $739.14 | $832.26 | $1,163.08 | $1,767.42 |
| Hardin County | $651.22 | $739.14 | $832.26 | $1,163.08 | $1,767.42 |
| Poweshiek County | $651.22 | $739.14 | $832.26 | $1,163.08 | $1,767.42 |
| Story County | $651.22 | $739.14 | $832.26 | $1,163.08 | $1,767.42 |
| Webster County | $651.22 | $739.14 | $832.26 | $1,163.08 | $1,767.42 |
| Clinton County | $652.49 | $740.57 | $833.88 | $1,165.34 | $1,770.85 |
| Johnson County | $652.49 | $740.57 | $833.88 | $1,165.34 | $1,770.85 |
| Adair County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Adams County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Audubon County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Clarke County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Decatur County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Fremont County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Guthrie County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Page County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Ringgold County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Taylor County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Union County | $659.83 | $748.91 | $843.26 | $1,178.46 | $1,790.78 |
| Buena Vista County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Cherokee County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Clay County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Crawford County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Dickinson County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Ida County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Lyon County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Monona County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| O'Brien County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Osceola County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Palo Alto County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Plymouth County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Pocahontas County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Sac County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Sioux County | $682.05 | $774.12 | $871.66 | $1,218.14 | $1,851.08 |
| Allamakee County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Cerro Gordo County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Chickasaw County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Emmet County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Floyd County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Franklin County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Hancock County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Howard County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Humboldt County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Kossuth County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Mitchell County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Winnebago County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Winneshiek County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Worth County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
| Wright County | $786.94 | $893.17 | $1,005.70 | $1,405.47 | $2,135.74 |
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.