Medica Insure Gold Share
Gold · EPO · Medica · Iowa
At age 40 it costs between $724.93 and $1,035.78 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 | 93078IA0060074 |
|---|---|
| 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 1-888-516-4692 |
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 | $567.24 | $643.82 | $724.93 | $1,013.09 | $1,539.49 |
| Madison County | $567.24 | $643.82 | $724.93 | $1,013.09 | $1,539.49 |
| Marion County | $567.24 | $643.82 | $724.93 | $1,013.09 | $1,539.49 |
| Appanoose County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Davis County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Des Moines County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Henry County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Jefferson County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Keokuk County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Lee County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Louisa County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Lucas County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Mahaska County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Monroe County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Van Buren County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Wapello County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Washington County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Wayne County | $635.24 | $720.99 | $811.83 | $1,134.53 | $1,724.03 |
| Calhoun County | $670.70 | $761.24 | $857.16 | $1,197.87 | $1,820.28 |
| Carroll County | $670.70 | $761.24 | $857.16 | $1,197.87 | $1,820.28 |
| Hamilton County | $670.70 | $761.24 | $857.16 | $1,197.87 | $1,820.28 |
| Hardin County | $670.70 | $761.24 | $857.16 | $1,197.87 | $1,820.28 |
| Poweshiek County | $670.70 | $761.24 | $857.16 | $1,197.87 | $1,820.28 |
| Story County | $670.70 | $761.24 | $857.16 | $1,197.87 | $1,820.28 |
| Webster County | $670.70 | $761.24 | $857.16 | $1,197.87 | $1,820.28 |
| Clinton County | $672 | $762.72 | $858.82 | $1,200.20 | $1,823.82 |
| Johnson County | $672 | $762.72 | $858.82 | $1,200.20 | $1,823.82 |
| Adair County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Adams County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Audubon County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Clarke County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Decatur County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Fremont County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Guthrie County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Page County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Ringgold County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Taylor County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Union County | $679.57 | $771.31 | $868.49 | $1,213.71 | $1,844.34 |
| Buena Vista County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Cherokee County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Clay County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Crawford County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Dickinson County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Ida County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Lyon County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Monona County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| O'Brien County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Osceola County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Palo Alto County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Plymouth County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Pocahontas County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Sac County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Sioux County | $702.45 | $797.28 | $897.73 | $1,254.57 | $1,906.45 |
| Allamakee County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Cerro Gordo County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Chickasaw County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Emmet County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Floyd County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Franklin County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Hancock County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Howard County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Humboldt County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Kossuth County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Mitchell County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Winnebago County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Winneshiek County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Worth County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
| Wright County | $810.47 | $919.89 | $1,035.78 | $1,447.51 | $2,199.62 |
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.