Inspire by Medica Gold Standard
Gold · EPO · Medica · Iowa
At age 40 it costs between $576.14 and $823.18 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 | 93078IA0070055 |
|---|---|
| Insurer | Medica |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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
25 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 |
|---|---|---|---|---|---|
| Dallas County | $450.81 | $511.67 | $576.14 | $805.15 | $1,223.50 |
| Polk County | $450.81 | $511.67 | $576.14 | $805.15 | $1,223.50 |
| Warren County | $450.81 | $511.67 | $576.14 | $805.15 | $1,223.50 |
| Muscatine County | $504.85 | $573 | $645.20 | $901.66 | $1,370.16 |
| Boone County | $533.03 | $604.99 | $681.22 | $952 | $1,446.66 |
| Greene County | $533.03 | $604.99 | $681.22 | $952 | $1,446.66 |
| Grundy County | $533.03 | $604.99 | $681.22 | $952 | $1,446.66 |
| Marshall County | $533.03 | $604.99 | $681.22 | $952 | $1,446.66 |
| Tama County | $533.03 | $604.99 | $681.22 | $952 | $1,446.66 |
| Benton County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Black Hawk County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Buchanan County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Cedar County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Clayton County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Delaware County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Dubuque County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Iowa County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Jackson County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Jones County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Linn County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Scott County | $534.07 | $606.17 | $682.54 | $953.85 | $1,449.47 |
| Woodbury County | $558.27 | $633.63 | $713.47 | $997.07 | $1,515.14 |
| Bremer County | $644.12 | $731.07 | $823.18 | $1,150.40 | $1,748.14 |
| Butler County | $644.12 | $731.07 | $823.18 | $1,150.40 | $1,748.14 |
| Fayette County | $644.12 | $731.07 | $823.18 | $1,150.40 | $1,748.14 |
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.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.