Inspire by Medica Gold Share
Gold · EPO · Medica · Iowa
At age 40 it costs between $559.20 and $798.98 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 | 93078IA0070075 |
|---|---|
| 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
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 | $437.56 | $496.63 | $559.20 | $781.48 | $1,187.53 |
| Polk County | $437.56 | $496.63 | $559.20 | $781.48 | $1,187.53 |
| Warren County | $437.56 | $496.63 | $559.20 | $781.48 | $1,187.53 |
| Muscatine County | $490.01 | $556.16 | $626.23 | $875.15 | $1,329.88 |
| Boone County | $517.36 | $587.21 | $661.19 | $924.01 | $1,404.13 |
| Greene County | $517.36 | $587.21 | $661.19 | $924.01 | $1,404.13 |
| Grundy County | $517.36 | $587.21 | $661.19 | $924.01 | $1,404.13 |
| Marshall County | $517.36 | $587.21 | $661.19 | $924.01 | $1,404.13 |
| Tama County | $517.36 | $587.21 | $661.19 | $924.01 | $1,404.13 |
| Benton County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Black Hawk County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Buchanan County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Cedar County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Clayton County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Delaware County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Dubuque County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Iowa County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Jackson County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Jones County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Linn County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Scott County | $518.37 | $588.35 | $662.48 | $925.81 | $1,406.86 |
| Woodbury County | $541.86 | $615.01 | $692.49 | $967.75 | $1,470.59 |
| Bremer County | $625.18 | $709.58 | $798.98 | $1,116.58 | $1,696.75 |
| Butler County | $625.18 | $709.58 | $798.98 | $1,116.58 | $1,696.75 |
| Fayette County | $625.18 | $709.58 | $798.98 | $1,116.58 | $1,696.75 |
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.