QHP Index

Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam

Expanded Bronze · EPO · Medica · Iowa

At age 40 it costs $503.35 a month before any subsidy.

What CMS publishes about it

Plan ID93078IA0130003
InsurerMedica
Metal levelExpanded Bronze
Plan typeEPO
Deductible (individual)$7,500
Deductible (family)$15,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$10,600
Family maximum$21,200
Primary care visitNo Charge
Specialist visit$150
Emergency room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$30
Preferred brand drugs$200
Specialty drugs60% Coinsurance after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits99.40%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-888-592-8211 · TTY 1-888-516-4692

Where it is sold, and what it costs there

1 county. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Pottawattamie County $393.86$447.03 $503.35$703.43 $1,068.93

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.