Medica Insure Silver $0 Copay PCP Visits — full price in Monroe County, Iowa (2026)
Medica Insure Silver $0 Copay PCP Visits (93078IA0060047), a silver plan from Medica in Monroe County, Iowa, costs $800.94/month full price for a 40-year-old in 2026 — $1700.89 at 60, with a $3,500 deductible and $10,450 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 93078IA0060047 · Issuer: Medica · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $626.71 |
| 27 | $656.79 |
| 30 | $711.32 |
| 40 | $800.94 |
| 50 | $1119.31 |
| 60 | $1700.89 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $3,500
- Family deductible: $7,000
- Individual out-of-pocket max: $10,450
- Family out-of-pocket max: $20,900
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $519.76/mo. This plan is $800.94/mo at 40 — a difference of $281.18/mo.
The subsidy cliff
In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.
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Other silver plans in Monroe County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter Health | $518.28 |
| Silver Classic Standard | MercyOne | Oscar Insurance Company | $519.76 |
| Silver Simple PCP Saver | MercyOne | Oscar Insurance Company | $521.10 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne | Oscar Insurance Company | $522.46 |
| Focused Silver | Ambetter Health | $524.06 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 93078IA0060047 in FIPS 19135.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Monroe County
Reviewed by Jason Burns, Editorial Steward.