Medica Insure Silver $0 Copay PCP Visits — full price in Story County, Iowa (2026)
Medica Insure Silver $0 Copay PCP Visits (93078IA0060047), a silver plan from Medica in Story County, Iowa, costs $845.65/month full price for a 40-year-old in 2026 — $1795.85 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 | $661.70 |
| 27 | $693.46 |
| 30 | $751.03 |
| 40 | $845.65 |
| 50 | $1181.80 |
| 60 | $1795.85 |
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 $532.69/mo. This plan is $845.65/mo at 40 — a difference of $312.96/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.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other silver plans in Story County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Wellmark Silver Traditional HMO | Wellmark Health Plan of Iowa, Inc. | $525.00 |
| Wellmark Standard Silver HMO | Wellmark Health Plan of Iowa, Inc. | $532.69 |
| Medica Insure Silver Share | Medica | $871.04 |
| Medica Insure Silver Standard | Medica | $884.68 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 93078IA0060047 in FIPS 19169.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Story County
Reviewed by Jason Burns, Editorial Steward.