Balance by Medica Silver Standard — full price in Barton County, Missouri (2026)
Balance by Medica Silver Standard (53461MO0080057), a silver plan from Medica in Barton County, Missouri, costs $702.45/month full price for a 40-year-old in 2026 — $1491.73 at 60, with a $6,000 deductible and $8,900 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 53461MO0080057 · 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 | $549.64 |
| 27 | $576.03 |
| 30 | $623.85 |
| 40 | $702.45 |
| 50 | $981.66 |
| 60 | $1491.73 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,000
- Family deductible: $12,000
- Individual out-of-pocket max: $8,900
- Family out-of-pocket max: $17,800
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $651.97/mo. This plan is $702.45/mo at 40 — a difference of $50.48/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 Barton County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $644.61 |
| Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $651.97 |
| Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $655.92 |
| Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs) | Anthem Blue Cross and Blue Shield | $660.76 |
| Standard Silver | Ambetter from Home State Health | $665.39 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 53461MO0080057 in FIPS 29011.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Barton County
Reviewed by Jason Burns, Editorial Steward.