Select by Medica Silver $0 Copay PCP Visits — full price in DeKalb County, Missouri (2026)
Select by Medica Silver $0 Copay PCP Visits (53461MO0010047), a silver plan from Medica in DeKalb County, Missouri, costs $978.06/month full price for a 40-year-old in 2026 — $2077.04 at 60, with a $3,500 deductible and $10,450 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 53461MO0010047 · 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 | $765.31 |
| 27 | $802.04 |
| 30 | $868.62 |
| 40 | $978.06 |
| 50 | $1366.84 |
| 60 | $2077.04 |
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 $772.05/mo. This plan is $978.06/mo at 40 — a difference of $206.01/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 DeKalb County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Home State Health | $760.09 |
| Complete Silver | Ambetter from Home State Health | $772.05 |
| Standard Silver + Vision + Adult Dental | Ambetter from Home State Health | $783.07 |
| Complete Silver + Vision + Adult Dental | Ambetter from Home State Health | $795.39 |
| UHC Silver Standard (No Referrals) | UnitedHealthcare | $806.02 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 53461MO0010047 in FIPS 29063.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in DeKalb County
Reviewed by Jason Burns, Editorial Steward.