Balance by Medica Bronze $0 Copay PCP Visits — full price in Franklin County, Missouri (2026)
Balance by Medica Bronze $0 Copay PCP Visits (53461MO0080041), a expanded bronze plan from Medica in Franklin County, Missouri, costs $482.38/month full price for a 40-year-old in 2026 — $1024.40 at 60, with a $7,500 deductible and $10,600 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 53461MO0080041 · 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 | $377.45 |
| 27 | $395.57 |
| 30 | $428.41 |
| 40 | $482.38 |
| 50 | $674.13 |
| 60 | $1024.40 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $7,500
- Family deductible: $15,000
- Individual out-of-pocket max: $10,600
- Family out-of-pocket max: $21,200
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $531.51/mo. This plan is $482.38/mo at 40 — a difference of $-49.13/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 expanded bronze plans in Franklin County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Expanded Bronze | Ambetter from Home State Health | $404.74 |
| Everyday Bronze | Ambetter from Home State Health | $405.63 |
| Standard Expanded Bronze + Vision + Adult Dental | Ambetter from Home State Health | $416.97 |
| Everyday Bronze + Vision + Adult Dental | Ambetter from Home State Health | $417.89 |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $424.88 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 53461MO0080041 in FIPS 29071.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Franklin County
Reviewed by Jason Burns, Editorial Steward.