Select by Medica Gold $0 Copay PCP Visits — full price in Jackson County, Missouri (2026)
Select by Medica Gold $0 Copay PCP Visits (53461MO0010045), a gold plan from Medica in Jackson County, Missouri, costs $900.88/month full price for a 40-year-old in 2026 — $1913.13 at 60, with a $1,500 deductible and $8,800 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 53461MO0010045 · 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 | $704.91 |
| 27 | $738.75 |
| 30 | $800.07 |
| 40 | $900.88 |
| 50 | $1258.97 |
| 60 | $1913.13 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $1,500
- Family deductible: $3,000
- Individual out-of-pocket max: $8,800
- Family out-of-pocket max: $17,600
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $580.77/mo. This plan is $900.88/mo at 40 — a difference of $320.11/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 gold plans in Jackson County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Gold Simple | Oscar Insurance Company | $535.62 |
| Gold Classic Standard | Oscar Insurance Company | $546.45 |
| Standard Gold | Ambetter from Home State Health | $559.49 |
| Everyday Gold | Ambetter from Home State Health | $566.05 |
| Standard Gold + Vision + Adult Dental | Ambetter from Home State Health | $576.40 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 53461MO0010045 in FIPS 29095.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Jackson County
Reviewed by Jason Burns, Editorial Steward.