Balance by Medica Silver Share — full price in Saint Clair County, Missouri (2026)
Balance by Medica Silver Share (53461MO0080075), a silver plan from Medica in Saint Clair County, Missouri, costs $846.97/month full price for a 40-year-old in 2026 — $1798.65 at 60, with a $3,525 deductible and $8,850 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 53461MO0080075 · 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 | $662.73 |
| 27 | $694.54 |
| 30 | $752.20 |
| 40 | $846.97 |
| 50 | $1183.64 |
| 60 | $1798.65 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $3,525
- Family deductible: $7,050
- Individual out-of-pocket max: $8,850
- Family out-of-pocket max: $17,700
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $695.76/mo. This plan is $846.97/mo at 40 — a difference of $151.21/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 Saint Clair County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Home State Health | $684.98 |
| Complete Silver | Ambetter from Home State Health | $695.76 |
| Standard Silver + Vision + Adult Dental | Ambetter from Home State Health | $705.69 |
| Complete Silver + Vision + Adult Dental | Ambetter from Home State Health | $716.79 |
| UHC Silver Standard (No Referrals) | UnitedHealthcare | $721.50 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 53461MO0080075 in FIPS 29185.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Saint Clair County
Reviewed by Jason Burns, Editorial Steward.