Medica with SSM Health Silver $0 Copay PCP Visits — full price in Saint Louis County, Missouri (2026)
Medica with SSM Health Silver $0 Copay PCP Visits (47840MO0010020), a silver plan from Medica in Saint Louis County, Missouri, costs $626.27/month full price for a 40-year-old in 2026 — $1329.97 at 60, with a $3,500 deductible and $10,450 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 47840MO0010020 · 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 | $490.04 |
| 27 | $513.56 |
| 30 | $556.20 |
| 40 | $626.27 |
| 50 | $875.21 |
| 60 | $1329.97 |
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 $531.51/mo. This plan is $626.27/mo at 40 — a difference of $94.76/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 Louis County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Home State Health | $523.28 |
| Complete Silver | Ambetter from Home State Health | $531.51 |
| Standard Silver + Vision + Adult Dental | Ambetter from Home State Health | $539.09 |
| Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $545.68 |
| Complete Silver + Vision + Adult Dental | Ambetter from Home State Health | $547.58 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 47840MO0010020 in FIPS 29189.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Saint Louis County
Reviewed by Jason Burns, Editorial Steward.