Balance by Medica Silver $0 Copay PCP Visits — full price in Taney County, Missouri (2026)
Balance by Medica Silver $0 Copay PCP Visits (53461MO0080047), a silver plan from Medica in Taney County, Missouri, costs $638.94/month full price for a 40-year-old in 2026 — $1356.88 at 60, with a $3,500 deductible and $10,450 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 53461MO0080047 · 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 | $499.95 |
| 27 | $523.95 |
| 30 | $567.45 |
| 40 | $638.94 |
| 50 | $892.92 |
| 60 | $1356.88 |
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 $637.10/mo. This plan is $638.94/mo at 40 — a difference of $1.84/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 Taney County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Home State Health | $627.23 |
| Complete Silver | Ambetter from Home State Health | $637.10 |
| Balance by Medica Silver Share | Medica | $641.59 |
| Standard Silver + Vision + Adult Dental | Ambetter from Home State Health | $646.19 |
| Balance by Medica Silver Standard | Medica | $647.87 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 53461MO0080047 in FIPS 29213.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Taney County
Reviewed by Jason Burns, Editorial Steward.