Essentia Choice Care with Medica Silver $0 Copay PCP Visits — full price in Cass County, North Dakota (2026)
Essentia Choice Care with Medica Silver $0 Copay PCP Visits (73751ND0140047), a silver plan from Medica in Cass County, North Dakota, costs $543.21/month full price for a 40-year-old in 2026 — $1153.57 at 60, with a $3,500 deductible and $10,450 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 73751ND0140047 · 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 | $425.04 |
| 27 | $445.45 |
| 30 | $482.42 |
| 40 | $543.21 |
| 50 | $759.13 |
| 60 | $1153.57 |
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 $465.22/mo. This plan is $543.21/mo at 40 — a difference of $77.99/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 Cass County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Sanford Individual TRUE $3,500 | Sanford Health Plan | $447.17 |
| Sanford Individual TRUE Standardized $6,000 | Sanford Health Plan | $465.22 |
| Sanford Individual TRUE $4,750 | Sanford Health Plan | $480.07 |
| Sanford Individual Simplicity $3,500 | Sanford Health Plan | $548.83 |
| Essentia Choice Care with Medica Silver Share | Medica | $558.18 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 73751ND0140047 in FIPS 38017.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Cass County
Reviewed by Jason Burns, Editorial Steward.