Essentia Choice Care with Medica Gold $0 Copay PCP Visits — full price in Ransom County, North Dakota (2026)
Essentia Choice Care with Medica Gold $0 Copay PCP Visits (73751ND0140045), a gold plan from Medica in Ransom County, North Dakota, costs $655.63/month full price for a 40-year-old in 2026 — $1392.32 at 60, with a $1,500 deductible and $8,800 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 73751ND0140045 · 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 | $513.01 |
| 27 | $537.64 |
| 30 | $582.27 |
| 40 | $655.63 |
| 50 | $916.24 |
| 60 | $1392.32 |
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 $639.29/mo. This plan is $655.63/mo at 40 — a difference of $16.34/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 gold plans in Ransom County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) | Blue Cross Blue Shield of North Dakota | $632.09 |
| BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) | Blue Cross Blue Shield of North Dakota | $641.84 |
| BlueValue Gold $30 PCP Copay (Standardized plan) | Blue Cross Blue Shield of North Dakota | $659.22 |
| Sanford Individual Simplicity Standardized $2,000 | Sanford Health Plan | $663.41 |
| Essentia Choice Care with Medica Gold Share | Medica | $669.89 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 73751ND0140045 in FIPS 38073.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Ransom County
Reviewed by Jason Burns, Editorial Steward.