Altru Prime by Medica Gold $0 Copay PCP Visits — full price in Walsh County, North Dakota (2026)
Altru Prime by Medica Gold $0 Copay PCP Visits (73751ND0120045), a gold plan from Medica in Walsh County, North Dakota, costs $667.97/month full price for a 40-year-old in 2026 — $1418.52 at 60, with a $1,500 deductible and $8,800 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 73751ND0120045 · 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 | $522.67 |
| 27 | $547.76 |
| 30 | $593.23 |
| 40 | $667.97 |
| 50 | $933.48 |
| 60 | $1418.52 |
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 $628.26/mo. This plan is $667.97/mo at 40 — a difference of $39.71/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 Walsh County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| DakotaBlue Altru Gold ($5 Value Based Drug List) | Blue Cross Blue Shield of North Dakota | $548.04 |
| BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) | Blue Cross Blue Shield of North Dakota | $632.09 |
| 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 |
| Altru Prime by Medica Gold Share | Medica | $682.49 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 73751ND0120045 in FIPS 38099.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Walsh County
Reviewed by Jason Burns, Editorial Steward.