Medica with CHI Health Gold Share + Adult Eye Exam — full price in Sarpy County, Nebraska (2026)
Medica with CHI Health Gold Share + Adult Eye Exam (20305NE0100004), a gold plan from Medica in Sarpy County, Nebraska, costs $884.48/month full price for a 40-year-old in 2026 — $1878.32 at 60, with a $2,500 deductible and $5,900 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 20305NE0100004 · 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 | $692.08 |
| 27 | $725.30 |
| 30 | $785.52 |
| 40 | $884.48 |
| 50 | $1236.06 |
| 60 | $1878.32 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $2,500
- Family deductible: $5,000
- Individual out-of-pocket max: $5,900
- Family out-of-pocket max: $11,800
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $641.88/mo. This plan is $884.48/mo at 40 — a difference of $242.60/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 Sarpy County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| HeartlandBlue Gold Standard 2000 Blueprint Health | Blue Cross and Blue Shield of Nebraska | $684.89 |
| HeartlandBlue Gold $0 PCP Visit 1500 Blueprint Health | Blue Cross and Blue Shield of Nebraska | $689.42 |
| HeartlandBlue Gold 1000 Blueprint Health w/ Adult Vision | Blue Cross and Blue Shield of Nebraska | $704.27 |
| Clear Gold | Ambetter Health | $711.06 |
| Clear Gold + Vision + Adult Dental | Ambetter Health | $728.00 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20305NE0100004 in FIPS 31153.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Sarpy County
Reviewed by Jason Burns, Editorial Steward.