Medica Individual Choice Silver $0 Copay PCP Visits — full price in Marathon County, Wisconsin (2026)
Medica Individual Choice Silver $0 Copay PCP Visits (57845WI0040075), a silver plan from Medica in Marathon County, Wisconsin, costs $921.95/month full price for a 40-year-old in 2026 — $1957.87 at 60, with a $3,500 deductible and $10,450 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 57845WI0040075 · 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 | $721.40 |
| 27 | $756.02 |
| 30 | $818.79 |
| 40 | $921.95 |
| 50 | $1288.41 |
| 60 | $1957.87 |
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 $631.32/mo. This plan is $921.95/mo at 40 — a difference of $290.63/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 Marathon County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| HMO Silver 6000 | Aspirus Health Plan | $623.29 |
| HMO Silver 6600 | Aspirus Health Plan | $631.32 |
| SimplyOne $6,000 - 40% | Security Health Plan | $639.23 |
| HMO HDHP Silver 5900 | Aspirus Health Plan | $651.73 |
| SimplyOne $4,000 - 50% | Security Health Plan | $652.97 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 57845WI0040075 in FIPS 55073.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Marathon County
Reviewed by Jason Burns, Editorial Steward.