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BronzeEPOHSA Eligible

Elevate by Medica Bronze Share

Medica

Starting at

$676

/month before subsidy

Key facts

Elevate by Medica Bronze Share is a 2027 Bronze EPO health insurance plan from Medica, sold on the ACA Marketplace in Nebraska under plan ID 20305NE0030075. The monthly premium starts at $676 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $8,000 ($16,000 for a family), and the individual out-of-pocket maximum is $12,000 ($24,000 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
20305NE0030075
Plan year
2027
State
Nebraska
Metal level
Bronze
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$8,000

Family: $16,000

Out-of-Pocket Max

$12,000

Family: $24,000

Coinsurance

50%

You pay after deductible

Network Type

EPO

NEN004

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$50.00
Specialist Visit$200.00
Urgent Care50.00% Coinsurance after deductible
Emergency Room50.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$35.00
Brand Name Drugs50.00% Coinsurance after deductible
Specialty Drugs60.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
3.0overall
Medical care

How well doctors manage and coordinate care

Member experience
Not rated

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$9,670

your estimated cost

Deductible
$8,000
Copays
$10
Coinsurance
$1,600

Managing type 2 diabetes

A year of routine care

$2,900

your estimated cost

Deductible
$1,600
Copays
$1,300
Coinsurance
$0

A simple fracture

ER visit + follow-up

$3,000

your estimated cost

Deductible
$2,800
Copays
$200
Coinsurance
$0
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Official Plan Documents
Published by Medica. These are the authoritative source for coverage details.
Summary of Benefits & Coverage (SBC)Standardized cost & coverage summaryPlan BrochureFull plan details from the insurerDrug FormularyCovered prescriptions & drug tiers
Who This Plan Is Best For

This Bronze EPO plan is ideal for healthy individuals who want the lowest monthly premium and can handle higher out-of-pocket costs if they need care.

Consider this plan if you:

  • Rarely visit the doctor beyond annual checkups
  • Have savings to cover the $8,000 deductible if needed
  • Primarily need coverage for unexpected emergencies
  • Want to minimize monthly healthcare expenses

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,676/month

Annual Premium

$8,112

OOP Maximum

$12,000

💡 What this means:

With a $8,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $12,000 total. Then insurance covers everything else for the year.

More plans from Medica in Nebraska

View all Marketplace plans in Nebraska

Frequently asked questions about Elevate by Medica Bronze Share

How much does Elevate by Medica Bronze Share cost per month?

Elevate by Medica Bronze Share from Medica starts at $676 per month before any subsidy in Nebraska. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Elevate by Medica Bronze Share?

The individual medical deductible is $8,000, and the family deductible is $16,000. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Elevate by Medica Bronze Share?

The most you would pay in a year for covered in-network care is $12,000 for an individual and $24,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Elevate by Medica Bronze Share HSA-eligible?

Yes. Elevate by Medica Bronze Share is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does Elevate by Medica Bronze Share use?

Elevate by Medica Bronze Share is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.

Understand what you'd actually pay

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Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.