Medica Insure Gold Share
Starting at
$1167
/month before subsidy
Medica Insure Gold Share is a 2026 Gold EPO health insurance plan from Medica, sold on the ACA Marketplace in Nebraska under plan ID 20305NE0040025. The monthly premium starts at $1,167 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,500 ($5,000 for a family), and the individual out-of-pocket maximum is $5,900 ($11,800 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 20305NE0040025
- Plan year
- 2026
- State
- Nebraska
- Metal level
- Gold
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$2,500
Family: $5,000
Out-of-Pocket Max
$5,900
Family: $11,800
Coinsurance
20%
You pay after deductible
Network Type
EPO
NEN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Not rated
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$4,270
your estimated cost
- Deductible
- $2,500
- Copays
- $10
- Coinsurance
- $1,700
Managing type 2 diabetes
A year of routine care
$2,400
your estimated cost
- Deductible
- $1,400
- Copays
- $1,000
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,750
your estimated cost
- Deductible
- $2,500
- Copays
- $200
- Coinsurance
- $50
Enter your ZIP code first to search nearby doctors.
This Gold EPO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.
Consider this plan if you:
- Have ongoing health conditions requiring regular care
- Take multiple prescription medications
- Prefer lower costs at the time of service
- Want peace of mind with comprehensive coverage
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,659/month
Annual Premium
$14,004
OOP Maximum
$5,900
💡 What this means:
With a $2,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $5,900 total. Then insurance covers everything else for the year.
More plans from Medica in Nebraska
- Elevate by Medica Bronze $0 Copay PCP Visitsfrom $604/mo
- Elevate by Medica Bronze Premierfrom $629/mo
- Elevate by Medica Expanded Bronze Standardfrom $611/mo
- Medica Insure Bronze Premierfrom $895/mo
- Medica Insure Bronze Sharefrom $800/mo
- Medica Insure Expanded Bronze Standardfrom $870/mo
- Medica with CHI Health Bronze $0 Copay PCP Visitsfrom $648/mo
- Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Examfrom $651/mo
Frequently asked questions about Medica Insure Gold Share
How much does Medica Insure Gold Share cost per month?
Medica Insure Gold Share from Medica starts at $1,167 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 Medica Insure Gold Share?
The individual medical deductible is $2,500, and the family deductible is $5,000. 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 Medica Insure Gold Share?
The most you would pay in a year for covered in-network care is $5,900 for an individual and $11,800 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Medica Insure Gold Share HSA-eligible?
No. Medica Insure Gold Share is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does Medica Insure Gold Share use?
Medica Insure Gold 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
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
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.