Medica with MU Health Care Bronze Premier
Starting at
$568
/month before subsidy
Medica with MU Health Care Bronze Premier is a 2026 Expanded_bronze EPO health insurance plan from Medica, sold on the ACA Marketplace in Missouri under plan ID 53461MO0070051. The monthly premium starts at $568 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,000 ($4,000 for a family), and the individual out-of-pocket maximum is $10,600 ($21,200 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
- 53461MO0070051
- Plan year
- 2026
- State
- Missouri
- Metal level
- Expanded_bronze
- Plan type
- EPO
- HSA-eligible
- Yes
Individual Deductible
$2,000
Family: $4,000
Out-of-Pocket Max
$10,600
Family: $21,200
Coinsurance
50%
You pay after deductible
Network Type
EPO
MON007
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
$6,670
your estimated cost
- Deductible
- $2,000
- Copays
- $10
- Coinsurance
- $4,600
Managing type 2 diabetes
A year of routine care
$2,200
your estimated cost
- Deductible
- $1,100
- Copays
- $1,100
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,500
your estimated cost
- Deductible
- $2,000
- Copays
- $200
- Coinsurance
- $300
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Review the plan details above to determine if this plan fits your healthcare needs and budget.
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,451/month
Annual Premium
$6,816
OOP Maximum
$10,600
💡 What this means:
With a $2,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.
More plans from Medica in Missouri
- Balance by Medica Bronze $0 Copay PCP Visitsfrom $482/mo
- Balance by Medica Bronze Premierfrom $491/mo
- Balance by Medica Expanded Bronze Standardfrom $486/mo
- Medica with MU Health Care Bronze $0 Copay PCP Visitsfrom $558/mo
- Medica with MU Health Care Expanded Bronze Standardfrom $562/mo
- Medica with SSM Health Bronze $0 Copay PCP Visitsfrom $487/mo
- Medica with SSM Health Bronze Sharefrom $468/mo
- Medica with SSM Health Expanded Bronze Standardfrom $491/mo
Frequently asked questions about Medica with MU Health Care Bronze Premier
How much does Medica with MU Health Care Bronze Premier cost per month?
Medica with MU Health Care Bronze Premier from Medica starts at $568 per month before any subsidy in Missouri. 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 with MU Health Care Bronze Premier?
The individual medical deductible is $2,000, and the family deductible is $4,000. 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 with MU Health Care Bronze Premier?
The most you would pay in a year for covered in-network care is $10,600 for an individual and $21,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Medica with MU Health Care Bronze Premier HSA-eligible?
Yes. Medica with MU Health Care Bronze Premier 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 Medica with MU Health Care Bronze Premier use?
Medica with MU Health Care Bronze Premier 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.