Expanded_bronzeEPOHSA Eligible

Engage by Medica Bronze HSA

Medica

Starting at

$501

/month before subsidy

Key facts

Engage by Medica Bronze HSA is a 2026 Expanded_bronze EPO health insurance plan from Medica, sold on the ACA Marketplace in Wisconsin under plan ID 57845WI0050011. The monthly premium starts at $501 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $7,500 ($15,000 for a family), and the individual out-of-pocket maximum is $8,500 ($17,000 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
57845WI0050011
Plan year
2026
State
Wisconsin
Metal level
Expanded_bronze
Plan type
EPO
HSA-eligible
Yes

Individual Deductible

$7,500

Family: $15,000

Out-of-Pocket Max

$8,500

Family: $17,000

Coinsurance

20%

You pay after deductible

Network Type

EPO

WIN003

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

Medical Services

Primary Care Visit20.00% Coinsurance after deductible
Specialist Visit20.00% Coinsurance after deductible
Urgent Care20.00% Coinsurance after deductible
Emergency Room20.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs20.00% Coinsurance after deductible
Brand Name Drugs20.00% Coinsurance after deductible
Specialty Drugs20.00% 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.
4.0overall
Medical care

How well doctors manage and coordinate care

Member experience

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

$8,260

your estimated cost

Deductible
$7,500
Copays
$0
Coinsurance
$700

Managing type 2 diabetes

A year of routine care

$2,800

your estimated cost

Deductible
$2,300
Copays
$500
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible
$2,800
Copays
$0
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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Who This Plan Is Best For

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.

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

If you max out this year

$1,209/month

Annual Premium

$6,012

OOP Maximum

$8,500

💡 What this means:

With a $7,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $8,500 total. Then insurance covers everything else for the year.

More plans from Medica in Wisconsin

View all Marketplace plans in Wisconsin

Frequently asked questions about Engage by Medica Bronze HSA

How much does Engage by Medica Bronze HSA cost per month?

Engage by Medica Bronze HSA from Medica starts at $501 per month before any subsidy in Wisconsin. 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 Engage by Medica Bronze HSA?

The individual medical deductible is $7,500, and the family deductible is $15,000. 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 Engage by Medica Bronze HSA?

The most you would pay in a year for covered in-network care is $8,500 for an individual and $17,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Engage by Medica Bronze HSA HSA-eligible?

Yes. Engage by Medica Bronze HSA 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 Engage by Medica Bronze HSA use?

Engage by Medica Bronze HSA 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

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.