Expanded_bronzeHMOHSA Eligible

Medica Individual Choice Bronze Share

Medica

Starting at

$552

/month before subsidy

Key facts

Medica Individual Choice Bronze Share is a 2026 Expanded_bronze HMO health insurance plan from Medica, sold on the ACA Marketplace in North Dakota under plan ID 73751ND0130029. The monthly premium starts at $552 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 $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
73751ND0130029
Plan year
2026
State
North Dakota
Metal level
Expanded_bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$8,000

Family: $16,000

Out-of-Pocket Max

$10,600

Family: $21,200

Coinsurance

50%

You pay after deductible

Network Type

HMO

NDN004

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$30.00
Brand Name Drugs50.00% Coinsurance after deductible
Specialty Drugs60.00% Coinsurance after deductible
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

$2,800

your estimated cost

Deductible
$1,600
Copays
$1,200
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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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

$1,435/month

Annual Premium

$6,624

OOP Maximum

$10,600

💡 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 $10,600 total. Then insurance covers everything else for the year.

More plans from Medica in North Dakota

View all Marketplace plans in North Dakota

Frequently asked questions about Medica Individual Choice Bronze Share

How much does Medica Individual Choice Bronze Share cost per month?

Medica Individual Choice Bronze Share from Medica starts at $552 per month before any subsidy in North Dakota. 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 Individual Choice 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 Medica Individual Choice Bronze Share?

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 Individual Choice Bronze Share HSA-eligible?

Yes. Medica Individual Choice 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 Medica Individual Choice Bronze Share use?

Medica Individual Choice Bronze Share is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

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.