Medica Insure Silver Share
Starting at
$737
/month before subsidy
Medica Insure Silver Share is a 2026 Silver EPO health insurance plan from Medica, sold on the ACA Marketplace in Iowa under plan ID 93078IA0060027. The monthly premium starts at $737 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $3,525 ($7,050 for a family), and the individual out-of-pocket maximum is $8,850 ($17,700 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 93078IA0060027
- Plan year
- 2026
- State
- Iowa
- Metal level
- Silver
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$3,525
Family: $7,050
Out-of-Pocket Max
$8,850
Family: $17,700
Coinsurance
30%
You pay after deductible
Network Type
EPO
IAN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- 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
$5,870
your estimated cost
- Deductible
- $3,500
- Copays
- $10
- Coinsurance
- $2,300
Managing type 2 diabetes
A year of routine care
$2,500
your estimated cost
- Deductible
- $1,500
- Copays
- $1,000
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$3,000
your estimated cost
- Deductible
- $2,800
- Copays
- $200
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
This Silver EPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.
Consider this plan if you:
- Visit the doctor a few times per year
- Take regular prescription medications
- Want moderate protection against high medical bills
- May qualify for Cost-Sharing Reductions (CSR) to lower deductibles
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,475/month
Annual Premium
$8,844
OOP Maximum
$8,850
💡 What this means:
With a $3,525 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $8,850 total. Then insurance covers everything else for the year.
More plans from Medica in Iowa
- Elevate by Medica Bronze $0 Copay PCP Visitsfrom $488/mo
- Elevate by Medica Bronze Sharefrom $449/mo
- Elevate by Medica Expanded Bronze Standardfrom $494/mo
- Inspire by Medica Bronze $0 Copay PCP Visitsfrom $390/mo
- Inspire by Medica Bronze Sharefrom $359/mo
- Inspire by Medica Expanded Bronze Standardfrom $395/mo
- Medica Insure Bronze $0 Copay PCP Visitsfrom $506/mo
- Medica Insure Bronze Sharefrom $465/mo
Frequently asked questions about Medica Insure Silver Share
How much does Medica Insure Silver Share cost per month?
Medica Insure Silver Share from Medica starts at $737 per month before any subsidy in Iowa. 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 Silver Share?
The individual medical deductible is $3,525, and the family deductible is $7,050. 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 Silver Share?
The most you would pay in a year for covered in-network care is $8,850 for an individual and $17,700 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Medica Insure Silver Share HSA-eligible?
No. Medica Insure Silver 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 Silver Share use?
Medica Insure Silver 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.