Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.

Essentia Choice Care with Medica Bronze Copay (First 3) HSA

Medica Insurance Company · 2027 plan year

BronzeHSA eligible
Ind. deductible
$7,500
Family deductible
$15,000
Ind. OOP max
$12,000
Family OOP max
$24,000

More Medica Insurance Company plans in MN

Monthly premiums by age

Rating Area 9 — the lowest-priced of the 4 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$291$291
21$327$346
30$371$393
40$417$442
50$583$618
60$886$939
64 and over$980$1,038

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$25.00 Copay with deductible + 50.00% Coinsurance after deductible

Specialist

BenefitIn-network
Specialist Visit$25.00 Copay with deductible + 50.00% Coinsurance after deductible

Hospital

BenefitIn-network
Emergency Room Services50.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)50.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services50.00% Coinsurance after deductible
Urgent Care Centers or Facilities$25.00 Copay with deductible + 50.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs$25.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$200.00
Specialty Drugs60.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services50.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$25.00 Copay with deductible + 50.00% Coinsurance after deductible

Other

BenefitIn-network
Abortion for Which Public Funding is Prohibited50.00% Coinsurance after deductible
Accidental Dental50.00% Coinsurance after deductible
Allergy Testing50.00% Coinsurance after deductible
Chemotherapy$25.00 Copay with deductible + 50.00% Coinsurance after deductible
Chiropractic Care$25.00 Copay with deductible + 50.00% Coinsurance after deductible
Delivery and All Inpatient Services for Maternity Care50.00% Coinsurance after deductible
Diabetes EducationNo charge
Dialysis50.00% Coinsurance after deductible
Durable Medical Equipment50.00% Coinsurance after deductible
Emergency Transportation/Ambulance50.00% Coinsurance after deductible
Eye Glasses for Children50.00% Coinsurance after deductible
Gender Affirming Care50.00% Coinsurance after deductible
Habilitation Services50.00% Coinsurance after deductible
Hearing Aids50.00% Coinsurance after deductible
Home Health Care Services50.00% Coinsurance after deductible
Hospice Services50.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)50.00% Coinsurance after deductible
Infusion Therapy50.00% Coinsurance after deductible
Inpatient Physician and Surgical Services50.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services50.00% Coinsurance after deductible
Nutritional Counseling50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)$25.00 Copay with deductible + 50.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)50.00% Coinsurance after deductible
Outpatient Rehabilitation Services50.00% Coinsurance after deductible
Prenatal and Postnatal Care50.00% Coinsurance after deductible
Prosthetic Devices50.00% Coinsurance after deductible
Radiation50.00% Coinsurance after deductible
Reconstructive Surgery50.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy50.00% Coinsurance after deductible
Rehabilitative Speech Therapy50.00% Coinsurance after deductible
Routine Eye Exam for ChildrenNo charge
Skilled Nursing Facility50.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services50.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$25.00 Copay with deductible + 50.00% Coinsurance after deductible
Transplant50.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders50.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging50.00% Coinsurance after deductible

Service area

This plan covers 12 geographic areas.

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