Marketplace issuer snapshot

Medica Community Health Plan coverage profile

Review marketplace plan availability, current source quality, formulary footprint, and linked HealthPorta plan coverage for Medica Community Health Plan.

Plans tracked: 54 State: Wisconsin Coverage exceptions: 27
Browse plan directory Healthcare data dashboard View source-quality details
Plans tracked 54
Formularies 54
Latest refresh Tue, 10 Mar 2026 06:40 GMT
HealthPorta issuer coverage analytics

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This issuer view combines plan availability, drug coverage footprint, and source-quality context so teams can review current marketplace status quickly.

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Issuer coverage metrics

Marketplace coverage snapshot

Plans tracked 54
State served

Wisconsin

Latest source refresh Tue, 10 Mar 2026 06:40 GMT
Coverage exceptions 27

Drug coverage overview

201,690 drugs tracked across 54 formularies

Prior authorization requirements
Status Drugs
Required 0
Not Required 201,690

Plan roster

Marketplace plans from Medica Community Health Plan

Plan ID Plan name Year Network Last update
57845WI0050011 Engage by Medica Bronze HSA 2026 PREFERREDTIER Oct 15, 2025
57845WI0050029 Engage by Medica Bronze Share 2026 PREFERRED Oct 15, 2025
57845WI0050073 Engage by Medica Expanded Bronze Standard 2026 PREFERREDTIER Oct 15, 2025
57845WI0050074 Engage by Medica Gold $0 Copay PCP Visits 2026 STANDARDTIER Oct 15, 2025
57845WI0050076 Engage by Medica Gold Share 2026 PREFERRED Oct 15, 2025
57845WI0050055 Engage by Medica Gold Standard 2026 PREFERREDTIER Oct 15, 2025
57845WI0050075 Engage by Medica Silver $0 Copay PCP Visits 2026 PREFERRED Oct 15, 2025
57845WI0050027 Engage by Medica Silver Share 2026 PREFERREDTIER Oct 15, 2025
57845WI0050057 Engage by Medica Silver Standard 2026 PREFERREDTIER Oct 15, 2025
57845WI0060011 Essentia Choice Care with Medica Bronze HSA 2026 STANDARDTIER Oct 15, 2025
57845WI0060029 Essentia Choice Care with Medica Bronze Share 2026 PREFERREDTIER Oct 15, 2025
57845WI0060073 Essentia Choice Care with Medica Expanded Bronze Standard 2026 PREFERREDTIER Oct 15, 2025
57845WI0060074 Essentia Choice Care with Medica Gold $0 Copay PCP Visits 2026 PREFERREDTIER Oct 15, 2025
57845WI0060076 Essentia Choice Care with Medica Gold Share 2026 STANDARDTIER Oct 15, 2025
57845WI0060055 Essentia Choice Care with Medica Gold Standard 2026 PREFERREDTIER Oct 15, 2025
57845WI0060075 Essentia Choice Care with Medica Silver $0 Copay PCP Visits 2026 PREFERREDTIER Oct 15, 2025
57845WI0060027 Essentia Choice Care with Medica Silver Share 2026 PREFERRED Oct 15, 2025
57845WI0060057 Essentia Choice Care with Medica Silver Standard 2026 PREFERREDTIER Oct 15, 2025
57845WI0040011 Medica Individual Choice Bronze HSA 2026 STANDARDTIER Oct 15, 2025
57845WI0040029 Medica Individual Choice Bronze Share 2026 STANDARDTIER Oct 15, 2025
57845WI0040073 Medica Individual Choice Expanded Bronze Standard 2026 STANDARDTIER Oct 15, 2025
57845WI0040074 Medica Individual Choice Gold $0 Copay PCP Visits 2026 PREFERRED Oct 15, 2025
57845WI0040076 Medica Individual Choice Gold Share 2026 PREFERREDTIER Oct 15, 2025
57845WI0040055 Medica Individual Choice Gold Standard 2026 STANDARDTIER Oct 15, 2025
57845WI0040075 Medica Individual Choice Silver $0 Copay PCP Visits 2026 PREFERRED Oct 15, 2025
57845WI0040027 Medica Individual Choice Silver Share 2026 PREFERRED Oct 15, 2025
57845WI0040057 Medica Individual Choice Silver Standard 2026 STANDARDTIER Oct 15, 2025
57845WI0050011 Engage by Medica Bronze HSA 2025 WIN003 Jan 03, 2025
57845WI0050029 Engage by Medica Bronze Share 2025 WIN003 Jan 03, 2025
57845WI0050073 Engage by Medica Expanded Bronze Standard 2025 WIN003 Jan 03, 2025
57845WI0050074 Engage by Medica Gold $0 Copay PCP Visits 2025 WIN003 Jan 03, 2025
57845WI0050076 Engage by Medica Gold Share 2025 WIN003 Jan 03, 2025
57845WI0050055 Engage by Medica Gold Standard 2025 WIN003 Jan 03, 2025
57845WI0050075 Engage by Medica Silver $0 Copay PCP Visits 2025 WIN003 Jan 03, 2025
57845WI0050027 Engage by Medica Silver Share 2025 WIN003 Jan 03, 2025
57845WI0050057 Engage by Medica Silver Standard 2025 WIN003 Jan 03, 2025
57845WI0060011 Essentia Choice Care with Medica Bronze HSA 2025 WIN005 Jan 03, 2025
57845WI0060029 Essentia Choice Care with Medica Bronze Share 2025 WIN005 Jan 03, 2025
57845WI0060073 Essentia Choice Care with Medica Expanded Bronze Standard 2025 WIN005 Jan 03, 2025
57845WI0060074 Essentia Choice Care with Medica Gold $0 Copay PCP Visits 2025 WIN005 Jan 03, 2025
57845WI0060076 Essentia Choice Care with Medica Gold Share 2025 WIN005 Jan 03, 2025
57845WI0060055 Essentia Choice Care with Medica Gold Standard 2025 WIN005 Jan 03, 2025
57845WI0060075 Essentia Choice Care with Medica Silver $0 Copay PCP Visits 2025 WIN005 Jan 03, 2025
57845WI0060027 Essentia Choice Care with Medica Silver Share 2025 WIN005 Jan 03, 2025
57845WI0060057 Essentia Choice Care with Medica Silver Standard 2025 WIN005 Jan 03, 2025
57845WI0040011 Medica Individual Choice Bronze HSA 2025 WIN002 Jan 03, 2025
57845WI0040029 Medica Individual Choice Bronze Share 2025 WIN002 Jan 03, 2025
57845WI0040073 Medica Individual Choice Expanded Bronze Standard 2025 WIN002 Jan 03, 2025
57845WI0040074 Medica Individual Choice Gold $0 Copay PCP Visits 2025 WIN002 Jan 03, 2025
57845WI0040076 Medica Individual Choice Gold Share 2025 WIN002 Jan 03, 2025
57845WI0040055 Medica Individual Choice Gold Standard 2025 WIN002 Jan 03, 2025
57845WI0040075 Medica Individual Choice Silver $0 Copay PCP Visits 2025 WIN002 Jan 03, 2025
57845WI0040027 Medica Individual Choice Silver Share 2025 WIN002 Jan 03, 2025
57845WI0040057 Medica Individual Choice Silver Standard 2025 WIN002 Jan 03, 2025

Data notes

Source notes and references

Note: This dashboard reflects recurring imports from CMS marketplace source files. Figures may lag issuer submissions or change when upstream source files are revised.

Source: CMS.gov and the HealthPorta Healthcare MRF API.