Marketplace issuer snapshot

Medica Insurance Company coverage profile

Review marketplace plan availability, current source quality, formulary footprint, and linked HealthPorta plan coverage for Medica Insurance Company.

Plans tracked: 57 State: Missouri Coverage exceptions: 27
Plans tracked 57
Formularies 57
Latest refresh Tue, 10 Mar 2026 06:40 GMT
HealthPorta issuer coverage analytics

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Issuer coverage metrics

Marketplace coverage snapshot

Plans tracked 57
State served

Missouri

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

Drug coverage overview

197,910 drugs tracked across 57 formularies

Prior authorization requirements
Status Drugs
Required 0
Not Required 197,910

Plan roster

Marketplace plans from Medica Insurance Company

Plan ID Plan name Year Network Last update
53461MO0080041 Balance by Medica Bronze $0 Copay PCP Visits 2026 PREFERREDTIER Jan 22, 2026
53461MO0080051 Balance by Medica Bronze Premier 2026 STANDARDTIER Jan 22, 2026
53461MO0080073 Balance by Medica Expanded Bronze Standard 2026 STANDARDTIER Jan 22, 2026
53461MO0080045 Balance by Medica Gold $0 Copay PCP Visits 2026 PREFERREDTIER Jan 22, 2026
53461MO0080074 Balance by Medica Gold Share 2026 PREFERRED Jan 22, 2026
53461MO0080055 Balance by Medica Gold Standard 2026 PREFERRED Jan 22, 2026
53461MO0080047 Balance by Medica Silver $0 Copay PCP Visits 2026 PREFERRED Jan 22, 2026
53461MO0080075 Balance by Medica Silver Share 2026 PREFERREDTIER Jan 22, 2026
53461MO0080057 Balance by Medica Silver Standard 2026 PREFERREDTIER Jan 22, 2026
53461MO0070041 Medica with MU Health Care Bronze $0 Copay PCP Visits 2026 STANDARDTIER Jan 22, 2026
53461MO0070051 Medica with MU Health Care Bronze Premier 2026 PREFERRED Jan 22, 2026
53461MO0070073 Medica with MU Health Care Expanded Bronze Standard 2026 PREFERRED Jan 22, 2026
53461MO0070045 Medica with MU Health Care Gold $0 Copay PCP Visits 2026 PREFERRED Jan 22, 2026
53461MO0070074 Medica with MU Health Care Gold Share 2026 PREFERRED Jan 22, 2026
53461MO0070055 Medica with MU Health Care Gold Standard 2026 PREFERREDTIER Jan 22, 2026
53461MO0070047 Medica with MU Health Care Silver $0 Copay PCP Visits 2026 STANDARDTIER Jan 22, 2026
53461MO0070075 Medica with MU Health Care Silver Share 2026 PREFERRED Jan 22, 2026
53461MO0070057 Medica with MU Health Care Silver Standard 2026 STANDARDTIER Jan 22, 2026
53461MO0010041 Select by Medica Bronze $0 Copay PCP Visits 2026 PREFERREDTIER Jan 22, 2026
53461MO0010029 Select by Medica Bronze Share 2026 PREFERRED Jan 22, 2026
53461MO0010073 Select by Medica Expanded Bronze Standard 2026 STANDARDTIER Jan 22, 2026
53461MO0010045 Select by Medica Gold $0 Copay PCP Visits 2026 STANDARDTIER Jan 22, 2026
53461MO0010074 Select by Medica Gold Share 2026 STANDARDTIER Jan 22, 2026
53461MO0010055 Select by Medica Gold Standard 2026 PREFERREDTIER Jan 22, 2026
53461MO0010047 Select by Medica Silver $0 Copay PCP Visits 2026 PREFERREDTIER Jan 22, 2026
53461MO0010075 Select by Medica Silver Share 2026 STANDARDTIER Jan 22, 2026
53461MO0010057 Select by Medica Silver Standard 2026 PREFERREDTIER Jan 22, 2026
53461MO0080041 Balance by Medica Bronze $0 Copay PCP Visits 2025 MON008 Jan 03, 2025
53461MO0080051 Balance by Medica Bronze Premier 2025 MON008 Jan 03, 2025
53461MO0080013 Balance by Medica Catastrophic 2025 MON008 Jan 03, 2025
53461MO0080073 Balance by Medica Expanded Bronze Standard 2025 MON008 Jan 03, 2025
53461MO0080045 Balance by Medica Gold $0 Copay PCP Visits 2025 MON008 Jan 03, 2025
53461MO0080074 Balance by Medica Gold Share 2025 MON008 Jan 03, 2025
53461MO0080055 Balance by Medica Gold Standard 2025 MON008 Jan 03, 2025
53461MO0080047 Balance by Medica Silver $0 Copay PCP Visits 2025 MON008 Jan 03, 2025
53461MO0080075 Balance by Medica Silver Share 2025 MON008 Jan 03, 2025
53461MO0080057 Balance by Medica Silver Standard 2025 MON008 Jan 03, 2025
53461MO0070041 Medica with MU Health Care Bronze $0 Copay PCP Visits 2025 MON007 Jan 03, 2025
53461MO0070051 Medica with MU Health Care Bronze Premier 2025 MON007 Jan 03, 2025
53461MO0070013 Medica with MU Health Care Catastrophic 2025 MON007 Jan 03, 2025
53461MO0070073 Medica with MU Health Care Expanded Bronze Standard 2025 MON007 Jan 03, 2025
53461MO0070045 Medica with MU Health Care Gold $0 Copay PCP Visits 2025 MON007 Jan 03, 2025
53461MO0070074 Medica with MU Health Care Gold Share 2025 MON007 Jan 03, 2025
53461MO0070055 Medica with MU Health Care Gold Standard 2025 MON007 Jan 03, 2025
53461MO0070047 Medica with MU Health Care Silver $0 Copay PCP Visits 2025 MON007 Jan 03, 2025
53461MO0070075 Medica with MU Health Care Silver Share 2025 MON007 Jan 03, 2025
53461MO0070057 Medica with MU Health Care Silver Standard 2025 MON007 Jan 03, 2025
53461MO0010041 Select by Medica Bronze $0 Copay PCP Visits 2025 MON001 Jan 03, 2025
53461MO0010029 Select by Medica Bronze Share 2025 MON001 Jan 03, 2025
53461MO0010013 Select by Medica Catastrophic 2025 MON001 Jan 03, 2025
53461MO0010073 Select by Medica Expanded Bronze Standard 2025 MON001 Jan 03, 2025
53461MO0010045 Select by Medica Gold $0 Copay PCP Visits 2025 MON001 Jan 03, 2025
53461MO0010074 Select by Medica Gold Share 2025 MON001 Jan 03, 2025
53461MO0010055 Select by Medica Gold Standard 2025 MON001 Jan 03, 2025
53461MO0010047 Select by Medica Silver $0 Copay PCP Visits 2025 MON001 Jan 03, 2025
53461MO0010075 Select by Medica Silver Share 2025 MON001 Jan 03, 2025
53461MO0010057 Select by Medica Silver Standard 2025 MON001 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.