UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
Gold · HMO · UnitedHealthcare · Ohio
At age 40 it costs between $808.63 and $974.66 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 33931OH0030042 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $700 |
| Deductible (family) | $1,400 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,000 |
| Family maximum | $14,000 |
| Primary care visit | $10 |
| Specialist visit | $60 |
| Emergency room | $750 Copay after deductible |
| Inpatient stay | 45% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | $30 |
| Specialty drugs | 40% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-331-4680 · TTY 1-800-331-4680 |
Where it is sold, and what it costs there
42 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Allen County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Hardin County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Defiance County | $633.40 | $718.91 | $809.48 | $1,131.25 | $1,719.04 |
| Fulton County | $633.40 | $718.91 | $809.48 | $1,131.25 | $1,719.04 |
| Henry County | $633.40 | $718.91 | $809.48 | $1,131.25 | $1,719.04 |
| Lucas County | $633.40 | $718.91 | $809.48 | $1,131.25 | $1,719.04 |
| Williams County | $633.40 | $718.91 | $809.48 | $1,131.25 | $1,719.04 |
| Wood County | $633.40 | $718.91 | $809.48 | $1,131.25 | $1,719.04 |
| Erie County | $636.13 | $722 | $812.97 | $1,136.12 | $1,726.44 |
| Huron County | $636.13 | $722 | $812.97 | $1,136.12 | $1,726.44 |
| Ottawa County | $636.13 | $722 | $812.97 | $1,136.12 | $1,726.44 |
| Sandusky County | $636.13 | $722 | $812.97 | $1,136.12 | $1,726.44 |
| Seneca County | $636.13 | $722 | $812.97 | $1,136.12 | $1,726.44 |
| Wyandot County | $636.13 | $722 | $812.97 | $1,136.12 | $1,726.44 |
| Cuyahoga County | $637.85 | $723.96 | $815.17 | $1,139.20 | $1,731.12 |
| Lorain County | $637.85 | $723.96 | $815.17 | $1,139.20 | $1,731.12 |
| Champaign County | $650.96 | $738.83 | $831.92 | $1,162.61 | $1,766.69 |
| Clark County | $650.96 | $738.83 | $831.92 | $1,162.61 | $1,766.69 |
| Darke County | $650.96 | $738.83 | $831.92 | $1,162.61 | $1,766.69 |
| Greene County | $650.96 | $738.83 | $831.92 | $1,162.61 | $1,766.69 |
| Miami County | $650.96 | $738.83 | $831.92 | $1,162.61 | $1,766.69 |
| Montgomery County | $650.96 | $738.83 | $831.92 | $1,162.61 | $1,766.69 |
| Preble County | $650.96 | $738.83 | $831.92 | $1,162.61 | $1,766.69 |
| Shelby County | $650.96 | $738.83 | $831.92 | $1,162.61 | $1,766.69 |
| Columbiana County | $651.63 | $739.60 | $832.78 | $1,163.81 | $1,768.52 |
| Mahoning County | $651.63 | $739.60 | $832.78 | $1,163.81 | $1,768.52 |
| Trumbull County | $651.63 | $739.60 | $832.78 | $1,163.81 | $1,768.52 |
| Adams County | $662.71 | $752.17 | $846.94 | $1,183.60 | $1,798.59 |
| Brown County | $662.71 | $752.17 | $846.94 | $1,183.60 | $1,798.59 |
| Clermont County | $662.71 | $752.17 | $846.94 | $1,183.60 | $1,798.59 |
| Clinton County | $662.71 | $752.17 | $846.94 | $1,183.60 | $1,798.59 |
| Highland County | $662.71 | $752.17 | $846.94 | $1,183.60 | $1,798.59 |
| Butler County | $667.41 | $757.51 | $852.95 | $1,192 | $1,811.35 |
| Hamilton County | $667.41 | $757.51 | $852.95 | $1,192 | $1,811.35 |
| Warren County | $667.41 | $757.51 | $852.95 | $1,192 | $1,811.35 |
| Medina County | $683.36 | $775.61 | $873.33 | $1,220.47 | $1,854.63 |
| Portage County | $683.36 | $775.61 | $873.33 | $1,220.47 | $1,854.63 |
| Summit County | $683.36 | $775.61 | $873.33 | $1,220.47 | $1,854.63 |
| Franklin County | $762.64 | $865.60 | $974.66 | $1,362.08 | $2,069.81 |
| Logan County | $762.64 | $865.60 | $974.66 | $1,362.08 | $2,069.81 |
| Madison County | $762.64 | $865.60 | $974.66 | $1,362.08 | $2,069.81 |
| Union County | $762.64 | $865.60 | $974.66 | $1,362.08 | $2,069.81 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.