UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
Gold · HMO · UnitedHealthcare · Texas
At age 40 it costs between $609.69 and $1,199.33 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 | 40220TX0080028 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $1,000 |
| Deductible (family) | $2,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $15 |
| Specialist visit | $60 |
| Emergency room | $500 Copay after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $8 |
| Preferred brand drugs | $50 |
| 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 | 1-866-811-2704 · TTY 1-866-811-2704 |
Where it is sold, and what it costs there
218 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 |
|---|---|---|---|---|---|
| Brazos County | $477.07 | $541.47 | $609.69 | $852.04 | $1,294.75 |
| Burleson County | $477.07 | $541.47 | $609.69 | $852.04 | $1,294.75 |
| Grimes County | $477.07 | $541.47 | $609.69 | $852.04 | $1,294.75 |
| Leon County | $477.07 | $541.47 | $609.69 | $852.04 | $1,294.75 |
| Madison County | $477.07 | $541.47 | $609.69 | $852.04 | $1,294.75 |
| Milam County | $477.07 | $541.47 | $609.69 | $852.04 | $1,294.75 |
| Robertson County | $477.07 | $541.47 | $609.69 | $852.04 | $1,294.75 |
| Blanco County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Burnet County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Caldwell County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Fayette County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Hays County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Lee County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Llano County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Travis County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Williamson County | $479.95 | $544.74 | $613.38 | $857.19 | $1,302.58 |
| Atascosa County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Bandera County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Bexar County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Comal County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Dimmit County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Edwards County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Frio County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Gillespie County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Gonzales County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Guadalupe County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Kendall County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Kerr County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Kinney County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| La Salle County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Maverick County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Medina County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Real County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Uvalde County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Val Verde County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Wilson County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Zavala County | $485.21 | $550.71 | $620.09 | $866.58 | $1,316.85 |
| Jack County | $489.15 | $555.19 | $625.13 | $873.62 | $1,327.55 |
| Montague County | $489.15 | $555.19 | $625.13 | $873.62 | $1,327.55 |
| Young County | $489.15 | $555.19 | $625.13 | $873.62 | $1,327.55 |
| Angelina County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Hardin County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Houston County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Jasper County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Jefferson County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Nacogdoches County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Newton County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Orange County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Polk County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Sabine County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| San Augustine County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| San Jacinto County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Shelby County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Trinity County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Tyler County | $489.36 | $555.42 | $625.40 | $873.99 | $1,328.12 |
| Austin County | $496 | $562.96 | $633.88 | $885.85 | $1,346.13 |
| Brazoria County | $496 | $562.96 | $633.88 | $885.85 | $1,346.13 |
| Colorado County | $496 | $562.96 | $633.88 | $885.85 | $1,346.13 |
| Fort Bend County | $496 | $562.96 | $633.88 | $885.85 | $1,346.13 |
| Matagorda County | $496 | $562.96 | $633.88 | $885.85 | $1,346.13 |
| Waller County | $496 | $562.96 | $633.88 | $885.85 | $1,346.13 |
| Wharton County | $496 | $562.96 | $633.88 | $885.85 | $1,346.13 |
| Chambers County | $499.19 | $566.58 | $637.97 | $891.55 | $1,354.80 |
| Liberty County | $499.19 | $566.58 | $637.97 | $891.55 | $1,354.80 |
| Montgomery County | $499.19 | $566.58 | $637.97 | $891.55 | $1,354.80 |
| Walker County | $499.19 | $566.58 | $637.97 | $891.55 | $1,354.80 |
| Aransas County | $508.99 | $577.70 | $650.49 | $909.05 | $1,381.39 |
| Bee County | $508.99 | $577.70 | $650.49 | $909.05 | $1,381.39 |
| Jim Wells County | $508.99 | $577.70 | $650.49 | $909.05 | $1,381.39 |
| Kleberg County | $508.99 | $577.70 | $650.49 | $909.05 | $1,381.39 |
| Live Oak County | $508.99 | $577.70 | $650.49 | $909.05 | $1,381.39 |
| Nueces County | $508.99 | $577.70 | $650.49 | $909.05 | $1,381.39 |
| Refugio County | $508.99 | $577.70 | $650.49 | $909.05 | $1,381.39 |
| San Patricio County | $508.99 | $577.70 | $650.49 | $909.05 | $1,381.39 |
| Brewster County | $513.31 | $582.60 | $656.01 | $916.77 | $1,393.12 |
| Culberson County | $513.31 | $582.60 | $656.01 | $916.77 | $1,393.12 |
| El Paso County | $513.31 | $582.60 | $656.01 | $916.77 | $1,393.12 |
| Hudspeth County | $513.31 | $582.60 | $656.01 | $916.77 | $1,393.12 |
| Jeff Davis County | $513.31 | $582.60 | $656.01 | $916.77 | $1,393.12 |
| Presidio County | $513.31 | $582.60 | $656.01 | $916.77 | $1,393.12 |
| Galveston County | $520.99 | $591.33 | $665.83 | $930.49 | $1,413.97 |
| Harris County | $520.99 | $591.33 | $665.83 | $930.49 | $1,413.97 |
| Anderson County | $529.30 | $600.75 | $676.44 | $945.32 | $1,436.51 |
| Cherokee County | $529.30 | $600.75 | $676.44 | $945.32 | $1,436.51 |
| Henderson County | $529.30 | $600.75 | $676.44 | $945.32 | $1,436.51 |
| Rains County | $529.30 | $600.75 | $676.44 | $945.32 | $1,436.51 |
| Smith County | $529.30 | $600.75 | $676.44 | $945.32 | $1,436.51 |
| Van Zandt County | $529.30 | $600.75 | $676.44 | $945.32 | $1,436.51 |
| Wood County | $529.30 | $600.75 | $676.44 | $945.32 | $1,436.51 |
| Bell County | $541.54 | $614.65 | $692.09 | $967.19 | $1,469.74 |
| Coryell County | $541.54 | $614.65 | $692.09 | $967.19 | $1,469.74 |
| Hamilton County | $541.54 | $614.65 | $692.09 | $967.19 | $1,469.74 |
| Lampasas County | $541.54 | $614.65 | $692.09 | $967.19 | $1,469.74 |
| Mills County | $541.54 | $614.65 | $692.09 | $967.19 | $1,469.74 |
| San Saba County | $541.54 | $614.65 | $692.09 | $967.19 | $1,469.74 |
| Gregg County | $545.38 | $619.01 | $696.99 | $974.05 | $1,480.16 |
| Harrison County | $545.38 | $619.01 | $696.99 | $974.05 | $1,480.16 |
| Marion County | $545.38 | $619.01 | $696.99 | $974.05 | $1,480.16 |
| Panola County | $545.38 | $619.01 | $696.99 | $974.05 | $1,480.16 |
| Rusk County | $545.38 | $619.01 | $696.99 | $974.05 | $1,480.16 |
| Upshur County | $545.38 | $619.01 | $696.99 | $974.05 | $1,480.16 |
| Andrews County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Borden County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Crane County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Dawson County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Ector County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Gaines County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Glasscock County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Howard County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Loving County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Martin County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Midland County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Pecos County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Reeves County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Terrell County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Upton County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Ward County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Winkler County | $548.42 | $622.45 | $700.88 | $979.47 | $1,488.40 |
| Cameron County | $559.38 | $634.89 | $714.89 | $999.05 | $1,518.15 |
| Kenedy County | $559.38 | $634.89 | $714.89 | $999.05 | $1,518.15 |
| Willacy County | $559.38 | $634.89 | $714.89 | $999.05 | $1,518.15 |
| Bowie County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Camp County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Cass County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Delta County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Franklin County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Hopkins County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Lamar County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Morris County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Red River County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Titus County | $559.70 | $635.26 | $715.30 | $999.63 | $1,519.03 |
| Calhoun County | $560.07 | $635.68 | $715.77 | $1,000.28 | $1,520.03 |
| De Witt County | $560.07 | $635.68 | $715.77 | $1,000.28 | $1,520.03 |
| Goliad County | $560.07 | $635.68 | $715.77 | $1,000.28 | $1,520.03 |
| Jackson County | $560.07 | $635.68 | $715.77 | $1,000.28 | $1,520.03 |
| Karnes County | $560.07 | $635.68 | $715.77 | $1,000.28 | $1,520.03 |
| Lavaca County | $560.07 | $635.68 | $715.77 | $1,000.28 | $1,520.03 |
| Victoria County | $560.07 | $635.68 | $715.77 | $1,000.28 | $1,520.03 |
| Armstrong County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Briscoe County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Carson County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Castro County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Childress County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Collingsworth County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Dallam County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Deaf Smith County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Donley County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Gray County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Hall County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Hansford County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Hartley County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Hemphill County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Hutchinson County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Lipscomb County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Moore County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Ochiltree County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Oldham County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Parmer County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Potter County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Randall County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Roberts County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Sherman County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Swisher County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Wheeler County | $561.06 | $636.80 | $717.04 | $1,002.06 | $1,522.72 |
| Denton County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Erath County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Hood County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Johnson County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Palo Pinto County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Parker County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Somervell County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Tarrant County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Wise County | $563.27 | $639.32 | $719.86 | $1,006.01 | $1,528.72 |
| Brooks County | $564.51 | $640.72 | $721.44 | $1,008.21 | $1,532.08 |
| Hidalgo County | $564.51 | $640.72 | $721.44 | $1,008.21 | $1,532.08 |
| Starr County | $564.51 | $640.72 | $721.44 | $1,008.21 | $1,532.08 |
| Bailey County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Cochran County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Crosby County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Dickens County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Floyd County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Garza County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Hale County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Hockley County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| King County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Lamb County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Lubbock County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Lynn County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Motley County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Terry County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Yoakum County | $565.76 | $642.13 | $723.04 | $1,010.44 | $1,535.46 |
| Collin County | $587.91 | $667.28 | $751.35 | $1,050.01 | $1,595.60 |
| Dallas County | $587.91 | $667.28 | $751.35 | $1,050.01 | $1,595.60 |
| Ellis County | $587.91 | $667.28 | $751.35 | $1,050.01 | $1,595.60 |
| Hunt County | $587.91 | $667.28 | $751.35 | $1,050.01 | $1,595.60 |
| Navarro County | $587.91 | $667.28 | $751.35 | $1,050.01 | $1,595.60 |
| Rockwall County | $587.91 | $667.28 | $751.35 | $1,050.01 | $1,595.60 |
| Cooke County | $592.58 | $672.57 | $757.31 | $1,058.34 | $1,608.25 |
| Fannin County | $592.58 | $672.57 | $757.31 | $1,058.34 | $1,608.25 |
| Grayson County | $592.58 | $672.57 | $757.31 | $1,058.34 | $1,608.25 |
| Duval County | $611.97 | $694.58 | $782.10 | $1,092.98 | $1,660.88 |
| Jim Hogg County | $611.97 | $694.58 | $782.10 | $1,092.98 | $1,660.88 |
| McMullen County | $611.97 | $694.58 | $782.10 | $1,092.98 | $1,660.88 |
| Webb County | $611.97 | $694.58 | $782.10 | $1,092.98 | $1,660.88 |
| Zapata County | $611.97 | $694.58 | $782.10 | $1,092.98 | $1,660.88 |
| Coke County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Concho County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Crockett County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Irion County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Kimble County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Mason County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| McCulloch County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Menard County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Reagan County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Schleicher County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Sterling County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Sutton County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
| Tom Green County | $938.44 | $1,065.13 | $1,199.33 | $1,676.05 | $2,546.92 |
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.