UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)
Gold · HMO · UnitedHealthcare · Texas
At age 40 it costs between $607.77 and $1,195.55 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 | 40220TX0080055 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $500 |
| Most you could pay in a year | $7,800 |
| Family maximum | $15,600 |
| Primary care visit | $15 |
| Specialist visit | $40 |
| Emergency room | $1,000 |
| Inpatient stay | $2,000 Copay per Day |
| Generic drugs | $8 |
| Preferred brand drugs | $50 |
| Specialty drugs | 45% 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
213 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 | $475.56 | $539.77 | $607.77 | $849.36 | $1,290.68 |
| Burleson County | $475.56 | $539.77 | $607.77 | $849.36 | $1,290.68 |
| Grimes County | $475.56 | $539.77 | $607.77 | $849.36 | $1,290.68 |
| Leon County | $475.56 | $539.77 | $607.77 | $849.36 | $1,290.68 |
| Madison County | $475.56 | $539.77 | $607.77 | $849.36 | $1,290.68 |
| Milam County | $475.56 | $539.77 | $607.77 | $849.36 | $1,290.68 |
| Robertson County | $475.56 | $539.77 | $607.77 | $849.36 | $1,290.68 |
| Blanco County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Burnet County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Caldwell County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Fayette County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Hays County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Lee County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Llano County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Travis County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Williamson County | $478.44 | $543.03 | $611.45 | $854.50 | $1,298.49 |
| Atascosa County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Bandera County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Bexar County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Comal County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Dimmit County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Edwards County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Frio County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Gillespie County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Gonzales County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Guadalupe County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Kendall County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Kerr County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Kinney County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| La Salle County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Maverick County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Medina County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Real County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Uvalde County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Val Verde County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Wilson County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Zavala County | $483.68 | $548.98 | $618.14 | $863.85 | $1,312.71 |
| Jack County | $487.61 | $553.44 | $623.17 | $870.87 | $1,323.38 |
| Montague County | $487.61 | $553.44 | $623.17 | $870.87 | $1,323.38 |
| Young County | $487.61 | $553.44 | $623.17 | $870.87 | $1,323.38 |
| Angelina County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Hardin County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Houston County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Jasper County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Jefferson County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Nacogdoches County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Newton County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Orange County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Polk County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Sabine County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| San Augustine County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| San Jacinto County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Shelby County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Trinity County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Tyler County | $487.82 | $553.67 | $623.43 | $871.24 | $1,323.94 |
| Austin County | $494.44 | $561.18 | $631.89 | $883.06 | $1,341.90 |
| Colorado County | $494.44 | $561.18 | $631.89 | $883.06 | $1,341.90 |
| Matagorda County | $494.44 | $561.18 | $631.89 | $883.06 | $1,341.90 |
| Waller County | $494.44 | $561.18 | $631.89 | $883.06 | $1,341.90 |
| Wharton County | $494.44 | $561.18 | $631.89 | $883.06 | $1,341.90 |
| Chambers County | $497.62 | $564.80 | $635.96 | $888.75 | $1,350.54 |
| Liberty County | $497.62 | $564.80 | $635.96 | $888.75 | $1,350.54 |
| Walker County | $497.62 | $564.80 | $635.96 | $888.75 | $1,350.54 |
| Aransas County | $507.39 | $575.88 | $648.44 | $906.19 | $1,377.05 |
| Bee County | $507.39 | $575.88 | $648.44 | $906.19 | $1,377.05 |
| Jim Wells County | $507.39 | $575.88 | $648.44 | $906.19 | $1,377.05 |
| Kleberg County | $507.39 | $575.88 | $648.44 | $906.19 | $1,377.05 |
| Live Oak County | $507.39 | $575.88 | $648.44 | $906.19 | $1,377.05 |
| Nueces County | $507.39 | $575.88 | $648.44 | $906.19 | $1,377.05 |
| Refugio County | $507.39 | $575.88 | $648.44 | $906.19 | $1,377.05 |
| San Patricio County | $507.39 | $575.88 | $648.44 | $906.19 | $1,377.05 |
| Brewster County | $511.69 | $580.77 | $653.94 | $913.89 | $1,388.74 |
| Culberson County | $511.69 | $580.77 | $653.94 | $913.89 | $1,388.74 |
| El Paso County | $511.69 | $580.77 | $653.94 | $913.89 | $1,388.74 |
| Hudspeth County | $511.69 | $580.77 | $653.94 | $913.89 | $1,388.74 |
| Jeff Davis County | $511.69 | $580.77 | $653.94 | $913.89 | $1,388.74 |
| Presidio County | $511.69 | $580.77 | $653.94 | $913.89 | $1,388.74 |
| Anderson County | $527.63 | $598.86 | $674.31 | $942.35 | $1,431.99 |
| Cherokee County | $527.63 | $598.86 | $674.31 | $942.35 | $1,431.99 |
| Henderson County | $527.63 | $598.86 | $674.31 | $942.35 | $1,431.99 |
| Rains County | $527.63 | $598.86 | $674.31 | $942.35 | $1,431.99 |
| Smith County | $527.63 | $598.86 | $674.31 | $942.35 | $1,431.99 |
| Van Zandt County | $527.63 | $598.86 | $674.31 | $942.35 | $1,431.99 |
| Wood County | $527.63 | $598.86 | $674.31 | $942.35 | $1,431.99 |
| Bell County | $539.84 | $612.72 | $689.91 | $964.15 | $1,465.12 |
| Coryell County | $539.84 | $612.72 | $689.91 | $964.15 | $1,465.12 |
| Hamilton County | $539.84 | $612.72 | $689.91 | $964.15 | $1,465.12 |
| Lampasas County | $539.84 | $612.72 | $689.91 | $964.15 | $1,465.12 |
| Mills County | $539.84 | $612.72 | $689.91 | $964.15 | $1,465.12 |
| San Saba County | $539.84 | $612.72 | $689.91 | $964.15 | $1,465.12 |
| Gregg County | $543.66 | $617.06 | $694.80 | $970.98 | $1,475.50 |
| Harrison County | $543.66 | $617.06 | $694.80 | $970.98 | $1,475.50 |
| Marion County | $543.66 | $617.06 | $694.80 | $970.98 | $1,475.50 |
| Panola County | $543.66 | $617.06 | $694.80 | $970.98 | $1,475.50 |
| Rusk County | $543.66 | $617.06 | $694.80 | $970.98 | $1,475.50 |
| Upshur County | $543.66 | $617.06 | $694.80 | $970.98 | $1,475.50 |
| Andrews County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Borden County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Crane County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Dawson County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Ector County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Gaines County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Glasscock County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Howard County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Loving County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Martin County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Midland County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Pecos County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Reeves County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Terrell County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Upton County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Ward County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Winkler County | $546.69 | $620.50 | $698.67 | $976.39 | $1,483.72 |
| Cameron County | $557.62 | $632.90 | $712.64 | $995.91 | $1,513.38 |
| Kenedy County | $557.62 | $632.90 | $712.64 | $995.91 | $1,513.38 |
| Willacy County | $557.62 | $632.90 | $712.64 | $995.91 | $1,513.38 |
| Bowie County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Camp County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Cass County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Delta County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Franklin County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Hopkins County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Lamar County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Morris County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Red River County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Titus County | $557.94 | $633.26 | $713.05 | $996.48 | $1,514.25 |
| Calhoun County | $558.31 | $633.68 | $713.52 | $997.14 | $1,515.25 |
| De Witt County | $558.31 | $633.68 | $713.52 | $997.14 | $1,515.25 |
| Goliad County | $558.31 | $633.68 | $713.52 | $997.14 | $1,515.25 |
| Jackson County | $558.31 | $633.68 | $713.52 | $997.14 | $1,515.25 |
| Karnes County | $558.31 | $633.68 | $713.52 | $997.14 | $1,515.25 |
| Lavaca County | $558.31 | $633.68 | $713.52 | $997.14 | $1,515.25 |
| Victoria County | $558.31 | $633.68 | $713.52 | $997.14 | $1,515.25 |
| Armstrong County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Briscoe County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Carson County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Castro County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Childress County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Collingsworth County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Dallam County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Deaf Smith County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Donley County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Gray County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Hall County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Hansford County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Hartley County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Hemphill County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Hutchinson County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Lipscomb County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Moore County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Ochiltree County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Oldham County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Parmer County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Potter County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Randall County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Roberts County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Sherman County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Swisher County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Wheeler County | $559.30 | $634.80 | $714.78 | $998.90 | $1,517.93 |
| Denton County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Erath County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Hood County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Johnson County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Palo Pinto County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Parker County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Somervell County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Tarrant County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Wise County | $561.50 | $637.30 | $717.60 | $1,002.84 | $1,523.92 |
| Brooks County | $562.73 | $638.70 | $719.17 | $1,005.04 | $1,527.26 |
| Hidalgo County | $562.73 | $638.70 | $719.17 | $1,005.04 | $1,527.26 |
| Starr County | $562.73 | $638.70 | $719.17 | $1,005.04 | $1,527.26 |
| Bailey County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Cochran County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Crosby County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Dickens County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Floyd County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Garza County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Hale County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Hockley County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| King County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Lamb County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Lubbock County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Lynn County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Motley County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Terry County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Yoakum County | $563.98 | $640.11 | $720.76 | $1,007.26 | $1,530.63 |
| Collin County | $586.07 | $665.18 | $748.99 | $1,046.71 | $1,590.58 |
| Dallas County | $586.07 | $665.18 | $748.99 | $1,046.71 | $1,590.58 |
| Ellis County | $586.07 | $665.18 | $748.99 | $1,046.71 | $1,590.58 |
| Hunt County | $586.07 | $665.18 | $748.99 | $1,046.71 | $1,590.58 |
| Navarro County | $586.07 | $665.18 | $748.99 | $1,046.71 | $1,590.58 |
| Rockwall County | $586.07 | $665.18 | $748.99 | $1,046.71 | $1,590.58 |
| Cooke County | $590.71 | $670.46 | $754.93 | $1,055.01 | $1,603.20 |
| Fannin County | $590.71 | $670.46 | $754.93 | $1,055.01 | $1,603.20 |
| Grayson County | $590.71 | $670.46 | $754.93 | $1,055.01 | $1,603.20 |
| Duval County | $610.04 | $692.40 | $779.64 | $1,089.54 | $1,655.66 |
| Jim Hogg County | $610.04 | $692.40 | $779.64 | $1,089.54 | $1,655.66 |
| McMullen County | $610.04 | $692.40 | $779.64 | $1,089.54 | $1,655.66 |
| Webb County | $610.04 | $692.40 | $779.64 | $1,089.54 | $1,655.66 |
| Zapata County | $610.04 | $692.40 | $779.64 | $1,089.54 | $1,655.66 |
| Coke County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Concho County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Crockett County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Irion County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Kimble County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Mason County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| McCulloch County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Menard County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Reagan County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Schleicher County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Sterling County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Sutton County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
| Tom Green County | $935.49 | $1,061.78 | $1,195.55 | $1,670.78 | $2,538.91 |
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.