UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
Gold · HMO · UnitedHealthcare · Texas
At age 40 it costs between $625.67 and $1,230.76 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 | 40220TX0090002 |
|---|---|
| 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 | Yes |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 97.12% |
| 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 | $489.57 | $555.66 | $625.67 | $874.37 | $1,328.69 |
| Burleson County | $489.57 | $555.66 | $625.67 | $874.37 | $1,328.69 |
| Grimes County | $489.57 | $555.66 | $625.67 | $874.37 | $1,328.69 |
| Leon County | $489.57 | $555.66 | $625.67 | $874.37 | $1,328.69 |
| Madison County | $489.57 | $555.66 | $625.67 | $874.37 | $1,328.69 |
| Milam County | $489.57 | $555.66 | $625.67 | $874.37 | $1,328.69 |
| Robertson County | $489.57 | $555.66 | $625.67 | $874.37 | $1,328.69 |
| Blanco County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Burnet County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Caldwell County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Fayette County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Hays County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Lee County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Llano County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Travis County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Williamson County | $492.53 | $559.02 | $629.45 | $879.66 | $1,336.73 |
| Atascosa County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Bandera County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Bexar County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Comal County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Dimmit County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Edwards County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Frio County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Gillespie County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Gonzales County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Guadalupe County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Kendall County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Kerr County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Kinney County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| La Salle County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Maverick County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Medina County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Real County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Uvalde County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Val Verde County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Wilson County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Zavala County | $497.92 | $565.14 | $636.35 | $889.29 | $1,351.36 |
| Jack County | $501.97 | $569.74 | $641.52 | $896.52 | $1,362.35 |
| Montague County | $501.97 | $569.74 | $641.52 | $896.52 | $1,362.35 |
| Young County | $501.97 | $569.74 | $641.52 | $896.52 | $1,362.35 |
| Angelina County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Hardin County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Houston County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Jasper County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Jefferson County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Nacogdoches County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Newton County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Orange County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Polk County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Sabine County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| San Augustine County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| San Jacinto County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Shelby County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Trinity County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Tyler County | $502.18 | $569.98 | $641.79 | $896.90 | $1,362.93 |
| Austin County | $509 | $577.71 | $650.50 | $909.07 | $1,381.41 |
| Brazoria County | $509 | $577.71 | $650.50 | $909.07 | $1,381.41 |
| Colorado County | $509 | $577.71 | $650.50 | $909.07 | $1,381.41 |
| Fort Bend County | $509 | $577.71 | $650.50 | $909.07 | $1,381.41 |
| Matagorda County | $509 | $577.71 | $650.50 | $909.07 | $1,381.41 |
| Waller County | $509 | $577.71 | $650.50 | $909.07 | $1,381.41 |
| Wharton County | $509 | $577.71 | $650.50 | $909.07 | $1,381.41 |
| Chambers County | $512.27 | $581.43 | $654.69 | $914.92 | $1,390.31 |
| Liberty County | $512.27 | $581.43 | $654.69 | $914.92 | $1,390.31 |
| Montgomery County | $512.27 | $581.43 | $654.69 | $914.92 | $1,390.31 |
| Walker County | $512.27 | $581.43 | $654.69 | $914.92 | $1,390.31 |
| Aransas County | $522.33 | $592.84 | $667.54 | $932.88 | $1,417.60 |
| Bee County | $522.33 | $592.84 | $667.54 | $932.88 | $1,417.60 |
| Jim Wells County | $522.33 | $592.84 | $667.54 | $932.88 | $1,417.60 |
| Kleberg County | $522.33 | $592.84 | $667.54 | $932.88 | $1,417.60 |
| Live Oak County | $522.33 | $592.84 | $667.54 | $932.88 | $1,417.60 |
| Nueces County | $522.33 | $592.84 | $667.54 | $932.88 | $1,417.60 |
| Refugio County | $522.33 | $592.84 | $667.54 | $932.88 | $1,417.60 |
| San Patricio County | $522.33 | $592.84 | $667.54 | $932.88 | $1,417.60 |
| Brewster County | $526.76 | $597.88 | $673.20 | $940.80 | $1,429.63 |
| Culberson County | $526.76 | $597.88 | $673.20 | $940.80 | $1,429.63 |
| El Paso County | $526.76 | $597.88 | $673.20 | $940.80 | $1,429.63 |
| Hudspeth County | $526.76 | $597.88 | $673.20 | $940.80 | $1,429.63 |
| Jeff Davis County | $526.76 | $597.88 | $673.20 | $940.80 | $1,429.63 |
| Presidio County | $526.76 | $597.88 | $673.20 | $940.80 | $1,429.63 |
| Galveston County | $534.65 | $606.83 | $683.28 | $954.88 | $1,451.03 |
| Harris County | $534.65 | $606.83 | $683.28 | $954.88 | $1,451.03 |
| Anderson County | $543.17 | $616.50 | $694.17 | $970.10 | $1,474.16 |
| Cherokee County | $543.17 | $616.50 | $694.17 | $970.10 | $1,474.16 |
| Henderson County | $543.17 | $616.50 | $694.17 | $970.10 | $1,474.16 |
| Rains County | $543.17 | $616.50 | $694.17 | $970.10 | $1,474.16 |
| Smith County | $543.17 | $616.50 | $694.17 | $970.10 | $1,474.16 |
| Van Zandt County | $543.17 | $616.50 | $694.17 | $970.10 | $1,474.16 |
| Wood County | $543.17 | $616.50 | $694.17 | $970.10 | $1,474.16 |
| Bell County | $555.73 | $630.76 | $710.23 | $992.54 | $1,508.26 |
| Coryell County | $555.73 | $630.76 | $710.23 | $992.54 | $1,508.26 |
| Hamilton County | $555.73 | $630.76 | $710.23 | $992.54 | $1,508.26 |
| Lampasas County | $555.73 | $630.76 | $710.23 | $992.54 | $1,508.26 |
| Mills County | $555.73 | $630.76 | $710.23 | $992.54 | $1,508.26 |
| San Saba County | $555.73 | $630.76 | $710.23 | $992.54 | $1,508.26 |
| Gregg County | $559.67 | $635.23 | $715.26 | $999.58 | $1,518.95 |
| Harrison County | $559.67 | $635.23 | $715.26 | $999.58 | $1,518.95 |
| Marion County | $559.67 | $635.23 | $715.26 | $999.58 | $1,518.95 |
| Panola County | $559.67 | $635.23 | $715.26 | $999.58 | $1,518.95 |
| Rusk County | $559.67 | $635.23 | $715.26 | $999.58 | $1,518.95 |
| Upshur County | $559.67 | $635.23 | $715.26 | $999.58 | $1,518.95 |
| Andrews County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Borden County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Crane County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Dawson County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Ector County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Gaines County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Glasscock County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Howard County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Loving County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Martin County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Midland County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Pecos County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Reeves County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Terrell County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Upton County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Ward County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Winkler County | $562.79 | $638.77 | $719.25 | $1,005.15 | $1,527.42 |
| Cameron County | $574.04 | $651.54 | $733.62 | $1,025.24 | $1,557.95 |
| Kenedy County | $574.04 | $651.54 | $733.62 | $1,025.24 | $1,557.95 |
| Willacy County | $574.04 | $651.54 | $733.62 | $1,025.24 | $1,557.95 |
| Bowie County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Camp County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Cass County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Delta County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Franklin County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Hopkins County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Lamar County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Morris County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Red River County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Titus County | $574.37 | $651.91 | $734.05 | $1,025.83 | $1,558.84 |
| Calhoun County | $574.75 | $652.34 | $734.53 | $1,026.50 | $1,559.87 |
| De Witt County | $574.75 | $652.34 | $734.53 | $1,026.50 | $1,559.87 |
| Goliad County | $574.75 | $652.34 | $734.53 | $1,026.50 | $1,559.87 |
| Jackson County | $574.75 | $652.34 | $734.53 | $1,026.50 | $1,559.87 |
| Karnes County | $574.75 | $652.34 | $734.53 | $1,026.50 | $1,559.87 |
| Lavaca County | $574.75 | $652.34 | $734.53 | $1,026.50 | $1,559.87 |
| Victoria County | $574.75 | $652.34 | $734.53 | $1,026.50 | $1,559.87 |
| Armstrong County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Briscoe County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Carson County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Castro County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Childress County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Collingsworth County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Dallam County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Deaf Smith County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Donley County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Gray County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Hall County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Hansford County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Hartley County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Hemphill County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Hutchinson County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Lipscomb County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Moore County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Ochiltree County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Oldham County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Parmer County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Potter County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Randall County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Roberts County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Sherman County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Swisher County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Wheeler County | $575.77 | $653.50 | $735.83 | $1,028.32 | $1,562.63 |
| Denton County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Erath County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Hood County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Johnson County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Palo Pinto County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Parker County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Somervell County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Tarrant County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Wise County | $578.04 | $656.07 | $738.73 | $1,032.37 | $1,568.79 |
| Brooks County | $579.30 | $657.51 | $740.35 | $1,034.64 | $1,572.23 |
| Hidalgo County | $579.30 | $657.51 | $740.35 | $1,034.64 | $1,572.23 |
| Starr County | $579.30 | $657.51 | $740.35 | $1,034.64 | $1,572.23 |
| Bailey County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Cochran County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Crosby County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Dickens County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Floyd County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Garza County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Hale County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Hockley County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| King County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Lamb County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Lubbock County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Lynn County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Motley County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Terry County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Yoakum County | $580.58 | $658.96 | $741.99 | $1,036.92 | $1,575.71 |
| Collin County | $603.32 | $684.77 | $771.05 | $1,077.54 | $1,637.42 |
| Dallas County | $603.32 | $684.77 | $771.05 | $1,077.54 | $1,637.42 |
| Ellis County | $603.32 | $684.77 | $771.05 | $1,077.54 | $1,637.42 |
| Hunt County | $603.32 | $684.77 | $771.05 | $1,077.54 | $1,637.42 |
| Navarro County | $603.32 | $684.77 | $771.05 | $1,077.54 | $1,637.42 |
| Rockwall County | $603.32 | $684.77 | $771.05 | $1,077.54 | $1,637.42 |
| Cooke County | $608.11 | $690.20 | $777.16 | $1,086.08 | $1,650.41 |
| Fannin County | $608.11 | $690.20 | $777.16 | $1,086.08 | $1,650.41 |
| Grayson County | $608.11 | $690.20 | $777.16 | $1,086.08 | $1,650.41 |
| Duval County | $628.01 | $712.79 | $802.59 | $1,121.62 | $1,704.41 |
| Jim Hogg County | $628.01 | $712.79 | $802.59 | $1,121.62 | $1,704.41 |
| McMullen County | $628.01 | $712.79 | $802.59 | $1,121.62 | $1,704.41 |
| Webb County | $628.01 | $712.79 | $802.59 | $1,121.62 | $1,704.41 |
| Zapata County | $628.01 | $712.79 | $802.59 | $1,121.62 | $1,704.41 |
| Coke County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Concho County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Crockett County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Irion County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Kimble County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Mason County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| McCulloch County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Menard County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Reagan County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Schleicher County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Sterling County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Sutton County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
| Tom Green County | $963.04 | $1,093.05 | $1,230.76 | $1,719.98 | $2,613.68 |
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.