UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
Gold · HMO · UnitedHealthcare · Texas
At age 40 it costs between $623.75 and $1,226.99 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 | 40220TX0090008 |
|---|---|
| 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 | Yes |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 97.11% |
| 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 | $488.07 | $553.96 | $623.75 | $871.69 | $1,324.62 |
| Burleson County | $488.07 | $553.96 | $623.75 | $871.69 | $1,324.62 |
| Grimes County | $488.07 | $553.96 | $623.75 | $871.69 | $1,324.62 |
| Leon County | $488.07 | $553.96 | $623.75 | $871.69 | $1,324.62 |
| Madison County | $488.07 | $553.96 | $623.75 | $871.69 | $1,324.62 |
| Milam County | $488.07 | $553.96 | $623.75 | $871.69 | $1,324.62 |
| Robertson County | $488.07 | $553.96 | $623.75 | $871.69 | $1,324.62 |
| Blanco County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Burnet County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Caldwell County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Fayette County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Hays County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Lee County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Llano County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Travis County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Williamson County | $491.02 | $557.31 | $627.52 | $876.96 | $1,332.63 |
| Atascosa County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Bandera County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Bexar County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Comal County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Dimmit County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Edwards County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Frio County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Gillespie County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Gonzales County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Guadalupe County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Kendall County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Kerr County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Kinney County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| La Salle County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Maverick County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Medina County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Real County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Uvalde County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Val Verde County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Wilson County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Zavala County | $496.40 | $563.41 | $634.40 | $886.57 | $1,347.22 |
| Jack County | $500.43 | $567.99 | $639.55 | $893.77 | $1,358.17 |
| Montague County | $500.43 | $567.99 | $639.55 | $893.77 | $1,358.17 |
| Young County | $500.43 | $567.99 | $639.55 | $893.77 | $1,358.17 |
| Angelina County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Hardin County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Houston County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Jasper County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Jefferson County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Nacogdoches County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Newton County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Orange County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Polk County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Sabine County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| San Augustine County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| San Jacinto County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Shelby County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Trinity County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Tyler County | $500.64 | $568.23 | $639.82 | $894.15 | $1,358.75 |
| Austin County | $507.44 | $575.94 | $648.50 | $906.28 | $1,377.18 |
| Colorado County | $507.44 | $575.94 | $648.50 | $906.28 | $1,377.18 |
| Matagorda County | $507.44 | $575.94 | $648.50 | $906.28 | $1,377.18 |
| Waller County | $507.44 | $575.94 | $648.50 | $906.28 | $1,377.18 |
| Wharton County | $507.44 | $575.94 | $648.50 | $906.28 | $1,377.18 |
| Chambers County | $510.70 | $579.65 | $652.68 | $912.12 | $1,386.05 |
| Liberty County | $510.70 | $579.65 | $652.68 | $912.12 | $1,386.05 |
| Walker County | $510.70 | $579.65 | $652.68 | $912.12 | $1,386.05 |
| Aransas County | $520.73 | $591.03 | $665.49 | $930.02 | $1,413.25 |
| Bee County | $520.73 | $591.03 | $665.49 | $930.02 | $1,413.25 |
| Jim Wells County | $520.73 | $591.03 | $665.49 | $930.02 | $1,413.25 |
| Kleberg County | $520.73 | $591.03 | $665.49 | $930.02 | $1,413.25 |
| Live Oak County | $520.73 | $591.03 | $665.49 | $930.02 | $1,413.25 |
| Nueces County | $520.73 | $591.03 | $665.49 | $930.02 | $1,413.25 |
| Refugio County | $520.73 | $591.03 | $665.49 | $930.02 | $1,413.25 |
| San Patricio County | $520.73 | $591.03 | $665.49 | $930.02 | $1,413.25 |
| Brewster County | $525.15 | $596.04 | $671.14 | $937.91 | $1,425.25 |
| Culberson County | $525.15 | $596.04 | $671.14 | $937.91 | $1,425.25 |
| El Paso County | $525.15 | $596.04 | $671.14 | $937.91 | $1,425.25 |
| Hudspeth County | $525.15 | $596.04 | $671.14 | $937.91 | $1,425.25 |
| Jeff Davis County | $525.15 | $596.04 | $671.14 | $937.91 | $1,425.25 |
| Presidio County | $525.15 | $596.04 | $671.14 | $937.91 | $1,425.25 |
| Anderson County | $541.50 | $614.61 | $692.04 | $967.13 | $1,469.64 |
| Cherokee County | $541.50 | $614.61 | $692.04 | $967.13 | $1,469.64 |
| Henderson County | $541.50 | $614.61 | $692.04 | $967.13 | $1,469.64 |
| Rains County | $541.50 | $614.61 | $692.04 | $967.13 | $1,469.64 |
| Smith County | $541.50 | $614.61 | $692.04 | $967.13 | $1,469.64 |
| Van Zandt County | $541.50 | $614.61 | $692.04 | $967.13 | $1,469.64 |
| Wood County | $541.50 | $614.61 | $692.04 | $967.13 | $1,469.64 |
| Bell County | $554.03 | $628.83 | $708.05 | $989.50 | $1,503.64 |
| Coryell County | $554.03 | $628.83 | $708.05 | $989.50 | $1,503.64 |
| Hamilton County | $554.03 | $628.83 | $708.05 | $989.50 | $1,503.64 |
| Lampasas County | $554.03 | $628.83 | $708.05 | $989.50 | $1,503.64 |
| Mills County | $554.03 | $628.83 | $708.05 | $989.50 | $1,503.64 |
| San Saba County | $554.03 | $628.83 | $708.05 | $989.50 | $1,503.64 |
| Gregg County | $557.96 | $633.28 | $713.07 | $996.51 | $1,514.30 |
| Harrison County | $557.96 | $633.28 | $713.07 | $996.51 | $1,514.30 |
| Marion County | $557.96 | $633.28 | $713.07 | $996.51 | $1,514.30 |
| Panola County | $557.96 | $633.28 | $713.07 | $996.51 | $1,514.30 |
| Rusk County | $557.96 | $633.28 | $713.07 | $996.51 | $1,514.30 |
| Upshur County | $557.96 | $633.28 | $713.07 | $996.51 | $1,514.30 |
| Andrews County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Borden County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Crane County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Dawson County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Ector County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Gaines County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Glasscock County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Howard County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Loving County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Martin County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Midland County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Pecos County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Reeves County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Terrell County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Upton County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Ward County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Winkler County | $561.07 | $636.81 | $717.04 | $1,002.07 | $1,522.74 |
| Cameron County | $572.28 | $649.54 | $731.38 | $1,022.09 | $1,553.17 |
| Kenedy County | $572.28 | $649.54 | $731.38 | $1,022.09 | $1,553.17 |
| Willacy County | $572.28 | $649.54 | $731.38 | $1,022.09 | $1,553.17 |
| Bowie County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Camp County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Cass County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Delta County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Franklin County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Hopkins County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Lamar County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Morris County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Red River County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Titus County | $572.61 | $649.91 | $731.80 | $1,022.68 | $1,554.06 |
| Calhoun County | $572.99 | $650.34 | $732.28 | $1,023.36 | $1,555.09 |
| De Witt County | $572.99 | $650.34 | $732.28 | $1,023.36 | $1,555.09 |
| Goliad County | $572.99 | $650.34 | $732.28 | $1,023.36 | $1,555.09 |
| Jackson County | $572.99 | $650.34 | $732.28 | $1,023.36 | $1,555.09 |
| Karnes County | $572.99 | $650.34 | $732.28 | $1,023.36 | $1,555.09 |
| Lavaca County | $572.99 | $650.34 | $732.28 | $1,023.36 | $1,555.09 |
| Victoria County | $572.99 | $650.34 | $732.28 | $1,023.36 | $1,555.09 |
| Armstrong County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Briscoe County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Carson County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Castro County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Childress County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Collingsworth County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Dallam County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Deaf Smith County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Donley County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Gray County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Hall County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Hansford County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Hartley County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Hemphill County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Hutchinson County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Lipscomb County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Moore County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Ochiltree County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Oldham County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Parmer County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Potter County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Randall County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Roberts County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Sherman County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Swisher County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Wheeler County | $574 | $651.49 | $733.57 | $1,025.17 | $1,557.84 |
| Denton County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Erath County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Hood County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Johnson County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Palo Pinto County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Parker County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Somervell County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Tarrant County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Wise County | $576.27 | $654.06 | $736.47 | $1,029.21 | $1,563.98 |
| Brooks County | $577.53 | $655.50 | $738.08 | $1,031.47 | $1,567.41 |
| Hidalgo County | $577.53 | $655.50 | $738.08 | $1,031.47 | $1,567.41 |
| Starr County | $577.53 | $655.50 | $738.08 | $1,031.47 | $1,567.41 |
| Bailey County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Cochran County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Crosby County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Dickens County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Floyd County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Garza County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Hale County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Hockley County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| King County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Lamb County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Lubbock County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Lynn County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Motley County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Terry County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Yoakum County | $578.81 | $656.94 | $739.71 | $1,033.75 | $1,570.88 |
| Collin County | $601.47 | $682.67 | $768.68 | $1,074.23 | $1,632.40 |
| Dallas County | $601.47 | $682.67 | $768.68 | $1,074.23 | $1,632.40 |
| Ellis County | $601.47 | $682.67 | $768.68 | $1,074.23 | $1,632.40 |
| Hunt County | $601.47 | $682.67 | $768.68 | $1,074.23 | $1,632.40 |
| Navarro County | $601.47 | $682.67 | $768.68 | $1,074.23 | $1,632.40 |
| Rockwall County | $601.47 | $682.67 | $768.68 | $1,074.23 | $1,632.40 |
| Cooke County | $606.25 | $688.09 | $774.78 | $1,082.75 | $1,645.35 |
| Fannin County | $606.25 | $688.09 | $774.78 | $1,082.75 | $1,645.35 |
| Grayson County | $606.25 | $688.09 | $774.78 | $1,082.75 | $1,645.35 |
| Duval County | $626.08 | $710.61 | $800.14 | $1,118.19 | $1,699.19 |
| Jim Hogg County | $626.08 | $710.61 | $800.14 | $1,118.19 | $1,699.19 |
| McMullen County | $626.08 | $710.61 | $800.14 | $1,118.19 | $1,699.19 |
| Webb County | $626.08 | $710.61 | $800.14 | $1,118.19 | $1,699.19 |
| Zapata County | $626.08 | $710.61 | $800.14 | $1,118.19 | $1,699.19 |
| Coke County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Concho County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Crockett County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Irion County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Kimble County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Mason County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| McCulloch County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Menard County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Reagan County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Schleicher County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Sterling County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Sutton County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
| Tom Green County | $960.08 | $1,089.70 | $1,226.99 | $1,714.71 | $2,605.67 |
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.