QHP Index

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

Gold · HMO · UnitedHealthcare · Iowa

At age 40 it costs $609.82 a month before any subsidy.

What CMS publishes about it

Plan ID56610IA0100009
InsurerUnitedHealthcare
Metal levelGold
Plan typeHMO
Deductible (individual)$1,000
Deductible (family)$2,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,500
Family maximum$17,000
Primary care visit$10
Specialist visit$50
Emergency room20% Coinsurance after deductible
Inpatient stay20% Coinsurance after deductible
Generic drugs$1
Preferred brand drugs$50
Specialty drugs40% Coinsurance after deductible
Adult dental includedNo
Child dental includedYes
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-800-396-8535

Where it is sold, and what it costs there

17 counties. The premium is the price before any tax credit; what you pay depends on your income.

CountyAt 21At 30At 40At 50At 60
Adair County $477.16$541.58 $609.82$852.21 $1,295.02
Adams County $477.16$541.58 $609.82$852.21 $1,295.02
Audubon County $477.16$541.58 $609.82$852.21 $1,295.02
Cass County $477.16$541.58 $609.82$852.21 $1,295.02
Clarke County $477.16$541.58 $609.82$852.21 $1,295.02
Decatur County $477.16$541.58 $609.82$852.21 $1,295.02
Fremont County $477.16$541.58 $609.82$852.21 $1,295.02
Guthrie County $477.16$541.58 $609.82$852.21 $1,295.02
Harrison County $477.16$541.58 $609.82$852.21 $1,295.02
Mills County $477.16$541.58 $609.82$852.21 $1,295.02
Montgomery County $477.16$541.58 $609.82$852.21 $1,295.02
Page County $477.16$541.58 $609.82$852.21 $1,295.02
Pottawattamie County $477.16$541.58 $609.82$852.21 $1,295.02
Ringgold County $477.16$541.58 $609.82$852.21 $1,295.02
Shelby County $477.16$541.58 $609.82$852.21 $1,295.02
Taylor County $477.16$541.58 $609.82$852.21 $1,295.02
Union County $477.16$541.58 $609.82$852.21 $1,295.02

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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When this plan’s price or benefits change.

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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.