UHC Gold Standard (No Referrals)
Gold · EPO · UnitedHealthcare · Tennessee
At age 40 it costs between $673.52 and $809.90 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 | 69443TN0140016 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | 1-877-250-8188 · TTY 1-877-250-8188 |
Where it is sold, and what it costs there
95 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 |
|---|---|---|---|---|---|
| Anderson County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Blount County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Campbell County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Claiborne County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Cocke County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Grainger County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Hamblen County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Jefferson County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Knox County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Loudon County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Monroe County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Morgan County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Roane County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Scott County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Sevier County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Union County | $527.01 | $598.15 | $673.52 | $941.24 | $1,430.30 |
| Carter County | $600.39 | $681.44 | $767.30 | $1,072.29 | $1,629.45 |
| Greene County | $600.39 | $681.44 | $767.30 | $1,072.29 | $1,629.45 |
| Hancock County | $600.39 | $681.44 | $767.30 | $1,072.29 | $1,629.45 |
| Hawkins County | $600.39 | $681.44 | $767.30 | $1,072.29 | $1,629.45 |
| Johnson County | $600.39 | $681.44 | $767.30 | $1,072.29 | $1,629.45 |
| Sullivan County | $600.39 | $681.44 | $767.30 | $1,072.29 | $1,629.45 |
| Unicoi County | $600.39 | $681.44 | $767.30 | $1,072.29 | $1,629.45 |
| Washington County | $600.39 | $681.44 | $767.30 | $1,072.29 | $1,629.45 |
| Bledsoe County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Bradley County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Franklin County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Grundy County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Hamilton County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Marion County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| McMinn County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Meigs County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Polk County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Rhea County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Sequatchie County | $601.79 | $683.03 | $769.08 | $1,074.79 | $1,633.25 |
| Benton County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Carroll County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Chester County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Crockett County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Decatur County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Dyer County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Gibson County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Hardeman County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Hardin County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Henderson County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Henry County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Lake County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Madison County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| McNairy County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Obion County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Weakley County | $628.71 | $713.59 | $803.49 | $1,122.88 | $1,706.32 |
| Bedford County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Coffee County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Dickson County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Giles County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Hickman County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Houston County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Humphreys County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Lawrence County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Lewis County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Lincoln County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Marshall County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Maury County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Moore County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Perry County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Stewart County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Wayne County | $628.74 | $713.61 | $803.52 | $1,122.92 | $1,706.39 |
| Cannon County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Clay County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Cumberland County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| DeKalb County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Fentress County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Jackson County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Macon County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Overton County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Pickett County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Putnam County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Smith County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Van Buren County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Warren County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| White County | $632.73 | $718.15 | $808.63 | $1,130.05 | $1,717.23 |
| Cheatham County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Davidson County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Montgomery County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Robertson County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Rutherford County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Sumner County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Trousdale County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Williamson County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Wilson County | $633.55 | $719.08 | $809.68 | $1,131.53 | $1,719.47 |
| Fayette County | $633.72 | $719.28 | $809.90 | $1,131.83 | $1,719.92 |
| Haywood County | $633.72 | $719.28 | $809.90 | $1,131.83 | $1,719.92 |
| Lauderdale County | $633.72 | $719.28 | $809.90 | $1,131.83 | $1,719.92 |
| Shelby County | $633.72 | $719.28 | $809.90 | $1,131.83 | $1,719.92 |
| Tipton County | $633.72 | $719.28 | $809.90 | $1,131.83 | $1,719.92 |
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.