UHC Gold Standard (No Referrals)
Gold · EPO · UnitedHealthcare · Louisiana
At age 40 it costs between $766.72 and $940.62 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 | 69842LA0240012 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 2 — 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 | $8,300 |
| Family maximum | $16,600 |
| 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 | $100 |
| 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 | 1-866-268-6438 · TTY 1-866-268-6438 |
Where it is sold, and what it costs there
48 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 |
|---|---|---|---|---|---|
| Saint Bernard Parish | $599.94 | $680.93 | $766.72 | $1,071.49 | $1,628.23 |
| Saint James Parish | $599.94 | $680.93 | $766.72 | $1,071.49 | $1,628.23 |
| Saint Tammany Parish | $599.94 | $680.93 | $766.72 | $1,071.49 | $1,628.23 |
| St John The Baptist Parish | $599.94 | $680.93 | $766.72 | $1,071.49 | $1,628.23 |
| Bienville Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| Bossier Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| Caddo Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| Claiborne Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| De Soto Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| Natchitoches Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| Red River Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| Sabine Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| Webster Parish | $613.55 | $696.38 | $784.12 | $1,095.80 | $1,665.18 |
| Caldwell Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| East Carroll Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Franklin Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Jackson Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Lincoln Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Madison Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Morehouse Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Ouachita Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Richland Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Tensas Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Union Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| West Carroll Parish | $640.95 | $727.48 | $819.13 | $1,144.73 | $1,739.53 |
| Assumption Parish | $647.81 | $735.27 | $827.91 | $1,157 | $1,758.17 |
| Acadia Parish | $651.78 | $739.77 | $832.97 | $1,164.08 | $1,768.93 |
| Evangeline Parish | $651.78 | $739.77 | $832.97 | $1,164.08 | $1,768.93 |
| Iberia Parish | $651.78 | $739.77 | $832.97 | $1,164.08 | $1,768.93 |
| Lafayette Parish | $651.78 | $739.77 | $832.97 | $1,164.08 | $1,768.93 |
| Saint Landry Parish | $651.78 | $739.77 | $832.97 | $1,164.08 | $1,768.93 |
| Saint Martin Parish | $651.78 | $739.77 | $832.97 | $1,164.08 | $1,768.93 |
| Saint Mary Parish | $651.78 | $739.77 | $832.97 | $1,164.08 | $1,768.93 |
| Vermilion Parish | $651.78 | $739.77 | $832.97 | $1,164.08 | $1,768.93 |
| Ascension Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| East Baton Rouge Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| East Feliciana Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| Iberville Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| Livingston Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| Pointe Coupee Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| Saint Helena Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| Tangipahoa Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| Washington Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| West Baton Rouge Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| West Feliciana Parish | $663.48 | $753.05 | $847.93 | $1,184.98 | $1,800.69 |
| Catahoula Parish | $736.01 | $835.37 | $940.62 | $1,314.51 | $1,997.53 |
| Concordia Parish | $736.01 | $835.37 | $940.62 | $1,314.51 | $1,997.53 |
| LaSalle Parish | $736.01 | $835.37 | $940.62 | $1,314.51 | $1,997.53 |
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.