UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Gold · EPO · UnitedHealthcare · Louisiana
At age 40 it costs between $784.28 and $962.17 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 | 69842LA0240023 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $500 |
| Most you could pay in a year | $9,250 |
| Family maximum | $18,500 |
| Primary care visit | $5 |
| Specialist visit | $50 |
| Emergency room | $600 |
| Inpatient stay | $2,000 Copay per Day |
| Generic drugs | $3 |
| Preferred brand drugs | $50 |
| Specialty drugs | 50% Coinsurance after deductible |
| 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 | $613.68 | $696.53 | $784.28 | $1,096.03 | $1,665.53 |
| Saint James Parish | $613.68 | $696.53 | $784.28 | $1,096.03 | $1,665.53 |
| Saint Tammany Parish | $613.68 | $696.53 | $784.28 | $1,096.03 | $1,665.53 |
| St John The Baptist Parish | $613.68 | $696.53 | $784.28 | $1,096.03 | $1,665.53 |
| Bienville Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| Bossier Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| Caddo Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| Claiborne Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| De Soto Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| Natchitoches Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| Red River Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| Sabine Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| Webster Parish | $627.61 | $712.33 | $802.08 | $1,120.90 | $1,703.32 |
| Caldwell Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| East Carroll Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Franklin Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Jackson Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Lincoln Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Madison Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Morehouse Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Ouachita Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Richland Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Tensas Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Union Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| West Carroll Parish | $655.63 | $744.14 | $837.90 | $1,170.96 | $1,779.38 |
| Assumption Parish | $662.65 | $752.11 | $846.87 | $1,183.50 | $1,798.44 |
| Acadia Parish | $666.71 | $756.72 | $852.05 | $1,190.74 | $1,809.45 |
| Evangeline Parish | $666.71 | $756.72 | $852.05 | $1,190.74 | $1,809.45 |
| Iberia Parish | $666.71 | $756.72 | $852.05 | $1,190.74 | $1,809.45 |
| Lafayette Parish | $666.71 | $756.72 | $852.05 | $1,190.74 | $1,809.45 |
| Saint Landry Parish | $666.71 | $756.72 | $852.05 | $1,190.74 | $1,809.45 |
| Saint Martin Parish | $666.71 | $756.72 | $852.05 | $1,190.74 | $1,809.45 |
| Saint Mary Parish | $666.71 | $756.72 | $852.05 | $1,190.74 | $1,809.45 |
| Vermilion Parish | $666.71 | $756.72 | $852.05 | $1,190.74 | $1,809.45 |
| Ascension Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| East Baton Rouge Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| East Feliciana Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| Iberville Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| Livingston Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| Pointe Coupee Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| Saint Helena Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| Tangipahoa Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| Washington Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| West Baton Rouge Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| West Feliciana Parish | $678.68 | $770.30 | $867.35 | $1,212.12 | $1,841.94 |
| Catahoula Parish | $752.87 | $854.51 | $962.17 | $1,344.63 | $2,043.29 |
| Concordia Parish | $752.87 | $854.51 | $962.17 | $1,344.63 | $2,043.29 |
| LaSalle Parish | $752.87 | $854.51 | $962.17 | $1,344.63 | $2,043.29 |
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.