UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Gold · EPO · UnitedHealthcare · Louisiana
At age 40 it costs between $791.23 and $970.69 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 | 69842LA0240025 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $950 |
| Deductible (family) | $1,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,600 |
| Family maximum | $19,200 |
| Primary care visit | $10 |
| Specialist visit | $60 |
| Emergency room | $500 |
| Inpatient stay | 45% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $50 |
| Specialty drugs | 40% 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 | $619.12 | $702.70 | $791.23 | $1,105.74 | $1,680.29 |
| Saint James Parish | $619.12 | $702.70 | $791.23 | $1,105.74 | $1,680.29 |
| Saint Tammany Parish | $619.12 | $702.70 | $791.23 | $1,105.74 | $1,680.29 |
| St John The Baptist Parish | $619.12 | $702.70 | $791.23 | $1,105.74 | $1,680.29 |
| Bienville Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| Bossier Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| Caddo Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| Claiborne Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| De Soto Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| Natchitoches Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| Red River Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| Sabine Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| Webster Parish | $633.17 | $718.65 | $809.19 | $1,130.84 | $1,718.42 |
| Caldwell Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| East Carroll Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Franklin Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Jackson Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Lincoln Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Madison Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Morehouse Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Ouachita Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Richland Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Tensas Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Union Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| West Carroll Parish | $661.44 | $750.74 | $845.32 | $1,181.33 | $1,795.15 |
| Assumption Parish | $668.53 | $758.78 | $854.38 | $1,193.99 | $1,814.38 |
| Acadia Parish | $672.62 | $763.42 | $859.61 | $1,201.30 | $1,825.48 |
| Evangeline Parish | $672.62 | $763.42 | $859.61 | $1,201.30 | $1,825.48 |
| Iberia Parish | $672.62 | $763.42 | $859.61 | $1,201.30 | $1,825.48 |
| Lafayette Parish | $672.62 | $763.42 | $859.61 | $1,201.30 | $1,825.48 |
| Saint Landry Parish | $672.62 | $763.42 | $859.61 | $1,201.30 | $1,825.48 |
| Saint Martin Parish | $672.62 | $763.42 | $859.61 | $1,201.30 | $1,825.48 |
| Saint Mary Parish | $672.62 | $763.42 | $859.61 | $1,201.30 | $1,825.48 |
| Vermilion Parish | $672.62 | $763.42 | $859.61 | $1,201.30 | $1,825.48 |
| Ascension Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| East Baton Rouge Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| East Feliciana Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| Iberville Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| Livingston Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| Pointe Coupee Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| Saint Helena Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| Tangipahoa Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| Washington Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| West Baton Rouge Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| West Feliciana Parish | $684.69 | $777.13 | $875.04 | $1,222.87 | $1,858.26 |
| Catahoula Parish | $759.54 | $862.08 | $970.69 | $1,356.54 | $2,061.40 |
| Concordia Parish | $759.54 | $862.08 | $970.69 | $1,356.54 | $2,061.40 |
| LaSalle Parish | $759.54 | $862.08 | $970.69 | $1,356.54 | $2,061.40 |
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.