QHP Index

UHC Gold Copay Focus (No Referrals)

Gold · HMO · UnitedHealthcare · Michigan

At age 40 it costs between $557.20 and $622.44 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 ID71667MI0010042
InsurerUnitedHealthcare
Metal levelGold
Plan typeHMO
Deductible (individual)$0
Deductible (family)$0
Drug deductible$500
Most you could pay in a year$8,000
Family maximum$16,000
Primary care visit$20
Specialist visit$75
Emergency room$600
Inpatient stay$2,000 Copay per Day
Generic drugs$3
Preferred brand drugs$30
Specialty drugs50% 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 service1-888-200-0324 · TTY 1-888-200-0324

Where it is sold, and what it costs there

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

CountyAt 21At 30At 40At 50At 60
Macomb County $435.99$494.85 $557.20$778.68 $1,183.29
Oakland County $435.99$494.85 $557.20$778.68 $1,183.29
Monroe County $436.52$495.45 $557.87$779.63 $1,184.72
Wayne County $436.52$495.45 $557.87$779.63 $1,184.72
Kent County $439.30$498.61 $561.43$784.59 $1,192.26
Genesee County $439.63$498.98 $561.85$785.19 $1,193.17
Shiawassee County $439.63$498.98 $561.85$785.19 $1,193.17
Hillsdale County $477.22$541.64 $609.88$852.31 $1,295.17
Van Buren County $478.39$542.97 $611.38$854.40 $1,298.34
Branch County $487.04$552.79 $622.44$869.86 $1,321.84
Calhoun County $487.04$552.79 $622.44$869.86 $1,321.84
Kalamazoo County $487.04$552.79 $622.44$869.86 $1,321.84

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.