UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
Gold · EPO · UnitedHealthcare · Indiana
At age 40 it costs between $739.06 and $759.78 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 | 72850IN0160008 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $2,350 |
| Deductible (family) | $4,700 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,700 |
| Family maximum | $17,400 |
| Primary care visit | $10 |
| Specialist visit | 20% Coinsurance after deductible |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $1 |
| Preferred brand drugs | $15 |
| 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 | 1-866-593-3299 · TTY 1-866-593-3299 |
Where it is sold, and what it costs there
5 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 |
|---|---|---|---|---|---|
| Johnson County | $578.29 | $656.36 | $739.06 | $1,032.83 | $1,569.49 |
| Hancock County | $579.64 | $657.89 | $740.78 | $1,035.24 | $1,573.14 |
| Henry County | $579.64 | $657.89 | $740.78 | $1,035.24 | $1,573.14 |
| Madison County | $579.64 | $657.89 | $740.78 | $1,035.24 | $1,573.14 |
| Boone County | $594.51 | $674.77 | $759.78 | $1,061.80 | $1,613.50 |
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.