UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Gold · EPO · UnitedHealthcare · Indiana
At age 40 it costs between $763.77 and $785.19 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 | 72850IN0160009 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $500 |
| Most you could pay in a year | $7,700 |
| Family maximum | $15,400 |
| Primary care visit | $20 |
| Specialist visit | $55 |
| Emergency room | $750 |
| Inpatient stay | $1,750 Copay per Day |
| Generic drugs | $3 |
| Preferred brand drugs | $30 |
| 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 | $597.63 | $678.31 | $763.77 | $1,067.37 | $1,621.97 |
| Hancock County | $599.02 | $679.89 | $765.55 | $1,069.86 | $1,625.75 |
| Henry County | $599.02 | $679.89 | $765.55 | $1,069.86 | $1,625.75 |
| Madison County | $599.02 | $679.89 | $765.55 | $1,069.86 | $1,625.75 |
| Boone County | $614.39 | $697.33 | $785.19 | $1,097.30 | $1,667.46 |
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.