UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
Gold · HMO · UnitedHealthcare · Wisconsin
At age 40 it costs between $705.99 and $731.61 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 | 80180WI0100002 |
|---|---|
| Insurer | UnitedHealthcare |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $1,500 |
| Deductible (family) | $3,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,000 |
| Family maximum | $14,000 |
| Primary care visit | $25 |
| Specialist visit | $85 |
| Emergency room | $650 Copay after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | $65 |
| 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 | 1-866-569-3468 · TTY 1-866-569-3468 |
Where it is sold, and what it costs there
13 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 |
|---|---|---|---|---|---|
| Walworth County | $552.42 | $626.99 | $705.99 | $986.62 | $1,499.26 |
| Kenosha County | $560.58 | $636.26 | $716.42 | $1,001.20 | $1,521.41 |
| Racine County | $560.58 | $636.26 | $716.42 | $1,001.20 | $1,521.41 |
| Brown County | $561.07 | $636.82 | $717.05 | $1,002.07 | $1,522.75 |
| Door County | $561.07 | $636.82 | $717.05 | $1,002.07 | $1,522.75 |
| Kewaunee County | $561.07 | $636.82 | $717.05 | $1,002.07 | $1,522.75 |
| Manitowoc County | $561.07 | $636.82 | $717.05 | $1,002.07 | $1,522.75 |
| Marinette County | $561.07 | $636.82 | $717.05 | $1,002.07 | $1,522.75 |
| Ozaukee County | $562.80 | $638.77 | $719.25 | $1,005.15 | $1,527.43 |
| Washington County | $562.80 | $638.77 | $719.25 | $1,005.15 | $1,527.43 |
| Waukesha County | $562.80 | $638.77 | $719.25 | $1,005.15 | $1,527.43 |
| Sheboygan County | $571.22 | $648.33 | $730.02 | $1,020.20 | $1,550.29 |
| Milwaukee County | $572.47 | $649.75 | $731.61 | $1,022.43 | $1,553.67 |
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.
Get told when this changes
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.