UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
Gold · HMO · UnitedHealthcare · Wisconsin
At age 40 it costs between $721.32 and $747.50 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 | 80180WI0110002 |
|---|---|
| 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 | Yes |
| Child dental included | Yes |
| Share of premium buying essential health benefits | 97.69% |
| 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 | $564.41 | $640.61 | $721.32 | $1,008.04 | $1,531.82 |
| Kenosha County | $572.75 | $650.08 | $731.98 | $1,022.94 | $1,554.45 |
| Racine County | $572.75 | $650.08 | $731.98 | $1,022.94 | $1,554.45 |
| Brown County | $573.26 | $650.65 | $732.62 | $1,023.84 | $1,555.82 |
| Door County | $573.26 | $650.65 | $732.62 | $1,023.84 | $1,555.82 |
| Kewaunee County | $573.26 | $650.65 | $732.62 | $1,023.84 | $1,555.82 |
| Manitowoc County | $573.26 | $650.65 | $732.62 | $1,023.84 | $1,555.82 |
| Marinette County | $573.26 | $650.65 | $732.62 | $1,023.84 | $1,555.82 |
| Ozaukee County | $575.02 | $652.65 | $734.87 | $1,026.98 | $1,560.60 |
| Washington County | $575.02 | $652.65 | $734.87 | $1,026.98 | $1,560.60 |
| Waukesha County | $575.02 | $652.65 | $734.87 | $1,026.98 | $1,560.60 |
| Sheboygan County | $583.62 | $662.41 | $745.87 | $1,042.35 | $1,583.96 |
| Milwaukee County | $584.90 | $663.86 | $747.50 | $1,044.63 | $1,587.42 |
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.