GoldHMO

UHC Gold Advantage

UnitedHealthcare

Starting at

$655

/month before subsidy

Key facts

UHC Gold Advantage is a 2026 Gold HMO health insurance plan from UnitedHealthcare, sold on the ACA Marketplace in South Carolina under plan ID 33764SC0030024. The monthly premium starts at $655 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,200 ($2,400 for a family), and the individual out-of-pocket maximum is $9,250 ($18,500 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
33764SC0030024
Plan year
2026
State
South Carolina
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$1,200

Family: $2,400

Out-of-Pocket Max

$9,250

Family: $18,500

Coinsurance

20%

You pay after deductible

Network Type

HMO

SCN011

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$10.00
Specialist Visit$50.00
Urgent Care$50.00
Emergency Room20.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$5.00
Brand Name Drugs30.00% Coinsurance after deductible
Specialty Drugs40.00% Coinsurance after deductible
What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$3,260

your estimated cost

Deductible
$1,200
Copays
$500
Coinsurance
$1,500

Managing type 2 diabetes

A year of routine care

$400

your estimated cost

Deductible
$0
Copays
$400
Coinsurance
$0

A simple fracture

ER visit + follow-up

$1,800

your estimated cost

Deductible
$1,200
Copays
$500
Coinsurance
$100
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Who This Plan Is Best For

This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,426/month

Annual Premium

$7,860

OOP Maximum

$9,250

💡 What this means:

With a $1,200 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $9,250 total. Then insurance covers everything else for the year.

More plans from UnitedHealthcare in South Carolina

View all Marketplace plans in South Carolina

Frequently asked questions about UHC Gold Advantage

How much does UHC Gold Advantage cost per month?

UHC Gold Advantage from UnitedHealthcare starts at $655 per month before any subsidy in South Carolina. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for UHC Gold Advantage?

The individual medical deductible is $1,200, and the family deductible is $2,400. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for UHC Gold Advantage?

The most you would pay in a year for covered in-network care is $9,250 for an individual and $18,500 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is UHC Gold Advantage HSA-eligible?

No. UHC Gold Advantage is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does UHC Gold Advantage use?

UHC Gold Advantage is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.