GoldHMO

UHC Gold Copay Focus+ $0 Ded (Dental + Vision)

UnitedHealthcare

Starting at

$920

/month before subsidy

Key facts

UHC Gold Copay Focus+ $0 Ded (Dental + Vision) is a 2027 Gold HMO health insurance plan from UnitedHealthcare, sold on the ACA Marketplace in South Carolina under plan ID 33764SC0040008. The monthly premium starts at $920 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $10,500 ($21,000 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
33764SC0040008
Plan year
2027
State
South Carolina
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$10,500

Family: $21,000

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$20.00
Specialist Visit$75.00
Urgent Care$30.00
Emergency Room$750.00

Prescription Drugs

Generic Drugs$3.00
Brand Name Drugs40.00%
Specialty Drugs50.00%
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
2.0overall
Medical care

How well doctors manage and coordinate care

Member experience
Not rated

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

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

$2,560

your estimated cost

Deductible
$0
Copays
$2,500
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$500

your estimated cost

Deductible
$0
Copays
$500
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,110

your estimated cost

Deductible
$0
Copays
$2,100
Coinsurance
$10
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

$1,795/month

Annual Premium

$11,040

OOP Maximum

$10,500

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $10,500 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 Copay Focus+ $0 Ded (Dental + Vision)

How much does UHC Gold Copay Focus+ $0 Ded (Dental + Vision) cost per month?

UHC Gold Copay Focus+ $0 Ded (Dental + Vision) from UnitedHealthcare starts at $920 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 Copay Focus+ $0 Ded (Dental + Vision)?

The individual medical deductible is $0. 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 Copay Focus+ $0 Ded (Dental + Vision)?

The most you would pay in a year for covered in-network care is $10,500 for an individual and $21,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is UHC Gold Copay Focus+ $0 Ded (Dental + Vision) HSA-eligible?

No. UHC Gold Copay Focus+ $0 Ded (Dental + Vision) 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 Copay Focus+ $0 Ded (Dental + Vision) use?

UHC Gold Copay Focus+ $0 Ded (Dental + Vision) 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.