UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
Starting at
$809
/month before subsidy
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) is a 2026 Gold HMO health insurance plan from UnitedHealthcare, sold on the ACA Marketplace in Ohio under plan ID 33931OH0030042. The monthly premium starts at $809 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $700 ($1,400 for a family), and the individual out-of-pocket maximum is $7,000 ($14,000 for a family). After the deductible, coinsurance is 45% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 33931OH0030042
- Plan year
- 2026
- State
- Ohio
- Metal level
- Gold
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$700
Family: $1,400
Out-of-Pocket Max
$7,000
Family: $14,000
Coinsurance
45%
You pay after deductible
Network Type
HMO
OHN011
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Not rated
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$4,960
your estimated cost
- Deductible
- $700
- Copays
- $400
- Coinsurance
- $3,800
Managing type 2 diabetes
A year of routine care
$400
your estimated cost
- Deductible
- $200
- Copays
- $200
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,020
your estimated cost
- Deductible
- $700
- Copays
- $1,300
- Coinsurance
- $20
Enter your ZIP code first to search nearby doctors.
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.
If you max out this year
$1,392/month
Annual Premium
$9,708
OOP Maximum
$7,000
💡 What this means:
With a $700 deductible, you pay 100% of costs until you've spent that much. After that, you pay 45% (coinsurance) until you hit $7,000 total. Then insurance covers everything else for the year.
More plans from UnitedHealthcare in Ohio
- UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)from $491/mo
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)from $536/mo
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)from $551/mo
- UHC Bronze Standard (No Referrals)from $518/mo
- UHC Bronze Standard+ (Dental + Vision, No Referrals)from $533/mo
- UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)from $675/mo
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)from $690/mo
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)from $680/mo
Frequently asked questions about UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
How much does UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) cost per month?
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) from UnitedHealthcare starts at $809 per month before any subsidy in Ohio. 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 ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)?
The individual medical deductible is $700, and the family deductible is $1,400. 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 ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)?
The most you would pay in a year for covered in-network care is $7,000 for an individual and $14,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) HSA-eligible?
No. UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) 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 ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) use?
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) 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
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
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.