UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx)
Starting at
$618
/month before subsidy
UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) is a 2026 Gold HMO health insurance plan from UnitedHealthcare, sold on the ACA Marketplace in Texas under plan ID 40220TX0080034. The monthly premium starts at $618 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 $7,800 ($15,600 for a family). After the deductible, coinsurance is 45% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 40220TX0080034
- Plan year
- 2026
- State
- Texas
- Metal level
- Gold
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$0
Family: $0
Out-of-Pocket Max
$7,800
Family: $15,600
Coinsurance
45%
You pay after deductible
Network Type
HMO
TXN012
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
$2,560
your estimated cost
- Deductible
- $0
- Copays
- $2,500
- Coinsurance
- $0
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
$2,320
your estimated cost
- Deductible
- $0
- Copays
- $2,300
- 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
$1,268/month
Annual Premium
$7,416
OOP Maximum
$7,800
💡 What this means:
With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 45% (coinsurance) until you hit $7,800 total. Then insurance covers everything else for the year.
More plans from UnitedHealthcare in Texas
- UHC Bronze Essential ($0 Virtual Urgent Care)from $447/mo
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)from $495/mo
- UHC Bronze Standardfrom $468/mo
- UHC Bronze Standard+ (Dental + Vision)from $484/mo
- UHC Kelsey-Seybold Bronze Copay Focus $0 Indiv Med Dedfrom $453/mo
- UHC Kelsey-Seybold Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision)from $468/mo
- UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)from $472/mo
- UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)from $489/mo
Frequently asked questions about UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx)
How much does UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) cost per month?
UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) from UnitedHealthcare starts at $618 per month before any subsidy in Texas. 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 Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx)?
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 Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx)?
The most you would pay in a year for covered in-network care is $7,800 for an individual and $15,600 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) HSA-eligible?
No. UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) 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 Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) use?
UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx) 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.