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SilverHMO

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

UnitedHealthcare

Starting at

$573

/month before subsidy

Key facts

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) is a 2026 Silver HMO health insurance plan from UnitedHealthcare, sold on the ACA Marketplace in Arizona under plan ID 40702AZ0060038. The monthly premium starts at $573 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $4,500 ($9,000 for a family), and the individual out-of-pocket maximum is $10,150 ($20,300 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.

Plan ID
40702AZ0060038
Plan year
2026
State
Arizona
Metal level
Silver
Plan type
HMO
HSA-eligible
No

Individual Deductible

$4,500

Family: $9,000

Out-of-Pocket Max

$10,150

Family: $20,300

Coinsurance

30%

You pay after deductible

Network Type

HMO

AZN011

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

Medical Services

Primary Care Visit$12.00
Specialist Visit$80.00
Urgent Care$75.00
Emergency Room$800.00 Copay after deductible

Prescription Drugs

Generic Drugs$8.00
Brand Name Drugs40.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
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.
3.0overall
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

$6,260

your estimated cost

Deductible
$4,500
Copays
$1,700
Coinsurance
$0

Managing type 2 diabetes

A year of routine care

$500

your estimated cost

Deductible
$200
Copays
$300
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,600

your estimated cost

Deductible
$2,500
Copays
$100
Coinsurance
$0
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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Official Plan Documents
Published by UnitedHealthcare. These are the authoritative source for coverage details.
Summary of Benefits & Coverage (SBC)Standardized cost & coverage summaryPlan BrochureFull plan details from the insurerDrug FormularyCovered prescriptions & drug tiers
Who This Plan Is Best For

This Silver HMO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.

Consider this plan if you:

  • Visit the doctor a few times per year
  • Take regular prescription medications
  • Want moderate protection against high medical bills
  • May qualify for Cost-Sharing Reductions (CSR) to lower deductibles

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

$1,419/month

Annual Premium

$6,876

OOP Maximum

$10,150

💡 What this means:

With a $4,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $10,150 total. Then insurance covers everything else for the year.

More plans from UnitedHealthcare in Arizona

View all Marketplace plans in Arizona

Frequently asked questions about UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

How much does UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) cost per month?

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) from UnitedHealthcare starts at $573 per month before any subsidy in Arizona. 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 Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)?

The individual medical deductible is $4,500, and the family deductible is $9,000. 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 Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)?

The most you would pay in a year for covered in-network care is $10,150 for an individual and $20,300 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) HSA-eligible?

No. UHC Silver Advantage ($0 Virtual Urgent Care, $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 Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) use?

UHC Silver Advantage ($0 Virtual Urgent Care, $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

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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.