UHC Gold Standard (No Referrals)
Starting at
$674
/month before subsidy
UHC Gold Standard (No Referrals) is a 2026 Gold EPO health insurance plan from UnitedHealthcare, sold on the ACA Marketplace in Tennessee under plan ID 69443TN0140016. The monthly premium starts at $674 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,000 ($4,000 for a family), and the individual out-of-pocket maximum is $8,200 ($16,400 for a family). After the deductible, coinsurance is 25% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 69443TN0140016
- Plan year
- 2026
- State
- Tennessee
- Metal level
- Gold
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$2,000
Family: $4,000
Out-of-Pocket Max
$8,200
Family: $16,400
Coinsurance
25%
You pay after deductible
Network Type
EPO
TNN011
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
$4,360
your estimated cost
- Deductible
- $2,000
- Copays
- $0
- Coinsurance
- $2,300
Managing type 2 diabetes
A year of routine care
$500
your estimated cost
- Deductible
- $300
- Copays
- $200
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,260
your estimated cost
- Deductible
- $2,000
- Copays
- $200
- Coinsurance
- $60
Enter your ZIP code first to search nearby doctors.
This Gold EPO 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
$1,357/month
Annual Premium
$8,088
OOP Maximum
$8,200
💡 What this means:
With a $2,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 25% (coinsurance) until you hit $8,200 total. Then insurance covers everything else for the year.
More plans from UnitedHealthcare in Tennessee
- UHC Bronze Essential (No Referrals)from $480/mo
- UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals)from $531/mo
- UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals)from $548/mo
- UHC Bronze Standard (No Referrals)from $503/mo
- UHC Silver Advantage (Virtual Urgent Care, No Referrals)from $697/mo
- UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)from $714/mo
- UHC Silver Copay Focus (Virtual Urgent Care, No Referrals)from $700/mo
- UHC Silver Standard (No Referrals)from $690/mo
Frequently asked questions about UHC Gold Standard (No Referrals)
How much does UHC Gold Standard (No Referrals) cost per month?
UHC Gold Standard (No Referrals) from UnitedHealthcare starts at $674 per month before any subsidy in Tennessee. 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 Standard (No Referrals)?
The individual medical deductible is $2,000, and the family deductible is $4,000. 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 Gold Standard (No Referrals)?
The most you would pay in a year for covered in-network care is $8,200 for an individual and $16,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is UHC Gold Standard (No Referrals) HSA-eligible?
No. UHC Gold Standard (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 Standard (No Referrals) use?
UHC Gold Standard (No Referrals) is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.
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.