GoldHMO

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

Issuer 72375

Starting at

$415

/month before subsidy

Key facts

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) is a 2026 Gold HMO health insurance plan from Issuer 72375, sold on the ACA Marketplace in Maryland under plan ID 72375MD0070034. The monthly premium starts at $415 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 $7,300 ($7,300 for a family). After the deductible, coinsurance is 45% for covered in-network care. The plan is not HSA-eligible.

Plan ID
72375MD0070034
Plan year
2026
State
Maryland
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$7,300

Family: $7,300

Coinsurance

45%

You pay after deductible

Network Type

HMO

MDN011

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

Medical Services

Primary Care VisitSee plan details
Specialist VisitSee plan details
Urgent CareSee plan details
Emergency RoomSee plan details

Prescription Drugs

Generic DrugsSee plan details
Brand Name DrugsSee plan details
Specialty DrugsSee plan details
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

$1,023/month

Annual Premium

$4,980

OOP Maximum

$7,300

💡 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 $7,300 total. Then insurance covers everything else for the year.

More plans from Issuer 72375 in Maryland

View all Marketplace plans in Maryland

Frequently asked questions about UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

How much does UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) cost per month?

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) from Issuer 72375 starts at $415 per month before any subsidy in Maryland. 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 Indiv Med Ded ($0 Virtual Urgent Care)?

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 Indiv Med Ded ($0 Virtual Urgent Care)?

The most you would pay in a year for covered in-network care is $7,300 for an individual and $7,300 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 Indiv Med Ded ($0 Virtual Urgent Care) HSA-eligible?

No. UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) 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 Indiv Med Ded ($0 Virtual Urgent Care) use?

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) 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.