UHC Silver Copay Focus
UnitedHealthcare of Oregon, Inc. · 2027 plan year
Silver
- Ind. medical deductible
- $0
- Rx deductible (separate)
- $1,500
- Family deductible
- $0
- Ind. OOP max
- $3,150
- Family OOP max
- $6,300
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Other cost-sharing reduction variants for this plan:
More UnitedHealthcare of Oregon, Inc. plans in WA
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Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $1.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $30.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $500.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $1000.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | $250.00 |
| Urgent Care Centers or Facilities | $20.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $8.00 |
| Non-Preferred Brand Drugs | 40.00% Coinsurance after deductible |
| Preferred Brand Drugs | $45.00 Copay after deductible |
| Specialty Drugs | 50.00% Coinsurance after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $1000.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $30.00 |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | No charge |
| Accidental Dental | 25.00% |
| Acupuncture | 20.00% |
| Allergy Testing | 25.00% |
| Chemotherapy | $500.00 |
| Chiropractic Care | 20.00% |
| Cosmetic Surgery | $650.00 |
| Delivery and All Inpatient Services for Maternity Care | $1,000.00 |
| Dental Anesthesia | 25.00% |
| Diabetes Care Management | 25.00% |
| Diabetes Education | 25.00% |
| Dialysis | $300.00 |
| Durable Medical Equipment | 25.00% |
| Emergency Transportation/Ambulance | $500.00 |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | $400.00 |
| Habilitation Services | $50.00 |
| Hearing Aids | 25.00% |
| Hearing Exams | $1.00 |
| Home Health Care Services | 25.00% |
| Hospice Services | 25.00% |
| Imaging (CT/PET Scans, MRIs) | $50.00 |
| Infertility Treatment | 25.00% |
| Infusion Therapy | $100.00 |
| Inherited Metabolic Disorder - PKU | 25.00% |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $20.00 |
| Nutritional Counseling | 25.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | 25.00% |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $400.00 |
| Outpatient Rehabilitation Services | $50.00 |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | 25.00% |
| Radiation | $100.00 |
| Reconstructive Surgery | $650.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $50.00 |
| Rehabilitative Speech Therapy | $50.00 |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $30.00 |
| Skilled Nursing Facility | $1000.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $1000.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $30.00 |
| Transplant | $1,000.00 |
| Treatment for Temporomandibular Joint Disorders | 25.00% |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $15.00 |
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