UHC Silver Copay Focus
UnitedHealthcare of Oregon, Inc. · 2027 plan year
Silver
- Ind. deductible
- No deductible
- Family deductible
- $0
- Ind. OOP max
- $1,900
- Family OOP max
- $3,800
Other cost-sharing reduction variants for this plan:
More UnitedHealthcare of Oregon, Inc. plans in WA
Live premium estimate
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 | $10.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $75.00 |
| Inpatient Hospital Services (e.g., Hospital Stay) | $500.00 Copay per Day |
| Outpatient Surgery Physician/Surgical Services | $200.00 |
| Urgent Care Centers or Facilities | $20.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $5.00 |
| Non-Preferred Brand Drugs | 40.00% |
| Preferred Brand Drugs | $30.00 |
| Specialty Drugs | 50.00% |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $500.00 Copay per Day |
| Mental/Behavioral Health Outpatient Services | $5.00 |
Other
| Benefit | In-network |
|---|---|
| Diabetes Education | 5.00% |
| Dialysis | $100.00 |
| Durable Medical Equipment | 5.00% |
| Emergency Transportation/Ambulance | $75.00 |
| Eye Glasses for Children | No charge |
| Gender Affirming Care | $150.00 |
| Habilitation Services | $15.00 |
| Hearing Aids | 5.00% |
| Hearing Exams | $1.00 |
| Home Health Care Services | 5.00% |
| Hospice Services | 5.00% |
| Imaging (CT/PET Scans, MRIs) | $25.00 |
| Infertility Treatment | 5.00% |
| Infusion Therapy | $50.00 |
| Inherited Metabolic Disorder - PKU | 5.00% |
| Inpatient Physician and Surgical Services | No charge |
| Laboratory Outpatient and Professional Services | $10.00 |
| Nutritional Counseling | 5.00% |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | 5.00% |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $150.00 |
| Outpatient Rehabilitation Services | $15.00 |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | 5.00% |
| Radiation | $50.00 |
| Reconstructive Surgery | $250.00 |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $15.00 |
| Rehabilitative Speech Therapy | $15.00 |
| Routine Eye Exam for Children | No charge |
| Routine Foot Care | $10.00 |
| Skilled Nursing Facility | $500.00 Copay per Day |
| Substance Abuse Disorder Inpatient Services | $500.00 Copay per Day |
| Substance Abuse Disorder Outpatient Services | $5.00 |
| Transplant | $500.00 |
| Treatment for Temporomandibular Joint Disorders | 5.00% |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $5.00 |
| Abortion for Which Public Funding is Prohibited | No charge |
| Accidental Dental | 5.00% |
| Acupuncture | 5.00% |
| Allergy Testing | 5.00% |
| Chemotherapy | $150.00 |
| Chiropractic Care | 5.00% |
| Cosmetic Surgery | $250.00 |
| Delivery and All Inpatient Services for Maternity Care | $500.00 |
| Dental Anesthesia | 5.00% |
| Diabetes Care Management | 5.00% |
Open enrollment coming up?
Get notified when it opens — we'll remind you so you don't miss your window.