SimpliveraCoverage Companion

UHC Advantage+ Silver-B HMO $2900 $20 Gen Rx $3 Adult Dental Vision

UnitedHealthcare of Georgia Inc. · 2026 plan year

This insurer isn't offering Marketplace plans in Georgia for 2027.

Silver
Ind. deductible
$2,900
Family deductible
$5,800
Ind. OOP max
$10,150
Family OOP max
$20,300

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan87% AV Level Silver Plan94% AV Level Silver PlanStandard Silver On Exchange PlanZero Cost Sharing Plan Variation

More UnitedHealthcare of Georgia Inc. plans in GA

UHC Copay Focus Silver HMO $0 $40UHC Copay Focus Bronze HMO $0 $50UHC Copay Focus Gold HMO $0 $10 Gen Rx $3UHC Advantage Gold HMO $1100 $10 Gen Rx $1UHC Value Classic Bronze HMO $6350 $40

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$20.00

Specialist

BenefitIn-network
Specialist Visit$75.00

Hospital

BenefitIn-network
Emergency Room Services$1000.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services$100.00 Copay after deductible
Urgent Care Centers or Facilities$100.00

Pharmacy

BenefitIn-network
Generic Drugs$3.00
Non-Preferred Brand Drugs40.00% Coinsurance after deductible
Preferred Brand Drugs$85.00 Copay after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$20.00

Other

BenefitIn-network
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$500.00 Copay after deductible
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental30.00% Coinsurance after deductible
Acupuncture30.00% Coinsurance after deductible
Allergy Testing30.00% Coinsurance after deductible
Bariatric SurgeryNot covered
Basic Dental Care - Adult50.00%
Basic Dental Care - Child30.00% Coinsurance after deductible
Chemotherapy$750.00 Copay after deductible
Chiropractic Care30.00% Coinsurance after deductible
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care30.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo charge
Diabetes Education30.00% Coinsurance after deductible
Dialysis$500.00 Copay after deductible
Durable Medical Equipment30.00% Coinsurance after deductible
Emergency Transportation/Ambulance$1000.00 Copay after deductible
Eye Glasses for Adults$25.00
Eye Glasses for Children30.00% Coinsurance after deductible
Gender Affirming Care$500.00 Copay after deductible
Habilitation Services$75.00 Copay after deductible
Hearing AidsNot covered
Home Health Care Services30.00% Coinsurance after deductible
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)$200.00 Copay after deductible
Infertility Treatment30.00% Coinsurance after deductible
Infusion Therapy$100.00 Copay after deductible
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$15.00 Copay after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - Adult50.00%
Major Dental Care - Child30.00% Coinsurance after deductible
Nutritional Counseling30.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - Child50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services$75.00 Copay after deductible
Prenatal and Postnatal CareNo charge
Private-Duty NursingNot covered
Prosthetic Devices30.00% Coinsurance after deductible
Radiation$100.00 Copay after deductible
Reconstructive Surgery$500.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$75.00 Copay after deductible
Rehabilitative Speech Therapy$75.00 Copay after deductible
Routine Dental Services (Adult)No charge
Routine Eye Exam (Adult)No charge
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$20.00
Transplant30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders30.00% Coinsurance after deductible
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$35.00 Copay after deductible

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