UHC Value Gold HMO $1500 $15 Gen Rx $3

UnitedHealthcare of Georgia Inc. · 2026 plan year

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

Gold

Ind. deductible: $1,500
Family deductible: $3,000
Ind. OOP max: $8,500
Family OOP max: $17,000

Compare with other Gold plans in GA

Side by side: deductibles, out-of-pocket limits and copays.

Low Premium Gold HMO 1500 $20 and Adult Vision and FitnessCareSource Georgia Co. · Deductible $1,500 · Out-of-pocket max $8,400
SoloCare Gold PPO $1500 30% ChiroAlliant Health Plans, Inc. · Deductible $1,500 · Out-of-pocket max $8,500
Core Gold HMO 1500 $20CareSource Georgia Co. · Deductible $1,500 · Out-of-pocket max $8,000

Compare 4 plans Browse all Gold plans in GA

Other cost-sharing reduction variants for this plan:

Limited Cost Sharing Plan Variation Zero Cost Sharing Plan Variation

More UnitedHealthcare of Georgia Inc. plans in GA

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

Monthly premiums by age

Rating Area 13 — the lowest-priced of the 6 areas this plan covers. Premiums differ by area.

Age	Individual	Individual + tobacco
Under 15	$512	$512
21	$669	$703
30	$760	$835
40	$855	$941
50	$1,195	$1,434
60	$1,816	$2,179
64 and over	$2,008	$2,409

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	$15.00

Specialist

Benefit	In-network
Specialist Visit	$50.00

Hospital

Benefit	In-network
Emergency Room Services	40.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)	20.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services	20.00% Coinsurance after deductible
Urgent Care Centers or Facilities	$50.00

Pharmacy

Benefit	In-network
Generic Drugs	$3.00
Non-Preferred Brand Drugs	40.00% Coinsurance after deductible
Preferred Brand Drugs	$60.00 Copay after deductible
Specialty Drugs	50.00% Coinsurance after deductible

Mental Health

Benefit	In-network
Mental/Behavioral Health Inpatient Services	20.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services	$15.00

Other

Benefit	In-network
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)	20.00% Coinsurance after deductible
Abortion for Which Public Funding is Prohibited	Not covered
Accidental Dental	20.00% Coinsurance after deductible
Acupuncture	20.00% Coinsurance after deductible
Allergy Testing	20.00% Coinsurance after deductible
Bariatric Surgery	Not covered
Basic Dental Care - Adult	Not covered
Basic Dental Care - Child	20.00% Coinsurance after deductible
Chemotherapy	20.00% Coinsurance after deductible
Chiropractic Care	20.00% Coinsurance after deductible
Cosmetic Surgery	Not covered
Delivery and All Inpatient Services for Maternity Care	20.00% Coinsurance after deductible
Dental Check-Up for Children	No charge
Diabetes Education	20.00% Coinsurance after deductible
Dialysis	20.00% Coinsurance after deductible
Durable Medical Equipment	20.00% Coinsurance after deductible
Emergency Transportation/Ambulance	40.00% Coinsurance after deductible
Eye Glasses for Children	20.00% Coinsurance after deductible
Gender Affirming Care	20.00% Coinsurance after deductible
Habilitation Services	20.00% Coinsurance after deductible
Hearing Aids	Not covered
Home Health Care Services	20.00% Coinsurance after deductible
Hospice Services	20.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)	20.00% Coinsurance after deductible
Infertility Treatment	20.00% Coinsurance after deductible
Infusion Therapy	20.00% Coinsurance after deductible
Inpatient Physician and Surgical Services	20.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services	$15.00
Long-Term/Custodial Nursing Home Care	Not covered
Major Dental Care - Adult	Not covered
Major Dental Care - Child	20.00% Coinsurance after deductible
Nutritional Counseling	20.00% Coinsurance after deductible
Orthodontia - Adult	Not covered
Orthodontia - Child	50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)	20.00% Coinsurance after deductible
Outpatient Rehabilitation Services	20.00% Coinsurance after deductible
Prenatal and Postnatal Care	No charge
Private-Duty Nursing	Not covered
Prosthetic Devices	20.00% Coinsurance after deductible
Radiation	20.00% Coinsurance after deductible
Reconstructive Surgery	20.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy	20.00% Coinsurance after deductible
Rehabilitative Speech Therapy	20.00% Coinsurance after deductible
Routine Dental Services (Adult)	Not covered
Routine Eye Exam (Adult)	Not covered
Routine Eye Exam for Children	No charge
Routine Foot Care	Not covered
Skilled Nursing Facility	20.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services	20.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services	$15.00
Transplant	20.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders	20.00% Coinsurance after deductible
Weight Loss Programs	Not covered
Well Baby Visits and Care	No charge
X-rays and Diagnostic Imaging	20.00% Coinsurance after deductible