Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.

Standard High Gold-X: UHC Navigate Gold-X 1000

UnitedHealthcare Insurance Company · 2027 plan year

Gold
Ind. deductible
$1,000
Family deductible
$2,000
Ind. OOP max
$7,500
Family OOP max
$15,000

More UnitedHealthcare Insurance Company plans in MA

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 7 areas this plan covers. Premiums differ by area.

AgeIndividual
Under 15$539
21$849
30$924
40$1,000
50$1,249
60$1,697
64 and over$1,697

Live premium estimate

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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$45.00

Hospital

BenefitIn-network
Emergency Room Services$250.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$500.00 Copay per Stay after deductible
Outpatient Surgery Physician/Surgical ServicesNo Charge after deductible
Urgent Care Centers or Facilities$45.00

Pharmacy

BenefitIn-network
Non-Preferred Brand Drugs$75.00 Copay after deductible
Generic Drugs$25.00
Preferred Brand Drugs$45.00
Specialty Drugs$75.00 Copay after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$500.00 Copay per Stay after deductible
Mental/Behavioral Health Outpatient Services$20.00

Other

BenefitIn-network
Nutritional CounselingNo Charge after deductible
Orthodontia - Child50.00% Coinsurance after deductible
Abortion for Which Public Funding is ProhibitedNo charge
Allergy TestingNo Charge after deductible
Bariatric SurgeryNo Charge after deductible
Basic Dental Care - Child20.00% Coinsurance after deductible
ChemotherapyNo Charge after deductible
Chiropractic Care$45.00
Contraceptive ServicesNo charge
Delivery and All Inpatient Services for Maternity Care$500.00 Copay after deductible
Dental Check-Up for ChildrenNo charge
Diabetes EducationNo Charge after deductible
DialysisNo Charge after deductible
Durable Medical Equipment20.00% Coinsurance after deductible
Emergency Transportation/AmbulanceNo Charge after deductible
Eye Glasses for Children50.00%
Gender Affirming Care$250.00 Copay after deductible
Habilitation Services$45.00
Hearing AidsNo Charge after deductible
Home Health Care ServicesNo Charge after deductible
Hospice ServicesNo Charge after deductible
Imaging (CT/PET Scans, MRIs)$200.00 Copay after deductible
Infertility TreatmentNo Charge after deductible
Infusion TherapyNo Charge after deductible
Inpatient Physician and Surgical ServicesNo Charge after deductible
Laboratory Outpatient and Professional Services$25.00 Copay after deductible
Major Dental Care - Child50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)No Charge after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$250.00 Copay after deductible
Outpatient Rehabilitation Services$45.00
Prenatal and Postnatal CareNo charge
Prosthetic Devices20.00% Coinsurance after deductible
RadiationNo Charge after deductible
Reconstructive Surgery$250.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$45.00
Rehabilitative Speech Therapy$45.00
Routine Eye Exam for Children$20.00
Skilled Nursing Facility$500.00 Copay per Stay after deductible
Substance Abuse Disorder Inpatient Services$500.00 Copay per Stay after deductible
Substance Abuse Disorder Outpatient Services$20.00
Transplant$500.00 Copay after deductible
Treatment for Temporomandibular Joint DisordersNo Charge after deductible
Weight Loss ProgramsNo Charge after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$35.00 Copay after deductible

Service area

This plan covers 1 geographic area.

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