UHC Gold Advantage

UnitedHealthcare · 2026 plan year

Gold
Ind. deductible
$1,200
Family deductible
$2,400
Ind. OOP max
$9,250
Family OOP max
$18,500

Compare with other Gold plans in SC

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

More UnitedHealthcare plans in SC

Monthly premiums by age

Rating Area 45 — the lowest-priced of the 17 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$392$392
21$513$538
30$582$640
40$655$721
50$915$1,098
60$1,391$1,669
64 and over$1,538$1,845

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$10.00

Specialist

BenefitIn-network
Specialist Visit$50.00

Hospital

BenefitIn-network
Emergency Room Services20.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)20.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services$350.00
Urgent Care Centers or Facilities$50.00

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Non-Preferred Brand Drugs30.00% Coinsurance after deductible
Preferred Brand Drugs$50.00
Specialty Drugs40.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services20.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$10.00

Other

BenefitIn-network
Basic Dental Care - Child20.00% Coinsurance after deductible
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental20.00% Coinsurance after deductible
AcupunctureNot covered
Allergy Testing20.00% Coinsurance after deductible
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Chemotherapy$500.00 Copay after deductible
Chiropractic CareNot covered
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care20.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo charge
Diabetes Education20.00% Coinsurance after deductible
Dialysis$300.00 Copay after deductible
Durable Medical Equipment20.00% Coinsurance after deductible
Emergency Transportation/Ambulance20.00% Coinsurance after deductible
Eye Glasses for Children20.00% Coinsurance after deductible
Gender Affirming Care$500.00 Copay after deductible
Habilitation Services$50.00
Hearing AidsNot covered
Home Health Care Services20.00% Coinsurance after deductible
Hospice Services20.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)$200.00 Copay after deductible
Infertility TreatmentNot covered
Infusion Therapy$75.00 Copay after deductible
Inpatient Physician and Surgical Services20.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$10.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child20.00% Coinsurance after deductible
Nutritional Counseling20.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - Child50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)20.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$500.00 Copay after deductible
Outpatient Rehabilitation Services$50.00
Prenatal and Postnatal CareNo charge
Private-Duty NursingNot covered
Prosthetic Devices20.00% Coinsurance after deductible
Radiation$75.00 Copay after deductible
Reconstructive Surgery$500.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$50.00
Rehabilitative Speech Therapy$50.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility20.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services20.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$10.00
Transplant20.00% Coinsurance after deductible
Treatment for Temporomandibular Joint DisordersNot covered
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$35.00

Plan rules

Service area

This plan covers 17 geographic areas.

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