Non-Standard Low Gold: UHC Navigate Gold 2500
UnitedHealthcare Insurance Company · 2027 plan year
Gold
- Ind. medical deductible
- $2,500
- Rx deductible (separate)
- $250
- Family deductible
- $5,000
- Ind. OOP max
- $7,500
- Family OOP max
- $15,000
This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.
Compare with other Gold plans in MA
Side by side: deductibles, out-of-pocket limits and copays.
Other cost-sharing reduction variants for this plan:
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.
| Age | Individual |
|---|---|
| Under 15 | $430 |
| 21 | $678 |
| 30 | $738 |
| 40 | $798 |
| 50 | $998 |
| 60 | $1,355 |
| 64 and over | $1,355 |
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 | $25.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | $350.00 Copay after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | $500.00 Copay per Stay after deductible |
| Outpatient Surgery Physician/Surgical Services | No Charge after deductible |
| Urgent Care Centers or Facilities | $60.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $25.00 |
| Non-Preferred Brand Drugs | $125.00 Copay after deductible |
| Preferred Brand Drugs | $50.00 Copay after deductible |
| Specialty Drugs | $125.00 Copay after deductible |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | $500.00 Copay per Stay after deductible |
| Mental/Behavioral Health Outpatient Services | $25.00 |
Other
| Benefit | In-network |
|---|---|
| Home Health Care Services | No Charge after deductible |
| Hospice Services | No Charge after deductible |
| Imaging (CT/PET Scans, MRIs) | $350.00 |
| Infertility Treatment | No Charge after deductible |
| Infusion Therapy | No Charge after deductible |
| Abortion for Which Public Funding is Prohibited | No charge |
| Allergy Testing | No Charge after deductible |
| Bariatric Surgery | No Charge after deductible |
| Basic Dental Care - Child | 20.00% Coinsurance after deductible |
| Chemotherapy | No Charge after deductible |
| Chiropractic Care | $60.00 |
| Contraceptive Services | No charge |
| Delivery and All Inpatient Services for Maternity Care | $500.00 Copay after deductible |
| Dental Check-Up for Children | No charge |
| Diabetes Education | No Charge after deductible |
| Dialysis | No Charge after deductible |
| Durable Medical Equipment | No Charge after deductible |
| Emergency Transportation/Ambulance | No Charge after deductible |
| Eye Glasses for Children | 50.00% |
| Gender Affirming Care | $350.00 Copay after deductible |
| Habilitation Services | $60.00 |
| Hearing Aids | No Charge after deductible |
| Inpatient Physician and Surgical Services | No Charge after deductible |
| Laboratory Outpatient and Professional Services | $30.00 |
| Major Dental Care - Child | 50.00% Coinsurance after deductible |
| Nutritional Counseling | No Charge after deductible |
| Orthodontia - Child | 50.00% Coinsurance after deductible |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | No Charge after deductible |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | $350.00 Copay after deductible |
| Outpatient Rehabilitation Services | $60.00 |
| Prenatal and Postnatal Care | No charge |
| Prosthetic Devices | No Charge after deductible |
| Radiation | No Charge after deductible |
| Reconstructive Surgery | $350.00 Copay after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $60.00 |
| Rehabilitative Speech Therapy | $60.00 |
| Routine Eye Exam for Children | $25.00 |
| 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 | $25.00 |
| Transplant | $500.00 Copay after deductible |
| Treatment for Temporomandibular Joint Disorders | No Charge after deductible |
| Weight Loss Programs | No Charge after deductible |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | $60.00 |
Service area
This plan covers 1 geographic area.
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