UHC Bronze Copay Focus (Virtual Urgent Care, HSA, No Referrals)

UnitedHealthcare · 2027 plan year

Expanded BronzeHSA eligible
Ind. deductible
$0
Family deductible
$0
Ind. OOP max
$12,000
Family OOP max
$24,000

Compare with other Expanded Bronze plans in MI

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

More UnitedHealthcare plans in MI

Monthly premiums by age

Rating Area 12 — the lowest-priced of the 9 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$293$293
21$382$402
30$434$477
40$489$538
50$683$820
60$1,038$1,245
64 and over$1,147$1,377

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$50.00

Specialist

BenefitIn-network
Specialist Visit$140.00

Hospital

BenefitIn-network
Emergency Room Services$2,500.00
Inpatient Hospital Services (e.g., Hospital Stay)$3000.00 Copay per Day
Outpatient Surgery Physician/Surgical Services$350.00
Urgent Care Centers or Facilities$75.00

Pharmacy

BenefitIn-network
Generic Drugs$25.00
Non-Preferred Brand Drugs45.00%
Preferred Brand Drugs40.00%
Specialty Drugs50.00%

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$3000.00 Copay per Day
Mental/Behavioral Health Outpatient Services$50.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental50.00%
AcupunctureNot covered
Allergy Testing50.00%
Bariatric Surgery$1,000.00
Basic Dental Care - AdultNot covered
Basic Dental Care - Child50.00%
Chemotherapy$750.00
Chiropractic Care50.00%
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$3,000.00
Dental Check-Up for ChildrenNo charge
Diabetes Education50.00%
Dialysis$500.00
Durable Medical Equipment50.00%
Emergency Transportation/Ambulance$2,500.00
Eye Glasses for Children50.00%
Habilitation Services$100.00
Hearing AidsNot covered
Home Health Care Services50.00%
Hospice Services50.00%
Imaging (CT/PET Scans, MRIs)$400.00
Infertility Treatment50.00%
Infusion Therapy$200.00
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$25.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child50.00%
Nutritional Counseling50.00%
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Other Practitioner Office Visit (Nurse, Physician Assistant)50.00%
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$1,000.00
Outpatient Rehabilitation Services$100.00
Prenatal and Postnatal CareNo charge
Private-Duty NursingNot covered
Prosthetic Devices50.00%
Radiation$250.00
Reconstructive Surgery$1,000.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$100.00
Rehabilitative Speech Therapy$100.00
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Sex-Trait Modification Procedures$1,000.00
Skilled Nursing Facility$3000.00 Copay per Day
Substance Abuse Disorder Inpatient Services$3000.00 Copay per Day
Substance Abuse Disorder Outpatient Services$50.00
Transplant$3,000.00
Treatment for Temporomandibular Joint Disorders50.00%
Weight Loss Programs50.00%
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$100.00

Plan rules

Service area

This plan covers 17 geographic areas.

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