SimpliveraCoverage Companion

UHC Silver Advantage+ (Dental + Vision, No Referrals)

UnitedHealthcare · 2026 plan year

Silver
Ind. deductible
$1,000
Family deductible
$2,000
Ind. OOP max
$3,200
Family OOP max
$6,400

Other cost-sharing reduction variants for this plan:

73% AV Level Silver Plan94% AV Level Silver PlanLimited Cost Sharing Plan VariationStandard Silver Off Exchange PlanStandard Silver On Exchange PlanZero Cost Sharing Plan Variation

More UnitedHealthcare plans in MI

UHC Gold Standard (No Referrals)UHC Silver Standard (No Referrals)UHC Silver Value (No Referrals)

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$15.00

Specialist

BenefitIn-network
Specialist Visit$30.00

Hospital

BenefitIn-network
Emergency Room Services$250.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)25.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services$100.00 Copay after deductible
Urgent Care Centers or Facilities$50.00

Pharmacy

BenefitIn-network
Generic Drugs$3.00
Non-Preferred Brand Drugs40.00% Coinsurance after deductible
Preferred Brand Drugs$50.00 Copay after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services25.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$15.00

Other

BenefitIn-network
AcupunctureNot covered
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental25.00% Coinsurance after deductible
Allergy Testing25.00% Coinsurance after deductible
Bariatric Surgery$225.00 Copay after deductible
Basic Dental Care - Adult50.00%
Basic Dental Care - Child25.00% Coinsurance after deductible
Chemotherapy$500.00 Copay after deductible
Chiropractic Care25.00% Coinsurance after deductible
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care25.00% Coinsurance after deductible
Dental Check-Up for ChildrenNo charge
Diabetes Education25.00% Coinsurance after deductible
Dialysis$300.00 Copay after deductible
Durable Medical Equipment25.00% Coinsurance after deductible
Emergency Transportation/Ambulance$250.00 Copay after deductible
Eye Glasses for Children25.00% Coinsurance after deductible
Habilitation Services$30.00 Copay after deductible
Hearing AidsNot covered
Home Health Care Services25.00% Coinsurance after deductible
Hospice Services25.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)$50.00 Copay after deductible
Infertility Treatment25.00% Coinsurance after deductible
Infusion Therapy$75.00 Copay after deductible
Inpatient Physician and Surgical Services25.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services$5.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - Adult50.00%
Major Dental Care - Child25.00% Coinsurance after deductible
Nutritional Counseling25.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Other Practitioner Office Visit (Nurse, Physician Assistant)25.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$225.00 Copay after deductible
Outpatient Rehabilitation Services$30.00 Copay after deductible
Prenatal and Postnatal CareNo charge
Private-Duty NursingNot covered
Prosthetic Devices25.00% Coinsurance after deductible
Radiation$75.00 Copay after deductible
Reconstructive Surgery$225.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$30.00 Copay after deductible
Rehabilitative Speech Therapy$30.00 Copay after deductible
Routine Dental Services (Adult)No charge
Routine Eye Exam (Adult)No charge
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Sex-Trait Modification Procedures$225.00 Copay after deductible
Skilled Nursing Facility25.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services25.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$15.00
Transplant25.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders25.00% Coinsurance after deductible
Weight Loss Programs25.00% Coinsurance after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$35.00 Copay after deductible

Open enrollment coming up?

Get notified when it opens — we'll remind you so you don't miss your window.