UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

UnitedHealthcare · 2026 plan year

Gold
Ind. deductible
$1,500
Family deductible
$3,000
Ind. OOP max
$7,000
Family OOP max
$14,000

Compare with other Gold plans in WY

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

More UnitedHealthcare plans in WY

Monthly premiums by age

Rating Area 3 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$668$668
21$873$916
30$990$1,090
40$1,115$1,227
50$1,559$1,870
60$2,368$2,842
64 and over$2,618$3,142

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$150.00
Urgent Care Centers or Facilities$50.00

Pharmacy

BenefitIn-network
Generic Drugs$1.00
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
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental20.00% Coinsurance after deductible
AcupunctureNot covered
Allergy TestingNot covered
Bariatric Surgery$450.00
Basic Dental Care - Adult50.00%
Basic Dental Care - Child20.00% Coinsurance after deductible
Chemotherapy$500.00 Copay after deductible
Chiropractic Care20.00% Coinsurance after deductible
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$450.00
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)$250.00
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 - Adult50.00%
Major Dental Care - Child20.00% Coinsurance after deductible
Nutritional CounselingNot covered
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)$450.00
Outpatient Rehabilitation Services$50.00
Prenatal and Postnatal CareNo charge
Private-Duty Nursing20.00% Coinsurance after deductible
Prosthetic Devices20.00% Coinsurance after deductible
Radiation$75.00 Copay after deductible
Reconstructive Surgery$450.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$50.00
Rehabilitative Speech Therapy$50.00
Routine Dental Services (Adult)No charge
Routine Eye Exam (Adult)No charge
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$65.00

Plan rules

Service area

This plan covers 20 geographic areas.

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