UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

UnitedHealthcare · 2026 plan year

Silver
Ind. deductible
$4,500
Family deductible
$9,000
Ind. OOP max
$10,150
Family OOP max
$20,300

Compare with other Silver plans in AZ

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

More UnitedHealthcare plans in AZ

Monthly premiums by age

Rating Area 4 — the lowest-priced of the 5 areas this plan covers. Premiums differ by area.

AgeIndividualIndividual + tobacco
Under 15$343$343
21$449$471
30$509$560
40$573$631
50$801$961
60$1,218$1,461
64 and over$1,346$1,615

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$12.00

Specialist

BenefitIn-network
Specialist Visit$80.00

Hospital

BenefitIn-network
Emergency Room Services$800.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$1500.00 Copay per Day after deductible
Outpatient Surgery Physician/Surgical Services$300.00 Copay after deductible
Urgent Care Centers or Facilities$75.00

Pharmacy

BenefitIn-network
Generic Drugs$8.00
Non-Preferred Brand Drugs40.00% Coinsurance after deductible
Preferred Brand Drugs$85.00 Copay after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$1500.00 Copay per Day after deductible
Mental/Behavioral Health Outpatient Services$18.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental30.00% Coinsurance after deductible
AcupunctureNot covered
Allergy Testing30.00% Coinsurance after deductible
Bariatric Surgery$1200.00 Copay after deductible
Basic Dental Care - AdultNot covered
Basic Dental Care - Child30.00% Coinsurance after deductible
Chemotherapy$750.00 Copay after deductible
Chiropractic Care$10.00
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care$1500.00 Copay after deductible
Dental Check-Up for ChildrenNo charge
Diabetes Education30.00% Coinsurance after deductible
Dialysis$500.00 Copay after deductible
Durable Medical Equipment30.00% Coinsurance after deductible
Emergency Transportation/Ambulance$800.00 Copay after deductible
Eye Glasses for Children30.00% Coinsurance after deductible
Gender Affirming Care$1200.00 Copay after deductible
Habilitation Services$100.00 Copay after deductible
Hearing Aids30.00% Coinsurance after deductible
Home Health Care Services30.00% Coinsurance after deductible
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)$250.00 Copay after deductible
Infertility TreatmentNot covered
Infusion Therapy$100.00 Copay after deductible
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$15.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child30.00% Coinsurance after deductible
Nutritional Counseling30.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - Child50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)30.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$1200.00 Copay after deductible
Outpatient Rehabilitation Services$100.00 Copay after deductible
Prenatal and Postnatal CareNo charge
Private-Duty Nursing30.00% Coinsurance after deductible
Prosthetic Devices30.00% Coinsurance after deductible
Radiation$100.00 Copay after deductible
Reconstructive Surgery$1200.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$100.00 Copay after deductible
Rehabilitative Speech Therapy$100.00 Copay after deductible
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility$1500.00 Copay per Day after deductible
Substance Abuse Disorder Inpatient Services$1500.00 Copay per Day after deductible
Substance Abuse Disorder Outpatient Services$18.00
Transplant$1500.00 Copay after deductible
Treatment for Temporomandibular Joint Disorders30.00% Coinsurance after deductible
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$65.00 Copay after deductible

Plan rules

Service area

This plan covers 7 geographic areas.

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