UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

UnitedHealthcare · 2026 plan year

Expanded BronzeHSA eligible
Ind. medical deductible
$0
Rx deductible (separate)
$4,000
Family deductible
$0
Ind. OOP max
$10,600
Family OOP max
$21,200

This plan sets a separate deductible for prescription drugs. The medical deductible shown does not cover prescriptions; they have their own.

Compare with other Expanded Bronze plans in OK

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

More UnitedHealthcare plans in OK

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$323$323
21$423$444
30$480$528
40$540$594
50$755$906
60$1,147$1,376
64 and over$1,268$1,521

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$150.00

Hospital

BenefitIn-network
Emergency Room Services$2,250.00
Inpatient Hospital Services (e.g., Hospital Stay)$3000.00 Copay per Day
Outpatient Surgery Physician/Surgical Services$200.00
Urgent Care Centers or Facilities$100.00

Pharmacy

BenefitIn-network
Generic Drugs$20.00
Non-Preferred Brand Drugs45.00% Coinsurance after deductible
Preferred Brand Drugs40.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

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

Other

BenefitIn-network
Basic Dental Care - Child50.00%
Chemotherapy$750.00
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental50.00%
AcupunctureNot covered
Allergy Testing50.00%
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
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$2,250.00
Eye Glasses for Children50.00%
Gender Affirming Care$1,000.00
Habilitation Services$100.00
Hearing Aids50.00%
Home Health Care Services50.00%
Hospice Services50.00%
Imaging (CT/PET Scans, MRIs)$400.00
Infertility TreatmentNot covered
Infusion Therapy$150.00
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$30.00
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - Child50.00%
Substance Abuse Disorder Outpatient Services$50.00
Nutritional Counseling50.00%
Orthodontia - AdultNot covered
Orthodontia - Child50.00%
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 Nursing50.00%
Prosthetic Devices50.00%
Radiation$150.00
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
Skilled Nursing Facility$3000.00 Copay per Day
Substance Abuse Disorder Inpatient Services$3000.00 Copay per Day
Transplant$3,000.00
Treatment for Temporomandibular Joint DisordersNot covered
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$120.00

Plan rules

Service area

This plan covers 57 geographic areas.

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