Standard Platinum: UHC Navigate Platinum 0

UnitedHealthcare Insurance Company · 2027 plan year

Platinum
Ind. deductible
$0
Family deductible
$0
Ind. OOP max
$3,500
Family OOP max
$7,000

Compare with other Platinum plans in MA

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

More UnitedHealthcare Insurance Company plans in MA

Monthly premiums by age

Rating Area 1 — the lowest-priced of the 7 areas this plan covers. Premiums differ by area.

AgeIndividual
Under 15$571
21$899
30$978
40$1,059
50$1,323
60$1,798
64 and over$1,798

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$25.00

Specialist

BenefitIn-network
Specialist Visit$45.00

Hospital

BenefitIn-network
Emergency Room Services$200.00
Inpatient Hospital Services (e.g., Hospital Stay)$500.00 Copay per Stay
Outpatient Surgery Physician/Surgical ServicesNo charge
Urgent Care Centers or Facilities$45.00

Pharmacy

BenefitIn-network
Generic Drugs$20.00
Non-Preferred Brand Drugs$60.00
Preferred Brand Drugs$40.00
Specialty Drugs$60.00

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$500.00 Copay per Stay
Mental/Behavioral Health Outpatient Services$25.00

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNo charge
Allergy TestingNo charge
Bariatric SurgeryNo charge
Basic Dental Care - Child20.00%
ChemotherapyNo charge
Chiropractic Care$45.00
Contraceptive ServicesNo charge
Delivery and All Inpatient Services for Maternity Care$500.00
Dental Check-Up for ChildrenNo charge
Diabetes EducationNo charge
DialysisNo charge
Durable Medical Equipment20.00%
Emergency Transportation/AmbulanceNo charge
Eye Glasses for Children50.00%
Gender Affirming Care$250.00
Habilitation Services$45.00
Hearing AidsNo charge
Home Health Care ServicesNo charge
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)$200.00
Infertility TreatmentNo charge
Infusion TherapyNo charge
Inpatient Physician and Surgical ServicesNo charge
Laboratory Outpatient and Professional Services$25.00
Major Dental Care - Child50.00%
Nutritional CounselingNo charge
Orthodontia - Child50.00%
Other Practitioner Office Visit (Nurse, Physician Assistant)See plan details
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$250.00
Outpatient Rehabilitation Services$45.00
Prenatal and Postnatal CareNo charge
Prosthetic Devices20.00%
RadiationNo charge
Reconstructive Surgery$250.00
Rehabilitative Occupational and Rehabilitative Physical Therapy$45.00
Rehabilitative Speech Therapy$45.00
Routine Eye Exam for Children$20.00
Skilled Nursing Facility$500.00 Copay per Stay
Substance Abuse Disorder Inpatient Services$500.00 Copay per Stay
Substance Abuse Disorder Outpatient Services$25.00
Transplant$500.00
Treatment for Temporomandibular Joint DisordersNo charge
Weight Loss ProgramsNo charge
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$25.00

Service area

This plan covers 1 geographic area.

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