SimpliveraCoverage Companion

Standard High Bronze-B: UHC Navigate Bronze-B 5000

UnitedHealthcare Insurance Company · 2027 plan year

Expanded BronzeHSA eligible
Ind. deductible
$5,000
Family deductible
$10,000
Ind. OOP max
$8,700
Family OOP max
$17,400

Other cost-sharing reduction variants for this plan:

Standard Bronze Off Exchange PlanStandard Bronze On Exchange PlanZero Cost Sharing Plan Variation

More UnitedHealthcare Insurance Company plans in MA

Standard Platinum: UHC Navigate Platinum 0Non-Standard Low Gold: UHC Navigate Gold 2500

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$50.00 Copay after deductible

Specialist

BenefitIn-network
Specialist Visit$80.00 Copay after deductible

Hospital

BenefitIn-network
Emergency Room Services$750.00 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$1000.00 Copay per Stay after deductible
Outpatient Surgery Physician/Surgical ServicesNo Charge after deductible
Urgent Care Centers or Facilities$80.00 Copay after deductible

Pharmacy

BenefitIn-network
Generic Drugs$30.00 Copay after deductible
Non-Preferred Brand Drugs$200.00 Copay after deductible
Preferred Brand Drugs$100.00 Copay after deductible
Specialty Drugs$200.00 Copay after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services$1000.00 Copay per Stay after deductible
Mental/Behavioral Health Outpatient Services$50.00 Copay after deductible

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNo charge
Allergy TestingNo Charge after deductible
Bariatric SurgeryNo Charge after deductible
Basic Dental Care - Child20.00% Coinsurance after deductible
ChemotherapyNo Charge after deductible
Chiropractic Care$80.00 Copay after deductible
Contraceptive ServicesNo charge
Delivery and All Inpatient Services for Maternity Care$1000.00 Copay after deductible
Dental Check-Up for ChildrenNo charge
Diabetes EducationNo Charge after deductible
DialysisNo Charge after deductible
Durable Medical Equipment20.00% Coinsurance after deductible
Emergency Transportation/AmbulanceNo Charge after deductible
Eye Glasses for Children50.00% Coinsurance after deductible
Gender Affirming Care$500.00 Copay after deductible
Habilitation Services$80.00 Copay after deductible
Hearing AidsNo Charge after deductible
Home Health Care ServicesNo Charge after deductible
Hospice ServicesNo Charge after deductible
Imaging (CT/PET Scans, MRIs)$500.00 Copay after deductible
Infertility TreatmentNo Charge after deductible
Infusion TherapyNo Charge after deductible
Inpatient Physician and Surgical ServicesNo Charge after deductible
Laboratory Outpatient and Professional Services$55.00 Copay after deductible
Major Dental Care - Child50.00% Coinsurance after deductible
Nutritional CounselingNo Charge after deductible
Orthodontia - Child50.00% Coinsurance after deductible
Other Practitioner Office Visit (Nurse, Physician Assistant)No Charge after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$500.00 Copay after deductible
Outpatient Rehabilitation Services$80.00 Copay after deductible
Prenatal and Postnatal CareNo charge
Prosthetic Devices20.00% Coinsurance after deductible
RadiationNo Charge after deductible
Reconstructive Surgery$500.00 Copay after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy$80.00 Copay after deductible
Rehabilitative Speech Therapy$80.00 Copay after deductible
Routine Eye Exam for Children$30.00
Skilled Nursing Facility$1000.00 Copay per Stay after deductible
Substance Abuse Disorder Inpatient Services$1000.00 Copay per Stay after deductible
Substance Abuse Disorder Outpatient Services$50.00 Copay after deductible
Transplant$1000.00 Copay after deductible
Treatment for Temporomandibular Joint DisordersNo Charge after deductible
Weight Loss ProgramsNo Charge after deductible
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging$120.00 Copay after deductible

Open enrollment coming up?

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