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

Health Insurance Plan Details (2026 Plan)

Monthly Premium

EPO
$ubsidy
Bronze
Deductible
N/A /yr
Max Out-of-Pocket
N/A /yr

Details

Deductible (per individual)$0 /yr
Deductible (per family)$0 /yr
Max Out-of-Pocket (per individual)$10,600 /yr
Max Out-of-Pocket (per family)$21,200 /yr
Drug Deductible (per individual)$4,500
Drug Deductible (per family)$9000
Drug Max Out-of-Pocket (per individual)Included in Medical
Drug Max Out-of-Pocket (per family)Included in Medical
Plan TypeEPO
Includes Child Dental?Yes
Includes Adult Dental?Yes
Medical Services
Preventive CareNo Charge
Primary Care Visit$40 Copay
Specialist Visit$115 Copay
Emergency Room$2,000 Copay
Inpatient Facility$3,000 Copay per Day
Inpatient PhysicianNo Charge
Drug Costs
Generic Drugs$25 Copay
Preferred Brand Drugs40% Coinsurance after deductible
Non-preferred Brand Drugs45% Coinsurance after deductible
Specialty Drugs50% Coinsurance after deductible

Plan Documents

Summary of Benefits and CoverageSBC doc
Provider DirectoryDoctor lookup
Drug Formulary List drug list

* Figures shown are only for in-network medical costs

** Please check with insurance company if Copay and Coinsurance rates are before or after the deductible


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