UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) — full price in Madison County, Indiana (2026)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) (72850IN0160009), a gold plan from UnitedHealthcare in Madison County, Indiana, costs $765.55/month full price for a 40-year-old in 2026 — $1625.75 at 60, with a $0 deductible and $7,700 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 72850IN0160009 · Issuer: UnitedHealthcare · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $599.02 |
| 27 | $627.78 |
| 30 | $679.89 |
| 40 | $765.55 |
| 50 | $1069.86 |
| 60 | $1625.75 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $0
- Family deductible: $0
- Individual out-of-pocket max: $7,700
- Family out-of-pocket max: $15,400
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $461.38/mo. This plan is $765.55/mo at 40 — a difference of $304.17/mo.
The subsidy cliff
In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other gold plans in Madison County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Gold | Ambetter Health | $569.54 |
| Standard Gold + Vision + Adult Dental | Ambetter Health | $584.55 |
| Complete Gold | Ambetter Health | $593.38 |
| Complete Gold + Vision + Adult Dental | Ambetter Health | $609.02 |
| Elite Gold | Ambetter Health | $640.79 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 72850IN0160009 in FIPS 18095.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Madison County
Reviewed by Jason Burns, Editorial Steward.