UHC Silver Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) — full price in Saint Martin County, Louisiana (2026)
UHC Silver Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) (69842LA0250003), a silver plan from UnitedHealthcare in Saint Martin County, Louisiana, costs $874.26/month full price for a 40-year-old in 2026 — $1856.60 at 60, with a $0 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 69842LA0250003 · 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 | $684.08 |
| 27 | $716.92 |
| 30 | $776.43 |
| 40 | $874.26 |
| 50 | $1221.77 |
| 60 | $1856.60 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $0
- Family deductible: $0
- Individual out-of-pocket max: $10,150
- Family out-of-pocket max: $20,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $729.89/mo. This plan is $874.26/mo at 40 — a difference of $144.37/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.
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Other silver plans in Saint Martin County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) | HMO Louisiana | $706.64 |
| Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) | HMO Louisiana | $729.89 |
| Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits | HMO Louisiana | $750.95 |
| Blue POS Copay (PCP) 60/40 $6000 Standardized | HMO Louisiana | $775.66 |
| UHC Silver Value ($0 Virtual Urgent Care, No Referrals) | UnitedHealthcare | $812.05 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 69842LA0250003 in FIPS 22099.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Saint Martin County
Reviewed by Jason Burns, Editorial Steward.