UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) — full price in Madison County, Ohio (2026)
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) (33931OH0030042), a gold plan from UnitedHealthcare in Madison County, Ohio, costs $974.66/month full price for a 40-year-old in 2026 — $2069.81 at 60, with a $700 deductible and $7,000 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 33931OH0030042 · 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 | $762.64 |
| 27 | $799.25 |
| 30 | $865.60 |
| 40 | $974.66 |
| 50 | $1362.08 |
| 60 | $2069.81 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $700
- Family deductible: $1,400
- Individual out-of-pocket max: $7,000
- Family out-of-pocket max: $14,000
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $539.32/mo. This plan is $974.66/mo at 40 — a difference of $435.34/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 gold plans in Madison County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Gold Classic Standard | Oscar Health Insurance | $537.68 |
| Gold Classic | Oscar Health Insurance | $549.41 |
| Gold Elite Saver Plus | Oscar Health Insurance | $586.65 |
| Clear Gold | Ambetter from Buckeye Health Plan | $633.70 |
| Standard Gold | Ambetter from Buckeye Health Plan | $650.24 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 33931OH0030042 in FIPS 39097.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Madison County
Reviewed by Jason Burns, Editorial Steward.