UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) — full price in Sheboygan County, Wisconsin (2026)
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) (80180WI0100002), a gold plan from UnitedHealthcare in Sheboygan County, Wisconsin, costs $730.02/month full price for a 40-year-old in 2026 — $1550.29 at 60, with a $1,500 deductible and $7,000 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 80180WI0100002 · 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 | $571.22 |
| 27 | $598.64 |
| 30 | $648.33 |
| 40 | $730.02 |
| 50 | $1020.20 |
| 60 | $1550.29 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $1,500
- Family deductible: $3,000
- 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 $572.66/mo. This plan is $730.02/mo at 40 — a difference of $157.36/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 Sheboygan County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Prevea360 Gold Share | Dean Health Plan | $649.76 |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $657.70 |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | Anthem Blue Cross and Blue Shield | $657.75 |
| Prevea360 Gold Standard | Dean Health Plan | $673.69 |
| Prevea360 Gold HSA | Dean Health Plan | $688.85 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 80180WI0100002 in FIPS 55117.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Sheboygan County
Reviewed by Jason Burns, Editorial Steward.