PolicymagePolicymage
Silver
HMO

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

UnitedHealthcare · Mississippi Marketplace plan for 2026

What you pay before the plan starts sharing costs

Deductible (individual)

$0

$0 for a family

Out-of-pocket maximum (individual)

$10,150

$20,300 for a family

The out-of-pocket maximum is the most you can pay in a year for covered in-network care. After you reach it, the plan pays everything else.

What you pay for common care

In-network cost sharing for common services on UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals), 2026
ServiceYou pay (in-network)
Primary Care Visit to Treat an Injury or Illness$10
Specialist Visit$100
Emergency Room Services$1500
Generic Drugs$10
Preferred Brand Drugs$100 Copay after deductible
Inpatient Hospital Services (e.g., Hospital Stay)$2500 Copay per Day
Laboratory Outpatient and Professional Services$20
X-rays and Diagnostic Imaging$65
Mental/Behavioral Health Outpatient Services$40

Where this plan is sold in Mississippi

Available in 10 of the rating areas we cover. Premiums differ by area, so check the one you live in.

Benton CountyHattiesburg Area (South Mississippi)Jackson Metro Area (Mississippi)Memphis Metro Area (Mississippi Side)Mississippi (Northeast & Southern Rural Counties)Mississippi Delta & Central CountiesMississippi Gulf Coast (Biloxi & Gulfport)Panola CountySouth Central Mississippi (Copiah & Simpson Counties)Tupelo Area (Northeast Mississippi)

Everything UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) covers

Covered benefits and in-network cost sharing for UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
BenefitYou pay (in-network)
Primary Care Visit to Treat an Injury or Illness$10
Specialist Visit$100
Other Practitioner Office Visit Nurse Physician Assistant30%
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)$750
Outpatient Surgery Physician/Surgical Services$375
Hospice Services30%
Urgent Care Centers Or Facilities$75
Home Health Care Services30%
Emergency Room Services$1500
Emergency Transportation/Ambulance$1500
Inpatient Hospital Services (e.g., Hospital Stay)$2500 Copay per Day
Inpatient Physician and Surgical ServicesNo Charge
Skilled Nursing FacilityLimit: 60 days per year$2500 Copay per Day
Prenatal And Postnatal CareNo Charge
Delivery And All Inpatient Services For Maternity Care$2500
Mental/Behavioral Health Outpatient Services$40
Mental/Behavioral Health Inpatient Services$2500 Copay per Day
Substance Abuse Disorder Outpatient Services$40
Substance Abuse Disorder Inpatient Services$2500 Copay per Day
Generic DrugsLimit: 30 days per month$10
Preferred Brand DrugsLimit: 30 days per month$100 Copay after deductible
Non-Preferred Brand DrugsLimit: 30 days per month40% Coinsurance after deductible
Specialty DrugsLimit: 30 days per month50% Coinsurance after deductible
Outpatient Rehabilitation ServicesLimit: 40 visits per year$100
Habilitation Services$100
Chiropractic CareLimit: 20 visits per year30%
Durable Medical Equipment30%
Imaging (CT/PET Scans, MRIs)$200
Preventive Care/Screening/ImmunizationNo Charge
Routine Foot Care$100
Routine Eye Exam for ChildrenLimit: 1 visits per yearNo Charge
Eye Glasses for ChildrenLimit: 1 items per year30%
Dental Check-Up for ChildrenLimit: 2 exams per yearNo Charge
Rehabilitative Speech TherapyLimit: 20 visits per year$100
Rehabilitative Occupational And Rehabilitative Physical TherapyLimit: 20 visits per year$100
Well Baby Visits And CareNo Charge
Laboratory Outpatient and Professional Services$20
X-rays and Diagnostic Imaging$65
Basic Dental Care - Child30%
Major Dental Care - Child30%
Transplant$2500
Accidental Dental30%
Dialysis$500
Allergy Testing30%
Chemotherapy$750
Radiation$100
Diabetes Education30%
Prosthetic Devices30%
Infusion Therapy$100
Treatment For Temporomandibular Joint Disorders30%
Reconstructive Surgery$750

Not covered by this plan

  • Routine Dental Services (Adult)
  • Infertility Treatment
  • Long Term Custodial Nursing Home Care
  • Private-Duty Nursing
  • Routine Eye Exam (Adult)
  • Bariatric Surgery
  • Cosmetic Surgery
  • Hearing Aids
  • Acupuncture
  • Weight Loss Programs
  • Orthodontia - Child
  • Basic Dental Care - Adult
  • Orthodontia - Adult
  • Major Dental Care - Adult
  • Abortion Services
  • Nutritional Counseling

Official plan documents

What this page does not show

No premium and no subsidy estimate. Both depend on your age, household size, income and county, not on the plan, so any figure here would be wrong for almost everyone. Check what you would actually pay for UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) in your area:

See your price for this planEstimate your subsidy

Coverage and cost sharing come from the official Marketplace record for plan 97560MS0030018, 2026 plan year. Always confirm against the Summary of Benefits before enrolling.

Plans shown based on input. Not insurance advice. Policymage is not a licensed broker or agent.