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Silver
HMO
Standardized plan

UHC Silver Standard (No Referrals)

UnitedHealthcare · Mississippi Marketplace plan for 2026

What you pay before the plan starts sharing costs

Deductible (individual)

$6,000

$12,000 for a family

Out-of-pocket maximum (individual)

$8,900

$17,800 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 Standard (No Referrals), 2026
ServiceYou pay (in-network)
Primary Care Visit to Treat an Injury or Illness$40
Specialist Visit$80
Emergency Room Services40% Coinsurance after deductible
Generic Drugs$20
Preferred Brand Drugs$40
Inpatient Hospital Services (e.g., Hospital Stay)40% Coinsurance after deductible
Laboratory Outpatient and Professional Services40% Coinsurance after deductible
X-rays and Diagnostic Imaging40% Coinsurance after deductible
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 Standard (No Referrals) covers

Covered benefits and in-network cost sharing for UHC Silver Standard (No Referrals)
BenefitYou pay (in-network)
Primary Care Visit to Treat an Injury or Illness$40
Specialist Visit$80
Other Practitioner Office Visit Nurse Physician Assistant40% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)40% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services40% Coinsurance after deductible
Hospice Services40% Coinsurance after deductible
Urgent Care Centers Or Facilities$60
Home Health Care Services40% Coinsurance after deductible
Emergency Room Services40% Coinsurance after deductible
Emergency Transportation/Ambulance40% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)40% Coinsurance after deductible
Inpatient Physician and Surgical Services40% Coinsurance after deductible
Skilled Nursing FacilityLimit: 60 days per year40% Coinsurance after deductible
Prenatal And Postnatal CareNo Charge
Delivery And All Inpatient Services For Maternity Care40% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$40
Mental/Behavioral Health Inpatient Services40% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$40
Substance Abuse Disorder Inpatient Services40% Coinsurance after deductible
Generic DrugsLimit: 30 days per month$20
Preferred Brand DrugsLimit: 30 days per month$40
Non-Preferred Brand DrugsLimit: 30 days per month$80 Copay after deductible
Specialty DrugsLimit: 30 days per month$350 Copay after deductible
Outpatient Rehabilitation ServicesLimit: 40 visits per year$40
Habilitation Services$40
Chiropractic CareLimit: 20 visits per year40% Coinsurance after deductible
Durable Medical Equipment40% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)40% Coinsurance after deductible
Preventive Care/Screening/ImmunizationNo Charge
Routine Foot Care$80
Routine Eye Exam for ChildrenLimit: 1 visits per yearNo Charge
Eye Glasses for ChildrenLimit: 1 items per year40% Coinsurance after deductible
Dental Check-Up for ChildrenLimit: 2 exams per yearNo Charge
Rehabilitative Speech TherapyLimit: 20 visits per year$40
Rehabilitative Occupational And Rehabilitative Physical TherapyLimit: 20 visits per year$40
Well Baby Visits And CareNo Charge
Laboratory Outpatient and Professional Services40% Coinsurance after deductible
X-rays and Diagnostic Imaging40% Coinsurance after deductible
Basic Dental Care - Child40% Coinsurance after deductible
Major Dental Care - Child40% Coinsurance after deductible
Transplant40% Coinsurance after deductible
Accidental Dental40% Coinsurance after deductible
Dialysis40% Coinsurance after deductible
Allergy Testing40% Coinsurance after deductible
Chemotherapy40% Coinsurance after deductible
Radiation40% Coinsurance after deductible
Diabetes Education40% Coinsurance after deductible
Prosthetic Devices40% Coinsurance after deductible
Infusion Therapy40% Coinsurance after deductible
Treatment For Temporomandibular Joint Disorders40% Coinsurance after deductible
Reconstructive Surgery40% Coinsurance after deductible

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 Standard (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 97560MS0030021, 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.