Texas health plan · 2027

UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin) · 70754TX0020004

UnitedHealthcare offers this marketplace plan (Plan ID 70754TX0020004). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.

Telehealth Data pending HSA eligible Check with issuer Dental Not listed Vision Not listed

2027 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 08 Sep 2026 05:51 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

See plan search for live pricing

Before subsidies

Estimate after subsidies

Deductible

N/A

N/A

See deductible details

Max out-of-pocket

N/A

N/A

Review MOOP rules

Office visits

Primary care See benefits
Specialist See benefits

Drug tiers

Generic See drug coverage
Preferred brand See drug coverage

View formulary tiers

Issuer profile See benefits
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Enrollment guidance

Stay on top of 2027 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2027 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Texas). Submit changes before the deadline to avoid a coverage gap.

  • Enroll by Dec 15 for Jan 1 starts.
  • Finalize plan switches before the window closes.

Special Enrollment Periods

You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).

  • Report the event within 60 days.
  • Keep documentation handy for Healthcare.gov or your state exchange.

CSR & subsidy reminders

Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.

  • Enter accurate income to maximize Advanced Premium Tax Credits.
  • Silver-tier CSR plans lower deductibles for households ≤250% FPL.

Thinking about switching?

Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.

  • Match provider networks so ongoing care isn’t disrupted.
  • Confirm prescriptions stay on-formulary or budget for tier changes.

Premium snapshot

Plan identifiers & filings

Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.

Plan ID 70754TX0020004
Coverage year 2027
State Texas
Issuer UnitedHealthcare
Formulary document Download formulary
Marketing materials View marketing kit
Last plan update Mon, 10 Aug 2026 00:00 GMT
Last HealthPorta import Tue, 08 Sep 2026 05:51 GMT

Network stats

Provider access snapshot

Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 08 Sep 2026 05:51 GMT).

All providers in Texas N/A
PCPs in Texas N/A
Telehealth support Data pending
Nationwide providers N/A
Providers Texas All US states
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A

Drug coverage overview

3,713 drugs tracked

Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.

Tier Covered drugs
NON-PREFERRED-BRAND 1,436
PREFERRED-GENERIC 1,346
ZERO-COST-SHARE-PREVENTIVE 493
SPECIALTY 438
Prior authorization Drugs
Required 713
Not Required 3,000
Step therapy Drugs
Required 56
Not Required 3,657
Quantity limits Drugs
Has Limit 1,515
No Limit 2,198

Customer highlights

What stands out for members

  • Issuer: UnitedHealthcare · Plan ID 70754TX0020004 · 2027 filing.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
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Copay & coinsurance

Pharmacy cost sharing by tier

Drug tier Pharmacy type Copay amount Copay option Coinsurance rate Coinsurance option Mail order

Questions & answers

Frequently asked questions

How do I choose the right ACA plan in Texas?

UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin) (70754TX0020004) is a marketplace plan from UnitedHealthcare in Texas for the 2027 coverage year.

Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.

Does UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin) support telehealth or virtual urgent care?

The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.

Is UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin) HSA-eligible and does it include dental or vision coverage?

HSA eligibility is not published; check the Summary of Benefits or ask the issuer.

Dental coverage is not listed for this plan.

Vision coverage is not listed for this plan.

Does UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin) support mail-order prescriptions?

Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.

How do I enroll in or manage payments for UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin)?

Use the issuer portal https://www.uhc.com/TXplanbrochure2027 to pay premiums or start enrollment, then return to HealthPorta for benefit comparisons.

Disclaimer: Based on the Tue, 08 Sep 2026 05:51 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
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