Texas health plan · 2025

UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) · 40220TX0080025

UnitedHealthcare of Texas, Inc. offers this marketplace health insurance plan (Plan ID 40220TX0080025) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.

Metal level: Silver Plan type: HMO CSR: 94% AV Level Silver Plan Issuer: UnitedHealthcare of Texas, Inc.
Telehealth Data pending HSA eligible No Dental Child Vision Child
Pay / Manage Plan View issuer site

Issuer actuarial value: 94.56%. Expect to pay roughly 5.44% of covered costs out of pocket, based on issuer reporting.

2025 cost summary

Key premiums & cost sharing

Rates mirror the latest CMS import (Tue, 02 Dec 2025 06:13 GMT). Personalize costs with your ZIP, age, and subsidies in the plan finder.

Monthly premium

$309 – $2450

Before subsidies

Estimate after subsidies

Deductible

$0

$0 per group

See deductible details

Max out-of-pocket

$1,100

$2200 per group

Review MOOP rules

Office visits

Primary care No Charge
Specialist 25.00%
HSA Not eligible

Drug tiers

Generic $2.00
Preferred brand $45.00

View formulary tiers

$856 / mo before subsidies

≈ $10271 per year before tax credits.

Start with this unsubsidized premium, then apply marketplace tax credits to see your final monthly payment.

  • Ideal for shoppers comparing Bronze vs. Silver budgets.
  • Update your Marketplace application to apply premium tax credits.

$1544 / mo before subsidies

≈ $18525 per year before tax credits.

Pre-subsidy rate for a couple with one dependent. Switch to Silver CSR plans if you qualify to reduce these numbers.

  • Compares well against PPO vs HMO networks when planning for childcare and telehealth needs.
  • This Silver tier qualifies for CSR if household income is ≤250% FPL.

$1795 / mo before subsidies

≈ $21536 per year before tax credits.

Pairs with cost-sharing reductions (CSR) when you select a Silver tier and qualify based on income.

  • Use this estimate before adding childcare, dental, or vision extras.
  • CSR Silver variants can lower deductibles dramatically for eligible incomes.
  • This Silver tier qualifies for CSR if household income is ≤250% FPL.

$1191 / mo before subsidies

≈ $14296 per year before tax credits.

Shows the combined pre-subsidy rate for two adults. Add dependents or subsidies in your application to refine it.

  • Great for households deciding between PPO and HMO networks.
  • Telehealth and HSA perks (when offered) apply to both members.
Issuer profile See benefits

Preventive Care/Screening/Immunization

No Charge

Emergency Room Services

25.00%

Durable Medical Equipment

25.00%

Advertisement

Enrollment guidance

Stay on top of 2025 ACA deadlines

Open Enrollment window

Marketplace enrollment for 2025 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.
  • 94% AV Level Silver Plan plans like this one keep deductibles and copays lower if you qualify.

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.

Top covered benefits

How this plan handles key care scenarios

Preventive Care/Screening/Immunization

No Charge

Emergency Room Services

25.00%

Durable Medical Equipment

25.00%

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 40220TX0080025
Coverage year 2025
State Texas
Issuer UnitedHealthcare of Texas, Inc.
Formulary document Download formulary
Marketing materials View marketing kit
Variant ID 40220TX0080025-06
Available variants

Standard Off Exchange Plan · 40220TX0080025-00

Standard On Exchange Plan · 40220TX0080025-01

Open to Indians below 300% FPL · 40220TX0080025-02

Open to Indians above 300% FPL · 40220TX0080025-03

73% AV Silver Plan · 40220TX0080025-04

87% AV Silver Plan · 40220TX0080025-05

94% AV Silver Plan · 40220TX0080025-06
Last plan update Fri, 16 Aug 2024 00:00 GMT
Last HealthPorta import Tue, 02 Dec 2025 06:13 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, 02 Dec 2025 06:13 GMT).

All providers in Texas 78
PCPs in Texas 13
Telehealth support Data pending
Nationwide providers 90
78 doctors statewide 13 PCPs

Provider network(s)

Providers Texas All US states
All 78 90
PCP 13 16
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A

Drug coverage overview

3,749 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 1,437
PREFERRED-GENERIC 1,404
ZERO-COST-SHARE-PREVENTIVE 476
SPECIALTY 432
Prior authorization Drugs
Required 680
Not Required 3,069
Step therapy Drugs
Required 52
Not Required 3,697
Quantity limits Drugs
Has Limit 1,738
No Limit 2,011

Customer highlights

What stands out for members

  • Issuer: UnitedHealthcare of Texas, Inc. · Plan ID 40220TX0080025 · 2025 filing.
  • Download the latest formulary directly from the issuer here.
  • Review marketing brochures and SBC PDFs via the issuer marketing repository.
  • Variant 40220TX0080025-06 (94% AV Silver Plan ) currently displayed.
Advertisement

Benefits

Covered services & limitations

Everyday care

Office visits, preventive care, labs, imaging, and home health.

Chiropractic Care

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Year

nan

Exclusions: nan

Diabetes Education

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Home Health Care Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 60.0 Visit(s) per Year

nan

Exclusions: nan

Laboratory Outpatient and Professional Services

$5.00
Tier 1 in-network $5.00
Out-of-network 100.00%

nan

Exclusions: nan

Other Practitioner Office Visit (Nurse, Physician Assistant)

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Preventive Care/Screening/Immunization

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

nan

Exclusions: nan

Primary Care Visit to Treat an Injury or Illness

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Cost sharing for Virtual Primary Care matches in-person office visit.

Exclusions: nan

Rehabilitative Occupational and Rehabilitative Physical Therapy

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Year

35 visits for any combination of physical therapy, occupational therapy, speech therapy and manipulative treatments.

Exclusions: nan

Rehabilitative Speech Therapy

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Year

35 visits for any combination of physical therapy, occupational therapy, speech therapy and manipulative treatments.

Exclusions: nan

Specialist Visit

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Urgent Care Centers or Facilities

$50.00
Tier 1 in-network $50.00
Out-of-network 100.00%

$0 Virtual Urgent Care visits are available through vendor. See SBC for additional cost share details for in-person urgent care visits.

Exclusions: nan

X-rays and Diagnostic Imaging

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Hospital & urgent

Emergency room, inpatient stays, ambulance, and surgeries.

Chemotherapy

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Delivery and All Inpatient Services for Maternity Care

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Childbirth/delivery professional services follow inpatient physician/surgeon fees.

Exclusions: nan

Dialysis

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Durable Medical Equipment

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Emergency Room Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 25.00%

nan

Exclusions: nan

Emergency Transportation/Ambulance

25.00%
Tier 1 in-network 25.00%
Out-of-network 25.00%

nan

Exclusions: nan

Hospice Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Inpatient Hospital Services (e.g., Hospital Stay)

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Inpatient Physician and Surgical Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Mental/Behavioral Health Inpatient Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Mental/Behavioral Health Outpatient Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Cost share applies to office visits, please see SBC for Mental Health Outpatient Services.

Exclusions: nan

Outpatient Facility Fee (e.g., Ambulatory Surgery Center)

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Outpatient Rehabilitation Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Year

nan

Exclusions: nan

Outpatient Surgery Physician/Surgical Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Radiation

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Skilled Nursing Facility

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 25.0 Days per Year

nan

Exclusions: nan

Substance Abuse Disorder Inpatient Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Substance Abuse Disorder Outpatient Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Transplant

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Pregnancy & family

Maternity, newborn, pediatric dental and vision extras.

Basic Dental Care - Child

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Benefit limitations may apply to individual services.

Exclusions: nan

Hearing Aids

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 1.0 Item(s) per 3 Years

Benefits are limited to a single purchase per hearing impaired ear every 36 months.

Exclusions: nan

Major Dental Care - Child

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Benefit limitations may apply to individual services.

Exclusions: nan

Prenatal and Postnatal Care

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

nan

Exclusions: nan

Routine Eye Exam for Children

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Limit: 1.0 Visit(s) per Year

nan

Exclusions: nan

Well Baby Visits and Care

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

nan

Exclusions: nan

Pharmacy & drugs

Generic, brand, specialty, and mail order tiers.

Generic Drugs

$2.00
Tier 1 in-network $2.00
Out-of-network 100.00%

Limit: 30.0 Days per Month

Members can obtain a 1 month supply through network pharmacies or home delivery. Members also have the option to receive a 3 month supply through network pharmacy or home delivery. Other quantity limits may apply. Check the plan's Summary of Benefits or Prescription Drug List for more information.

Exclusions: nan

Non-Preferred Brand Drugs

40.00%
Tier 1 in-network 40.00%
Out-of-network 100.00%

Limit: 30.0 Days per Month

Members can obtain a 1 month supply through network pharmacies or home delivery. Members also have the option to receive a 3 month supply through network pharmacy or home delivery. Other quantity limits may apply. Check the plan's Summary of Benefits or Prescription Drug List for more information.

Exclusions: nan

Preferred Brand Drugs

$45.00
Tier 1 in-network $45.00
Out-of-network 100.00%

Limit: 30.0 Days per Month

Members can obtain a 1 month supply through network pharmacies or home delivery. Members also have the option to receive a 3 month supply through network pharmacy or home delivery. Other quantity limits may apply. Check the plan's Summary of Benefits or Prescription Drug List for more information.

Exclusions: nan

Specialty Drugs

50.00%
Tier 1 in-network 50.00%
Out-of-network 100.00%

Limit: 30.0 Days per Month

Specialty medications are limited to a 1-month supply. Other quantity limits may apply. Check the plan's Summary of Benefits or Prescription Drug List for more information.

Exclusions: nan

Wellness & extras

Vision, dental, therapies, prosthetics, weight management.

Accidental Dental

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Basic Dental Care - Adult

Coverage details pending

nan

Exclusions: nan

Dental Check-Up for Children

No Charge
Tier 1 in-network No Charge
Out-of-network 100.00%

Limit: 1.0 Visit(s) per 6 Months

nan

Exclusions: nan

Infusion Therapy

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Major Dental Care - Adult

Coverage details pending

nan

Exclusions: nan

Nutritional Counseling

Coverage details pending

Medical or behavioral/mental health related nutritional education services that are provided as part of treatment for a disease are covered

Exclusions: nan

Orthodontia - Adult

Coverage details pending

nan

Exclusions: nan

Orthodontia - Child

50.00%
Tier 1 in-network 50.00%
Out-of-network 100.00%

Coverage is for medically necessary orthodontia only.

Exclusions: nan

Prosthetic Devices

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Routine Dental Services (Adult)

Coverage details pending

nan

Exclusions: nan

Weight Loss Programs

Coverage details pending

nan

Exclusions: nan

Additional benefits

Other plan-specific services and limitations.

Abortion for Which Public Funding is Prohibited

Coverage details pending

nan

Exclusions: nan

Acupuncture

Coverage details pending

nan

Exclusions: nan

Allergy Testing

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Bariatric Surgery

Coverage details pending

nan

Exclusions: nan

Cosmetic Surgery

Coverage details pending

nan

Exclusions: nan

Eye Glasses for Children

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 1.0 Item(s) per Year

nan

Exclusions: nan

Gender Affirming Care

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Covered when medically necessary.

Exclusions: nan

Habilitation Services

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Limit: 35.0 Visit(s) per Year

35 visits per year for any combination of physical therapy, occupational therapy, speech therapy, and manipulative treatment. Visit limits do not apply if the primary diagnosis code for the outpatient habilitative services being provided is a covered mental health or substance use disorder.

Exclusions: nan

Imaging (CT/PET Scans, MRIs)

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Infertility Treatment

Coverage details pending

nan

Exclusions: nan

Long-Term/Custodial Nursing Home Care

Coverage details pending

nan

Exclusions: nan

Private-Duty Nursing

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Covered inpatient only when medically necessary.

Exclusions: nan

Reconstructive Surgery

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

Reconstructive procedures are covered when the primary purpose of the procedure is either treatment of a medical condition or required to improve or restore physiologic function.

Exclusions: nan

Routine Eye Exam (Adult)

Coverage details pending

nan

Exclusions: nan

Routine Foot Care

Coverage details pending

Covered when done for the prevention of complications associated with metabolic, neurologic, or peripheral vascular disease

Exclusions: nan

Treatment for Temporomandibular Joint Disorders

25.00%
Tier 1 in-network 25.00%
Out-of-network 100.00%

nan

Exclusions: nan

Variant attributes

UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) · Variant 40220TX0080025-06

Plan identifiers & tier

Issuer-provided metadata for this variant.

Business Year

2025

CSR Variation Type

94% AV Level Silver Plan

HIOS Product ID

40220TX008

Metal Level

Silver

Plan ID (Standard Component ID with Variant)

40220TX0080025-06

Plan Marketing Name

UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx)

Plan Variant Marketing Name

UHC Silver-C Value $0 Indiv Ded ($0 Virtual Urgent Care, $2 Tier 2 Rx)

Issuer & service area

Issuer-provided metadata for this variant.

Issuer Actuarial Value

94.56%

Issuer ID

40220

Issuer Marketplace Marketing Name

UnitedHealthcare

Market Coverage

Individual

Multiple In Network Tiers

No

National Network

No

Network ID

TXN011

Out of Country Coverage

No

Out of Service Area Coverage

Yes

Out of Service Area Coverage Description

Plan covers eligible expenses provided by a Network Physician or other provider or facility within the Network Area. The plan also covers emergency health care services received outside the service area.

Service Area ID

TXS011

State Code

TX

URL for Summary of Benefits & Coverage

Open link

Cost sharing & actuarial values

Issuer-provided metadata for this variant.

Begin Primary Care Deductible Coinsurance After Number Of Copays

0

Inpatient Copayment Maximum Days

0

Medical Drug Deductibles Integrated

Yes

Medical Drug Maximum Out of Pocket Integrated

Yes

SBC Scenario, Having a Baby, Coinsurance

$1,000

SBC Scenario, Having a Baby, Copayment

$70

SBC Scenario, Having a Baby, Deductible

$0

SBC Scenario, Having Diabetes, Coinsurance

$100

SBC Scenario, Having Diabetes, Copayment

$40

SBC Scenario, Having Diabetes, Deductible

$0

SBC Scenario, Treatment of a Simple Fracture, Coinsurance

$700

SBC Scenario, Treatment of a Simple Fracture, Copayment

$10

SBC Scenario, Treatment of a Simple Fracture, Deductible

$0

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance

25.00%

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group

$2200 per group

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person

$1100 per person

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual

$1,100

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group

per group not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person

per person not applicable

Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual

Not Applicable

Enrollment & documents

Issuer-provided metadata for this variant.

Formulary ID

TXF032

Formulary URL

Open link

Plan Brochure

Open link

SBC Scenario, Having a Baby, Limit

$60

SBC Scenario, Having Diabetes, Limit

$0

SBC Scenario, Treatment of a Simple Fracture, Limit

$0

URL for Enrollment Payment

Open link

Additional attributes

Issuer-provided metadata for this variant.

Begin Primary Care Cost-Sharing After Number Of Visits

0

Child-Only Offering

Allows Adult and Child-Only

Composite Rating Offered

No

Dental Only Plan

No

Design Type

Not Applicable

EHB Percent of Total Premium

1.0

First Tier Utilization

100%

Import Date

2024-08-16 01:01:20

Limited Cost Sharing Plan Variation - Estimated Advanced Payment

$0.00

HSA Eligible

No

New/Existing Plan

Existing

Notice Required for Pregnancy

No

Is a Referral Required for Specialist?

Yes

Plan Effective Date

2025-01-01

Plan Level Exclusions

Some exclusions may apply. See the applicable Certificate of Coverage for details.

Plan Type

HMO

QHP/Non QHP

Both

Source Name

HIOS

Specialist Requiring a Referral

All, except OBGYN and as state mandated.

Plan ID

40220TX0080025

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual

Not Applicable

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group

$0 per group

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person

$0 per person

Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual

$0

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group

per group not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person

per person not applicable

Combined Medical and Drug EHB Deductible, Out of Network, Individual

Not Applicable

Unique Plan Design

Yes

Wellness Program Offered

No

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 Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) (40220TX0080025) is a Silver HMO from UnitedHealthcare of Texas, Inc. in Texas for the 2025 coverage year.

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

Does UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) 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 Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) HSA-eligible and does it include dental or vision coverage?

It is not marked as HSA-eligible, so confirm with the issuer before relying on tax-advantaged savings.

Dental add-ons: Child.

Vision add-ons: Child.

Does UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) support mail-order prescriptions?

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

Is there out-of-country coverage for UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx)?

No, out-of-country services are not covered for this plan.

Does UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) cover care outside the service area?

Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: Plan covers eligible expenses provided by a Network Physician or other provider or facility within the Network Area. The plan also covers emergency health care services received outside the service area.

How do I enroll in or manage payments for UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx)?

Use the issuer portal https://sso.uhc.com/ext/sp/ACS.saml2 to pay premiums or start enrollment, then return to HealthPorta for benefit comparisons.

Disclaimer: Based on the Tue, 02 Dec 2025 06:13 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.
Issuer profile More plans
Open comparison tray

Add at least two plans to launch side-by-side comparisons.