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SilverHMO

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)

by UnitedHealthcare in Florida

How we get our data

Our insurance data is sourced directly from the CMS ACA Marketplace (HIOS), the federal database that insurers are required to report to. We process that data to surface standardized out-of-pocket cost estimates based on three SBC scenarios defined by CMS: having a baby, managing diabetes, and treating a fracture. We update our data annually with each new plan year and link to the original SBC documents so you can verify costs directly with the insurer.

Learn more about our data

Deductible (Individual)

$2,700

Max Out-of-Pocket

$10,350

Actuarial Value

Service Areas

1

About This Plan

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) is a Silver HMO plan offered by UnitedHealthcare in Florida for the 2026 plan year. The in-network deductible for an individual is $2,700, and the maximum out-of-pocket cost is $10,350. A referral is required to see a specialist.

Compared to the median across 131 other Silver plans in Florida, this plan's estimated out-of-pocket costs are: having a baby ($5,260 — 32% below the median); managing diabetes ($600 — 76% below the median); treating a fracture ($2,700 — 17% above the median).

Cost Scenarios

What you'd pay out-of-pocket for three common medical situations with this plan.

Normal delivery

Having a Baby

$5,260
Total Out-of-Pocket
-32% vs median
Deductible$2,700
Copayment$0
Coinsurance$2,500
Limit$60

Type 2, routine care

Managing Diabetes

$600
Total Out-of-Pocket
-76% vs median
Deductible$300
Copayment$300
Coinsurance$0
Limit$0

ER treatment

Simple Fracture

$2,700
Total Out-of-Pocket
+17% vs median
Deductible$2,600
Copayment$100
Coinsurance$0
Limit$0

Deductibles & Out-of-Pocket Maximums

In-NetworkOut-of-Network
IndividualPer PersonPer GroupIndividualPer PersonPer Group
Deductible$2,700$2700 per person$5400 per groupNot Applicableper person not applicableper group not applicable
MOOP$10,350$10350 per person$20700 per groupNot Applicableper person not applicableper group not applicable

Coinsurance after deductible: 30.00%

Medical & Drug Deductibles IntegratedMedical & Drug MOOP Integrated

Plan Features

Plan TypeHMO
HSA EligibleNo
Referral Required for SpecialistYes
National NetworkNo
Pregnancy Notice RequiredNo
Out-of-Country CoverageNo
Out-of-Service-Area CoverageYes
Child-Only OfferingAllows Adult and Child-Only
Wellness ProgramNo
Inpatient Copayment Max Days0
Plan Effective Date2026-01-01

Official Documents

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Written by Jayant Panwar | Last reviewed: Q1 2026 | Last updated: January 2026

Insurance Disclaimer: This information is for educational purposes only and does not constitute insurance advice or a recommendation to enroll in this plan. SBC scenarios show standardized cost estimates for normal delivery, routine diabetes care, and emergency fracture treatment — your actual costs will vary based on providers, services, and your specific plan benefits. This is a CMS marketplace plan; other insurance options may be available in Florida. Consult your insurance company for accurate cost estimates and with your healthcare provider for medical decisions.

Data source: CMS ACA Marketplace (HIOS), 2026 plan year. See our data methodology and editorial policy. Found an error? Report an inaccuracy.