UNITEDHEALTHCARE CHOICE GOLD EPO 40/60 DY-LQ
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,428.40
Employee/Child(ren)
$2,065.03
PLAN HIGHLIGHTS
- PCP/Specialist: $40/$60
- Deductible, Coinsurance: $1,110/$2,220, 20%
- Max OOP: $8,500/$17,000
- Rx: $15/$50/50% up to $800
UNITEDHEALTHCARE CHOICE GOLD EPO 15/100 DY-MD
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,307.99
Employee/Child(ren)
$1,962.69
PLAN HIGHLIGHTS
- PCP: $15 Adult, $0 Child | Specialist/Designated Network $50, non-DN $100
- Deductible, Coinsurance: $2,500/$$5,000, 25%
- Max OOP: $7,150/$14,300
- Rx: $10/$50/$100
UNITEDHEALTHCARE CHOICE GOLD EPO 30/60 DY-LV
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,558.01
Employee/Child(ren)
$2,175.21
PLAN HIGHLIGHTS
- PCP/Specialist: $30/$60
- Deductible, Coinsurance: $350/$700, 0%
- Max OOP: $9,200/$18,400
- Rx: $10/$50/$100
UNITEDHEALTHCARE CHOICE GOLD EPO 15/30 DY-LK
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,383.74
Employee/Child(ren)
$2,027.07
PLAN HIGHLIGHTS
- PCP/Specialist: $15/$30
- Deductible, Coinsurance: $1,750/$3,500, 20%
- Max OOP: $8,500/$17,000
- Rx: $10/$65/50% up to $800
UNITEDHEALTHCARE CHOICE GOLD EPO 40/70 DY-LS
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,500.66
Employee/Child(ren)
$2,126.45
PLAN HIGHLIGHTS
- PCP/Specialist: $40/$70
- Deductible, Coinsurance: $0/$0, 0%
- Max OOP: $9,200/$18,400
- Rx: $15/$100/50%
UNITEDHEALTHCARE CHOICE GOLD HSA 1800 DY-LM PR
Rates are for new and renewing groups effective 4/1/2026 — 6/1/2026
PLAN RATES (MONTHLY)
Employee/Spouse (DP)
$2,376.17
Employee/Child(ren)
$2,020.64
PLAN HIGHLIGHTS
- PCP/Specialist: Deductible then 20% coinsurance
- Deductible, Coinsurance: $1,800/$3,600, 20%
- Max OOP: $5,000/$10,000
- Rx: Deductible then $5/$45/$90
Carrier rates are subject to NYS Department of Financial Services approval and final verification at enrollment.
All plans above include $5.95 for HealthPass Program Benefits (non-carrier/agent services) and a 2.9% billing and administrative fee.