Molina Healthcare
Molina Silver Core 70
Plan ID45786TX0020002
Plan year2027Sold on HealthCare.gov
Plan typeHMONo referral needed
Metal levelSilverNot HSA-eligible
Sold in8 countiesof 254 in Texas
Deductible$6,000$12,000 family
Out-of-pocket max$9,200$18,400 family
Primary care visit$35in network
Generic drugs$15per prescription
22,104 Texas doctors and facilities in this plan's network · Directory updated Oct 31, 2026 · Monthly premiums are not shown: they depend on age, county and income. NPI Profile does not sell insurance; HealthCare.gov lists premiums and handles enrollment.
Find a doctor in this plan
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What kind of doctor in ?
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Listed in Molina Healthcare's provider directory. Directories can be out of date, so call the office to confirm they take this plan.
What you pay with this plan
In-network costs for one person, from the CMS plan files for 2027. "After deductible" means you pay the full cost until you reach the $6,000 deductible.
Doctor visits
- Primary care visit
- $35
- Specialist visit
- $60
- Nurse practitioner or PA visit
- $35
- Preventive care and vaccines
- Free
- Urgent care
- $60
Prescription drugs
- Generic drugs
- $15
- Preferred brand drugs
- $75 after deductible
- Non-preferred brand drugs
- 40% after deductible
- Specialty drugs
- 50% after deductible
Tests and imaging
- Lab work
- $85
- X-rays
- $95
- MRI, CT and PET scans
- 40% after deductible
Emergencies and hospital
- Emergency room
- 40% after deductible
- Ambulance
- 40% after deductible
- Hospital stay
- 40% after deductible
- Outpatient surgery (facility)
- 40% after deductible
Mental health
- Therapy and counseling visits
- $35
- Inpatient mental health care
- 40% after deductible
Pregnancy
- Prenatal and postnatal care
- Free
- Delivery and hospital stay
- 40% after deductible
Other care
- Physical and occupational therapy
- $60
- Chiropractic careLimit: 35 visits a year
- $60
- Eye exam for children
- Free
- Glasses for children
- Free
- Adult dental
- Not covered
$8,900Having a baby (CMS example)
$4,600Managing type 2 diabetes for a year
$2,100A simple fracture
Every service in the plan file (70)
| Service | You pay | Limits and notes |
|---|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered | |
| Accidental Dental | 40% after deductible | |
| Acupuncture | Not covered | |
| Allergy Testing | $35 | |
| Autism Spectrum Disorders | $35 | |
| Bariatric Surgery | Not covered | |
| Basic Dental Care - Adult | Not covered | |
| Basic Dental Care - Child | Not covered | |
| Brain Injury | 40% after deductible | |
| Chemotherapy | 50% after deductible | |
| Chiropractic Care | $60 | 35 visits a year |
| Cosmetic Surgery | Not covered | |
| Delivery and All Inpatient Services for Maternity Care | 40% after deductible | |
| Dental Check-Up for Children | Not covered | |
| Diabetes Education | Free | |
| Dialysis | $60 | |
| Durable Medical Equipment | 40% after deductible | |
| Emergency Room Services | 40% after deductible | |
| Emergency Transportation/Ambulance | 40% after deductible | |
| Eye Glasses for Children | Free | |
| Generic Drugs | $15 | |
| Habilitation - Autism | $60 | |
| Habilitation Services | $60 | 35 visits a year |
| Hearing Aids | 40% after deductible | |
| Home Health Care Services | 40% after deductible | 60 visits a year |
| Hospice Services | Free | |
| Imaging (CT/PET Scans, MRIs) | 40% after deductible | |
| Infertility Treatment | Not covered | |
| Infusion Therapy | 40% after deductible | |
| Inpatient Hospital Services (e.g., Hospital Stay) | 40% after deductible | |
| Inpatient Physician and Surgical Services | 40% after deductible | |
| Laboratory Outpatient and Professional Services | $85 | |
| Long-Term/Custodial Nursing Home Care | Not covered | |
| Major Dental Care - Adult | Not covered | |
| Major Dental Care - Child | Not covered | |
| Mental/Behavioral Health Inpatient Services | 40% after deductible | |
| Mental/Behavioral Health Outpatient Services | $35 | |
| Non-Preferred Brand Drugs | 40% after deductible | |
| Nutritional Counseling | Not covered | |
| Orthodontia - Adult | Not covered | |
| Orthodontia - Child | Not covered | |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $35 | |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 40% after deductible | |
| Outpatient Rehabilitation Services | $60 | 35 visits a year |
| Outpatient Surgery Physician/Surgical Services | 40% after deductible | |
| Preferred Brand Drugs | $75 after deductible | |
| Prenatal and Postnatal Care | Free | |
| Preventive Care/Screening/Immunization | Free | |
| Primary Care Visit to Treat an Injury or Illness | $35 | |
| Private-Duty Nursing | 40% after deductible | |
| Prosthetic Devices | 40% after deductible | |
| Radiation | 40% after deductible | |
| Reconstructive Surgery | 40% after deductible | |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $60 | |
| Rehabilitative Speech Therapy | $60 | |
| Routine Dental Services (Adult) | Not covered | |
| Routine Eye Exam (Adult) | Not covered | |
| Routine Eye Exam for Children | Free | |
| Routine Foot Care | Not covered | |
| Skilled Nursing Facility | 40% after deductible | 25 visits a year |
| Specialist Visit | $60 | |
| Specialty Drugs | 50% after deductible | |
| Substance Abuse Disorder Inpatient Services | 40% after deductible | |
| Substance Abuse Disorder Outpatient Services | $35 | |
| Transplant | 40% after deductible | |
| Treatment for Temporomandibular Joint Disorders | 40% after deductible | |
| Urgent Care Centers or Facilities | $60 | |
| Weight Loss Programs | Not covered | |
| Well Baby Visits and Care | Free | |
| X-rays and Diagnostic Imaging | $95 |
How this plan works
HMO: You pick a primary care doctor in the network, and most specialists need a referral from them. Care outside the network is not covered, except emergencies.
- Referral for specialists
- Not required
- Coinsurance
- 40% after the deductible
- Works with an HSA
- No
- Network
- Molina IFP Texas (TXN001)
- Sold in
- 8 Texas countiesDallas County, Ellis County, Hood County, Johnson County, Parker County, Rockwall County, Tarrant County, Wise County
Summary of Benefits and Coverage (PDF) Plan brochure Covered drugs (formulary)
Other Molina Healthcare plans on the same network
The same doctors and hospitals, with different costs.
| Plan | Metal | Deductible | Out-of-pocket max |
|---|---|---|---|
| Molina Gold Enhanced 750 HMO | Gold | $750 | $8,200 |
| Molina Gold Enhanced 750 Plus with Adult Dental and Vision HMO | Gold | $750 | $8,200 |
| Molina Gold Enhanced 750 Plus with Adult Vision HMO | Gold | $750 | $8,200 |
| Molina Gold Core 1500 HMO | Gold | $1,500 | $8,100 |
| Molina Gold Core 1500 Plus with Adult Dental and Vision HMO | Gold | $1,500 | $8,100 |
| Molina Gold Core 1500 Plus with Adult Vision HMO | Gold | $1,500 | $8,100 |
| Molina Gold Standard HMO | Gold | $2,500 | $8,600 |
| Molina Silver Core 70 Plus with Adult Dental and Vision HMO | Silver | $6,000 | $9,200 |
| Molina Silver Core 70 Plus with Adult Vision HMO | Silver | $6,000 | $9,200 |
| Molina Silver Standard HMO | Silver | $6,400 | $10,300 |
| Molina Silver Saver 70 with Four Free PCP Visits HMO | Silver | $7,000 | $11,000 |
Questions about Molina Silver Core 70
Does Molina Silver Core 70 cover my doctor?
Use "Find a doctor in this plan" on this page: choose the city, then the kind of doctor. The list shows providers Molina Healthcare lists in this plan's network for 2027. Directories can be out of date, so call the office to confirm before your visit.
What kind of plan is Molina Silver Core 70?
It is an HMO plan: you pick a primary care doctor in the network, and most specialists need a referral from them. Care outside the network is not covered, except emergencies. It is a Silver plan.
How much is a doctor visit with Molina Silver Core 70?
A primary care visit costs $35. A specialist visit costs $60. These are in-network costs for one person. "After deductible" means you pay the full cost until you reach the $6,000 deductible.
Where is Molina Silver Core 70 sold?
It is sold to people who live in 8 Texas counties, through HealthCare.gov. The counties: Dallas County, Ellis County, Hood County, Johnson County, Parker County, Rockwall County, Tarrant County, Wise County. Molina Healthcare's directory can also list providers outside these counties, such as pharmacies and specialists, but the plan itself is only for people who live in its area.
Why is there no monthly premium on this page?
Premiums depend on your age, county, household size and income, and most people get a subsidy, so a single price would mislead. HealthCare.gov shows the price for your household.
About this data
NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on HealthCare.gov.
| Source | What it provides here | Source date |
|---|---|---|
| CMS Marketplace public use files (Plan Attributes, Benefits and Cost Sharing, Service Area) | This plan's costs, covered services, coverage examples and the counties where it is sold | Plan year 2027 |
| Molina Healthcare's provider directory | The doctors and facilities listed in this plan's network. Only providers with an address in Texas are counted. | Updated October 31, 2026 |
| NPPES NPI registry | Provider names, practice addresses and primary specialties | Matched November 8, 2026 |
- Costs are for the standard version of the plan, for one person, in network. People who qualify for cost-sharing reductions pay less.
- Monthly premiums are not shown: they depend on age, county, household and income. HealthCare.gov lists them for your household.
- Confirm costs in the plan documents and with the insurer, and confirm with the doctor's office that they take this plan.
