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Texas Marketplace Health Insurance: 2027 Plans and In-Network Doctors

13 insurers sell 267 medical plans on HealthCare.gov in Texas for 2027, and 53 dental plans are also available. UnitedHealthcare offers the most, 45 plans. Blue Cross and Blue Shield of Texas has the largest network, with 182,140 Texas doctors, practices and hospitals. Individual deductibles run from $0 to $12,000, and 8 insurers offer $0-deductible plans.

13 insurers 267 medical plans Deductibles $0 to $12,000 223,691 doctors and facilities in a network

Source: CMS Marketplace plan files for plan year 2027 and insurer provider directories. Updated November 8, 2026.

NPI Profile does not sell insurance or enroll anyone in a plan. This free tool uses public files from CMS and insurers to help you compare plans and check whether your doctor is in a plan's network.

Are your doctors in these plans?

Add up to 3 doctors and every plan below shows whether they are in network.

All 267 plans

Monthly premiums are not shown: they depend on your age, county, household size and income. HealthCare.gov lists them for your household.

Deductible: what you pay for covered care before the plan starts to pay. Out-of-pocket max: the most you pay in a year for covered in-network care. After that, the plan pays 100%.
UnitedHealthcare

UHC Gold Copay Focus $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,560CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin
Plan ID 40220TX0080055Sold in 213 Texas counties45% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Copay Focus+ $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,560CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision
Plan ID 40220TX0090008Sold in 213 Texas counties45% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Kelsey Seybold Gold Copay Focus $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,560CMS example
$8 Tier 2 Rx, $0 Insulin
Plan ID 40220TX0080034Sold in 5 Texas counties45% coinsuranceReferral needed for specialists
Network: Kelsey-Seybold Anchor Network
Details
UnitedHealthcare

UHC Kelsey Seybold Gold Copay Focus+ $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,560CMS example
$8 Tier 2 Rx, $0 Insulin, Dental + Vision
Plan ID 40220TX0090009Sold in 5 Texas counties45% coinsuranceReferral needed for specialists
Network: Kelsey-Seybold Anchor Network
Details
UnitedHealthcare

UHC Sanitas 18 Gold Copay Focus $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,560CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin
Plan ID 70754TX0020006Sold in Bexar County45% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 18 Gold Copay Focus+ $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,560CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision
Plan ID 70754TX0030003Sold in Bexar County45% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Gold Copay Focus $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,560CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin
Plan ID 70754TX0020025Sold in Fort Bend County45% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Gold Copay Focus+ $0 Ded

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,000$16,000 family
Having a baby$2,560CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision
Plan ID 70754TX0030006Sold in Fort Bend County45% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
Imperial Insurance Companies

Imperial Preferred Gold Zero

GoldHMO
Deductible$0$0 family
Out-of-pocket max$9,200$18,400 family
Having a baby$5,080CMS example
Plan ID 34826TX0010001Sold in 13 Texas counties50% coinsuranceReferral needed for specialists
Network: Imperial Value
Details
Community First

Community First Mercado Plan - Gold

GoldEPO
Deductible$0$0 family
Out-of-pocket max$9,700$19,400 family
Having a baby$1,900CMS example
Plan ID 63251TX0010001Sold in Bexar County30% coinsuranceNo referral needed
Network: Community First EPO
Details
UnitedHealthcare

UHC Kelsey Seybold Silver Copay Focus $0 Indiv Med Ded

SilverHMO
Deductible$0$0 family
Out-of-pocket max$9,800$19,600 family
Having a baby$3,360CMS example
$0 Insulin
Plan ID 40220TX0080033Sold in 5 Texas counties30% coinsuranceReferral needed for specialists
Network: Kelsey-Seybold Anchor Network
Details
UnitedHealthcare

UHC Kelsey Seybold Silver Copay Focus+ $0 Indiv Med Ded

SilverHMO
Deductible$0$0 family
Out-of-pocket max$9,800$19,600 family
Having a baby$3,360CMS example
$0 Insulin, Dental + Vision
Plan ID 40220TX0090007Sold in 5 Texas counties30% coinsuranceReferral needed for specialists
Network: Kelsey-Seybold Anchor Network
Details
UnitedHealthcare

UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded

SilverHMO
Deductible$0$0 family
Out-of-pocket max$9,800$19,600 family
Having a baby$3,360CMS example
$0 Virtual Urgent Care, $0 Insulin
Plan ID 70754TX0020004Sold in Bexar County30% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 18 Silver Copay Focus+ $0 Indiv Med Ded

SilverHMO
Deductible$0$0 family
Out-of-pocket max$9,800$19,600 family
Having a baby$3,360CMS example
$0 Virtual Urgent Care, $0 Insulin, Dental + Vision
Plan ID 70754TX0030002Sold in Bexar County30% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Silver Copay Focus $0 Indiv Med Ded

SilverHMO
Deductible$0$0 family
Out-of-pocket max$9,800$19,600 family
Having a baby$3,360CMS example
$0 Virtual Urgent Care, $0 Insulin
Plan ID 70754TX0020023Sold in Fort Bend County30% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Silver Copay Focus+ $0 Indiv Med Ded

SilverHMO
Deductible$0$0 family
Out-of-pocket max$9,800$19,600 family
Having a baby$3,360CMS example
$0 Virtual Urgent Care, $0 Insulin, Dental + Vision
Plan ID 70754TX0030005Sold in Fort Bend County30% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
CHRISTUS Health Plan

CHRISTUS Gold Plus Dental & Vision & Fitness

GoldHMO
Deductible$0$0 family
Out-of-pocket max$9,950$19,900 family
Having a baby$2,660CMS example
$0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care
Plan ID 66252TX0380017Sold in 39 Texas counties40% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
CHRISTUS Health Plan

CHRISTUS Gold with Fitness

GoldHMO
Deductible$0$0 family
Out-of-pocket max$9,950$19,900 family
Having a baby$2,660CMS example
$0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care
Plan ID 66252TX0380015Sold in 39 Texas counties40% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,860CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin
Plan ID 40220TX0080031Sold in 213 Texas counties50% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Copay Focus+ $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,860CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision
Plan ID 40220TX0090012Sold in 213 Texas counties50% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Kelsey Seybold Bronze Copay Focus $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,860CMS example
HSA, $0 Insulin
Plan ID 40220TX0080032Sold in 5 Texas counties50% coinsuranceReferral needed for specialists
Network: Kelsey-Seybold Anchor Network
Details
UnitedHealthcare

UHC Kelsey Seybold Bronze Copay Focus+ $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,860CMS example
HSA, $0 Insulin, Dental + Vision
Plan ID 40220TX0090006Sold in 5 Texas counties50% coinsuranceReferral needed for specialists
Network: Kelsey-Seybold Anchor Network
Details
UnitedHealthcare

UHC Sanitas 18 Bronze Copay Focus $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,860CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin
Plan ID 70754TX0020002Sold in Bexar County50% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 18 Bronze Copay Focus+ $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,860CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision
Plan ID 70754TX0030001Sold in Bexar County50% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Bronze Copay Focus $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,860CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin
Plan ID 70754TX0020021Sold in Fort Bend County50% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Bronze Copay Focus+ $0 Indiv Med Ded

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,860CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision
Plan ID 70754TX0030004Sold in Fort Bend County50% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
Oscar Health

Gold Elite Saver Plus

GoldEPO
Deductible$0$0 family
Out-of-pocket max$11,750$23,500 family
Having a baby$3,690CMS example
Plan ID 20069TX0100056Sold in 49 Texas counties35% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Gold Elite Saver Plus Guided Care

GoldHMO
Deductible$0$0 family
Out-of-pocket max$11,750$23,500 family
Having a baby$3,690CMS example
Plan ID 20069TX0510113Sold in 14 Texas counties35% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Oscar Health

Gold Elite Saver Plus with Adult Dental & Vision

GoldEPO
Deductible$0$0 family
Out-of-pocket max$11,750$23,500 family
Having a baby$3,690CMS example
Plan ID 20069TX0100079Sold in 49 Texas counties35% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Bronze Elite + PCP Saver Plus

Expanded BronzeEPOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$4,200CMS example
Plan ID 20069TX0100005Sold in 49 Texas counties50% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Community First

Community First Mercado Plan - Silver

SilverEPO
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$3,000CMS example
Plan ID 63251TX0020001Sold in Bexar County50% coinsuranceNo referral needed
Network: Community First EPO
Details
Sendero Health Plans, Local Nonprofit

Sendero Health Austin512 Silver / $40 PCP / $75 Specialist

SilverHMO
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$4,200CMS example
Plan ID 71837TX0010022Sold in 8 Texas counties20% coinsuranceReferral needed for specialists
Network: Sendero Health Plans
Details
Sendero Health Plans, Local Nonprofit

SHP Gold

GoldHMO
Deductible$350$700 family
Out-of-pocket max$10,000$20,000 family
Having a baby$3,990CMS example
Plan ID 71837TX0010002Sold in 8 Texas counties20% coinsuranceReferral needed for specialists
Network: Sendero Health Plans
Details
WellPoint

Wellpoint Heart Healthy Essential Gold 500

GoldHMO
Deductible$500$1,000 family
Out-of-pocket max$10,500$21,000 family
Having a baby$4,170CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040016Sold in 44 Texas counties30% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Gold HMO℠ - Max

GoldHMO
Deductible$550$1,100 family
Out-of-pocket max$10,500$21,000 family
Having a baby$4,250CMS example
Plan ID 33602TX0460548Sold statewide30% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
WellPoint

Wellpoint Essential Gold POS 700

GoldPOS
Deductible$700$1,400 family
Out-of-pocket max$7,500$15,000 family
Having a baby$5,470CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030007Sold in 44 Texas counties40% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Molina Healthcare

Molina Gold Enhanced 750

GoldHMO
Deductible$750$1,500 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,850CMS example
Plan ID 45786TX0020013Sold in 8 Texas counties35% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
Molina Healthcare

Molina Gold Enhanced 750 Plus with Adult Vision

GoldHMO
Deductible$750$1,500 family
Out-of-pocket max$8,200$16,400 family
Having a baby$4,850CMS example
Plan ID 45786TX0050009Sold in 8 Texas counties35% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
Community First

Community First Care Plan - Gold

GoldEPO
Deductible$750$1,500 family
Out-of-pocket max$8,500$17,000 family
Having a baby$3,750CMS example
Plan ID 63251TX0040001Sold in Bexar County30% coinsuranceNo referral needed
Network: Community First EPO
Details
Ambetter Health

Everyday Gold

GoldEPO
Deductible$800$1,600 family
Out-of-pocket max$7,250$14,500 family
Having a baby$4,160CMS example
Plan ID 29418TX0140102Sold in 151 Texas counties35% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Everyday Gold + Vision + Adult Dental

GoldEPO
Deductible$800$1,600 family
Out-of-pocket max$7,250$14,500 family
Having a baby$4,160CMS example
Plan ID 29418TX0160102Sold in 151 Texas counties35% coinsuranceNo referral needed
Network: Premier
Details
WellPoint

Wellpoint Essential Gold 800

GoldHMO
Deductible$800$1,600 family
Out-of-pocket max$9,000$18,000 family
Having a baby$4,370CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040009Sold in 44 Texas counties30% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Imperial Insurance Companies

Imperial Preferred Gold

GoldHMO
Deductible$1,000$2,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$4,190CMS example
Plan ID 34826TX0030003Sold in 13 Texas counties35% coinsuranceReferral needed for specialists
Network: Imperial Value
Details
WellPoint

Wellpoint Essential Gold POS 1000

GoldPOS
Deductible$1,000$2,000 family
Out-of-pocket max$8,950$17,900 family
Having a baby$3,370CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030005Sold in 44 Texas counties20% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Blue Cross and Blue Shield of Texas

MyBlue Health Gold℠ - Champion

GoldHMO
Deductible$1,200$2,400 family
Out-of-pocket max$9,200$18,400 family
Having a baby$3,370CMS example
Plan ID 33602TX0461081Sold in 18 Texas counties20% coinsuranceReferral needed for specialists
Network: MyBlueHealth
Details
UnitedHealthcare

UHC Gold Advantage

GoldHMO
Deductible$1,400$2,800 family
Out-of-pocket max$6,500$13,000 family
Having a baby$4,660CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin
Plan ID 40220TX0080028Sold in 218 Texas counties35% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Gold Advantage+

GoldHMO
Deductible$1,400$2,800 family
Out-of-pocket max$6,500$13,000 family
Having a baby$4,660CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision
Plan ID 40220TX0090002Sold in 218 Texas counties35% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Sanitas 18 Gold Advantage

GoldHMO
Deductible$1,400$2,800 family
Out-of-pocket max$6,500$13,000 family
Having a baby$4,660CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin
Plan ID 70754TX0020009Sold in Bexar County35% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Gold Advantage

GoldHMO
Deductible$1,400$2,800 family
Out-of-pocket max$6,500$13,000 family
Having a baby$4,660CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin
Plan ID 70754TX0020026Sold in Fort Bend County35% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
Ambetter Health

Complete Gold

GoldEPO
Deductible$1,450$2,900 family
Out-of-pocket max$9,500$19,000 family
Having a baby$3,310CMS example
Plan ID 29418TX0140064Sold in 151 Texas counties20% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Complete Gold + Vision + Adult Dental

GoldEPO
Deductible$1,450$2,900 family
Out-of-pocket max$9,500$19,000 family
Having a baby$3,310CMS example
Plan ID 29418TX0160020Sold in 151 Texas counties20% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Complete VALUE Gold

GoldHMO
Deductible$1,450$2,900 family
Out-of-pocket max$9,500$19,000 family
Having a baby$3,310CMS example
Plan ID 87226TX0060013Sold in 10 Texas counties20% coinsuranceReferral needed for specialists
Network: Value
Details
WellPoint

Wellpoint Essential Gold 1500

GoldHMO
Deductible$1,500$3,000 family
Out-of-pocket max$5,000$10,000 family
Having a baby$5,060CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040007Sold in 44 Texas counties40% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Molina Healthcare

Molina Gold Core 1500

GoldHMO
Deductible$1,500$3,000 family
Out-of-pocket max$8,100$16,200 family
Having a baby$4,400CMS example
Plan ID 45786TX0020001Sold in 8 Texas counties25% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
Molina Healthcare

Molina Gold Core 1500 Plus with Adult Vision

GoldHMO
Deductible$1,500$3,000 family
Out-of-pocket max$8,100$16,200 family
Having a baby$4,400CMS example
Plan ID 45786TX0050001Sold in 8 Texas counties25% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Gold HMO℠ - Secure

GoldHMO
Deductible$1,800$3,600 family
Out-of-pocket max$7,800$15,600 family
Having a baby$5,100CMS example
Plan ID 33602TX0460809Sold in 153 Texas counties30% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Gold℠ - Secure

GoldPOS
Deductible$1,800$3,600 family
Out-of-pocket max$7,800$15,600 family
Having a baby$5,090CMS example
Plan ID 33602TX0870005Sold statewide30% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Community Health Choice

Community Select Gold 022

GoldHMO
Deductible$1,800$3,600 family
Out-of-pocket max$9,200$18,400 family
Having a baby$4,660CMS example
Plan ID 27248TX0010022Sold in Fort Bend and Harris countiesNo coinsuranceNo referral needed
Network: Community Health Choice Select Network
Details
Community Health Choice

Community Ultra Select Gold 022

GoldHMO
Deductible$1,800$3,600 family
Out-of-pocket max$9,200$18,400 family
Having a baby$4,660CMS example
Plan ID 11718TX0140022Sold in Harris CountyNo coinsuranceNo referral needed
Network: Community Health Choice Ultra Select Network
Details
WellPoint

Wellpoint Essential Silver 1850

SilverHMO
Deductible$1,850$3,700 family
Out-of-pocket max$9,500$19,000 family
Having a baby$7,320CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040011Sold in 44 Texas counties50% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Oscar Health

Gold Simple Diabetes Guided Care

GoldHMO
Deductible$2,000$4,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$3,800CMS example
Plan ID 20069TX0510037Sold in 14 Texas counties20% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Community First

Community First Care Plan - Silver

SilverEPO
Deductible$2,000$4,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$5,700CMS example
Plan ID 63251TX0050001Sold in Bexar County50% coinsuranceNo referral needed
Network: Community First EPO
Details
Community Health Choice

Community Premier Gold 005

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,500$17,000 family
Having a baby$4,960CMS example
Plan ID 27248TX0010005Sold in 20 Texas countiesNo coinsuranceNo referral needed
Network: Community Health Choice Premier Network
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Gold HMO℠ - Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,100CMS example
Plan ID 33602TX0460925Sold statewide25% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Gold℠ - Balance

GoldPOS
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,570CMS example
Plan ID 33602TX0870011Sold statewide20% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Gold℠ - Standard

GoldPOS
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,100CMS example
Plan ID 33602TX0870006Sold statewide25% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
CHRISTUS Health Plan

CHRISTUS Standard Gold

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
$0 Virtual Urgent Care
Plan ID 66252TX0380013Sold in 39 Texas counties25% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
Community First

Community First Care Plan - Gold Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,500CMS example
Plan ID 63251TX0040002Sold in Bexar County25% coinsuranceNo referral needed
Network: Community First EPO
Details
Community Health Choice

Community Premier Gold 021

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,030CMS example
Plan ID 27248TX0010021Sold in 20 Texas counties25% coinsuranceNo referral needed
Network: Community Health Choice Premier Network
Details
Community Health Choice

Community Ultra Select Gold 021

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,030CMS example
Plan ID 11718TX0140021Sold in Harris County25% coinsuranceNo referral needed
Network: Community Health Choice Ultra Select Network
Details
Oscar Health

Gold Classic Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,720CMS example
Plan ID 20069TX0100053Sold in 49 Texas counties25% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Gold Classic Standard Guided Care

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,720CMS example
Plan ID 20069TX0510032Sold in 14 Texas counties25% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Antidote Health of TX

Gold Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,300CMS example
Plan ID 11819TX0030030Sold in 18 Texas counties25% coinsuranceNo referral needed
Network: AH Texas
Details
Imperial Insurance Companies

Imperial Classic Gold

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,100CMS example
Plan ID 34826TX0020003Sold in 13 Texas counties25% coinsuranceReferral needed for specialists
Network: Imperial Value
Details
Molina Healthcare

Molina Gold Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Plan ID 45786TX0020010Sold in 8 Texas counties25% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
Blue Cross and Blue Shield of Texas

MyBlue Health Gold℠ - Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,100CMS example
Plan ID 33602TX0461088Sold in 18 Texas counties25% coinsuranceReferral needed for specialists
Network: MyBlueHealth
Details
Ambetter Health

Signature Gold

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,500CMS example
Plan ID 29418TX0140109Sold in 151 Texas counties25% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Gold + Vision + Adult Dental

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,500CMS example
Plan ID 29418TX0160052Sold in 151 Texas counties25% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Gold VALUE

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,500CMS example
Plan ID 87226TX0060012Sold in 10 Texas counties25% coinsuranceReferral needed for specialists
Network: Value
Details
UnitedHealthcare

UHC Gold Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,760CMS example
$0 Insulin
Plan ID 40220TX0080024Sold in 218 Texas counties25% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Sanitas 18 Gold Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,760CMS example
$0 Insulin
Plan ID 70754TX0020005Sold in Bexar County25% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Gold Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,760CMS example
$0 Insulin
Plan ID 70754TX0020029Sold in Fort Bend County25% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
WellPoint

Wellpoint Essential Gold 2500 Standard

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040008Sold in 44 Texas counties25% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and Pharmacy Base Network
Details
WellPoint

Wellpoint Essential Gold POS 2500 Standard

GoldPOS
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030006Sold in 44 Texas counties25% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and Pharmacy Base Network
Details
WellPoint

Wellpoint Essential Silver POS 2500

SilverPOS
Deductible$2,500$5,000 family
Out-of-pocket max$9,900$19,800 family
Having a baby$7,270CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030008Sold in 44 Texas counties40% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Oscar Health

Gold Simple

GoldEPO
Deductible$2,750$5,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$4,330CMS example
Plan ID 20069TX0100055Sold in 49 Texas counties20% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Gold Simple Guided Care

GoldHMO
Deductible$2,750$5,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$4,330CMS example
Plan ID 20069TX0510021Sold in 14 Texas counties20% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Oscar Health

Gold Simple Guided Care with Adult Dental & Vision

GoldHMO
Deductible$2,750$5,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$4,330CMS example
Plan ID 20069TX0510149Sold in 14 Texas counties20% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Community Health Choice

Community Premier Silver 012

SilverHMO
Deductible$2,800$5,600 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,460CMS example
Plan ID 27248TX0010012Sold in 20 Texas countiesNo coinsuranceNo referral needed
Network: Community Health Choice Premier Network
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Silver℠ - Champion

SilverPOS
Deductible$3,100$6,200 family
Out-of-pocket max$10,550$21,100 family
Having a baby$6,870CMS example
Plan ID 33602TX0870009Sold statewide40% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Silver HMO℠ - Champion

SilverHMO
Deductible$3,100$6,200 family
Out-of-pocket max$10,550$21,100 family
Having a baby$6,870CMS example
Plan ID 33602TX0460553Sold statewide40% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

MyBlue Health Silver℠ - Champion

SilverHMO
Deductible$3,100$6,200 family
Out-of-pocket max$10,550$21,100 family
Having a baby$6,870CMS example
Plan ID 33602TX0461082Sold in 15 Texas counties40% coinsuranceReferral needed for specialists
Network: MyBlueHealth
Details
UnitedHealthcare

UHC Sanitas 18 Silver Value

SilverHMO
Deductible$3,500$7,000 family
Out-of-pocket max$9,700$19,400 family
Having a baby$7,060CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin
Plan ID 70754TX0020008Sold in Bexar County40% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Silver Value

SilverHMO
Deductible$3,500$7,000 family
Out-of-pocket max$9,700$19,400 family
Having a baby$7,060CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin
Plan ID 70754TX0020024Sold in Fort Bend County40% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Silver Value

SilverHMO
Deductible$3,500$7,000 family
Out-of-pocket max$9,700$19,400 family
Having a baby$7,060CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin
Plan ID 40220TX0080025Sold in 218 Texas counties40% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Value+

SilverHMO
Deductible$3,500$7,000 family
Out-of-pocket max$9,700$19,400 family
Having a baby$7,060CMS example
$0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision
Plan ID 40220TX0090004Sold in 218 Texas counties40% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
WellPoint

Wellpoint Essential Silver 3500

SilverHMO
Deductible$3,500$7,000 family
Out-of-pocket max$9,950$19,900 family
Having a baby$6,770CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040012Sold in 44 Texas counties20% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
WellPoint

Wellpoint Essential Silver 3500 Adult Dental/Vision

SilverHMO
Deductible$3,500$7,000 family
Out-of-pocket max$9,950$19,900 family
Having a baby$6,770CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040010Sold in 44 Texas counties20% coinsuranceNo referral needed
Network: Wellpoint Texas Essential, Dental Prime, and RX Choice Tiered Network
Details
UnitedHealthcare

UHC Silver Advantage

SilverHMO
Deductible$3,800$7,600 family
Out-of-pocket max$10,000$20,000 family
Having a baby$6,060CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin
Plan ID 40220TX0080026Sold in 213 Texas counties30% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Silver Advantage+

SilverHMO
Deductible$3,800$7,600 family
Out-of-pocket max$10,000$20,000 family
Having a baby$6,060CMS example
$0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision
Plan ID 40220TX0090001Sold in 213 Texas counties30% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
CHRISTUS Health Plan

CHRISTUS Gold Essential

GoldHMO
Deductible$3,900$7,800 family
Out-of-pocket max$10,500$21,000 family
Having a baby$5,360CMS example
$0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care
Plan ID 66252TX0380014Sold in 39 Texas counties30% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
CHRISTUS Health Plan

CHRISTUS Gold Essential Plus Dental & Vision

GoldHMO
Deductible$3,900$7,800 family
Out-of-pocket max$10,500$21,000 family
Having a baby$5,360CMS example
$0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care
Plan ID 66252TX0380016Sold in 39 Texas counties30% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
WellPoint

Wellpoint Essential Silver POS 4000

SilverPOS
Deductible$4,000$8,000 family
Out-of-pocket max$9,550$19,100 family
Having a baby$7,870CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030009Sold in 44 Texas counties20% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
WellPoint

Wellpoint Essential Bronze 4000 HSA

Expanded BronzeHMOHSA
Deductible$4,000$8,000 family
Out-of-pocket max$10,150$20,300 family
Having a baby$7,460CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040002Sold in 44 Texas counties40% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
WellPoint

Wellpoint Essential Bronze POS 4500 HSA

Expanded BronzePOSHSA
Deductible$4,500$9,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,470CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030003Sold in 44 Texas counties40% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Ambetter Health

Streamlined Silver

SilverEPO
Deductible$4,700$9,400 family
Out-of-pocket max$11,300$22,600 family
Having a baby$6,560CMS example
Plan ID 29418TX0140087Sold in 151 Texas counties30% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Streamlined VALUE Silver

SilverHMO
Deductible$4,700$9,400 family
Out-of-pocket max$11,300$22,600 family
Having a baby$6,560CMS example
Plan ID 87226TX0060015Sold in 10 Texas counties30% coinsuranceReferral needed for specialists
Network: Value
Details
Oscar Health

Bronze Classic 4700

Expanded BronzeEPOHSA
Deductible$4,700$9,400 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,700CMS example
Plan ID 20069TX0100024Sold in 49 Texas counties50% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Community Health Choice

Community Select Silver 019

SilverHMO
Deductible$5,000$10,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,070CMS example
Plan ID 27248TX0010019Sold in Fort Bend and Harris countiesNo coinsuranceNo referral needed
Network: Community Health Choice Select Network
Details
Community Health Choice

Community Ultra Select Silver 019

SilverHMO
Deductible$5,000$10,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,070CMS example
Plan ID 11718TX0140019Sold in Harris CountyNo coinsuranceNo referral needed
Network: Community Health Choice Ultra Select Network
Details
Ambetter Health

Enhanced Diabetes Care Silver $0 Rx Options

SilverEPO
Deductible$5,000$10,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,360CMS example
Plan ID 29418TX0140049Sold in 151 Texas counties50% coinsuranceNo referral needed
Network: Premier
Details
WellPoint

Wellpoint Heart Healthy Essential Bronze 5000 HSA

Expanded BronzeHMOHSA
Deductible$5,000$10,000 family
Out-of-pocket max$10,400$20,800 family
Having a baby$7,370CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040014Sold in 44 Texas counties30% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Blue Cross and Blue Shield of Texas

MyBlue Health Bronze℠ - Champion HSA

Expanded BronzeHMOHSA
Deductible$5,000$10,000 family
Out-of-pocket max$11,100$22,200 family
Having a baby$8,870CMS example
Plan ID 33602TX0461080Sold in 18 Texas counties50% coinsuranceReferral needed for specialists
Network: MyBlueHealth
Details
Oscar Health

Bronze Simple Chronic Care CKM

Expanded BronzeEPOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 20069TX0100059Sold in 49 Texas counties50% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Bronze Simple Diabetes

Expanded BronzeEPOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 20069TX0100068Sold in 49 Texas counties50% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Bronze Simple Diabetes with Adult Dental & Vision

Expanded BronzeEPOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,100CMS example
Plan ID 20069TX0100081Sold in 49 Texas counties50% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Community First

Community First Mercado Plan - Bronze

Expanded BronzeEPOHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$6,800CMS example
Plan ID 63251TX0060001Sold in Bexar County35% coinsuranceNo referral needed
Network: Community First EPO
Details
WellPoint

Wellpoint Essential Bronze POS 5500 HSA

Expanded BronzePOSHSA
Deductible$5,500$11,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,060CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030002Sold in 44 Texas counties35% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Oscar Health

Silver Simple PCP Saver

SilverEPO
Deductible$5,750$11,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,750CMS example
Plan ID 20069TX0100025Sold in 49 Texas counties40% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Silver Simple PCP Saver Guided Care

SilverHMO
Deductible$5,750$11,500 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,750CMS example
Plan ID 20069TX0510011Sold in 14 Texas counties40% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Molina Healthcare

Molina Silver Core 70

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$9,200$18,400 family
Having a baby$8,900CMS example
Plan ID 45786TX0020002Sold in 8 Texas counties40% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
Molina Healthcare

Molina Silver Core 70 Plus with Adult Vision

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$9,200$18,400 family
Having a baby$8,900CMS example
Plan ID 45786TX0050002Sold in 8 Texas counties40% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
WellPoint

Wellpoint Essential Bronze 6000 Adult Dental/Vision HSA

Expanded BronzeHMOHSA
Deductible$6,000$12,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,370CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040003Sold in 44 Texas counties50% coinsuranceNo referral needed
Network: Wellpoint Texas Essential, Dental Prime, and RX Choice Tiered Network
Details
WellPoint

Wellpoint Essential Bronze 6000 HSA

Expanded BronzeHMOHSA
Deductible$6,000$12,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,370CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040004Sold in 44 Texas counties50% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details
Ambetter Health

Focused Silver

SilverEPO
Deductible$6,300$12,600 family
Out-of-pocket max$9,600$19,200 family
Having a baby$8,260CMS example
Plan ID 29418TX0140100Sold in 151 Texas counties50% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Focused Silver + Vision + Adult Dental

SilverEPO
Deductible$6,300$12,600 family
Out-of-pocket max$9,600$19,200 family
Having a baby$8,260CMS example
Plan ID 29418TX0160100Sold in 151 Texas counties50% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Focused VALUE Silver

SilverHMO
Deductible$6,300$12,600 family
Out-of-pocket max$9,600$19,200 family
Having a baby$8,260CMS example
Plan ID 87226TX0060009Sold in 10 Texas counties50% coinsuranceReferral needed for specialists
Network: Value
Details
Ambetter Health

Focused VALUE Silver + Vision + Adult Dental

SilverHMO
Deductible$6,300$12,600 family
Out-of-pocket max$9,600$19,200 family
Having a baby$8,260CMS example
Plan ID 87226TX0120001Sold in 10 Texas counties50% coinsuranceReferral needed for specialists
Network: Value
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Silver℠ - Standard

SilverPOS
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,010CMS example
Plan ID 33602TX0870010Sold statewide40% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Silver HMO℠ - Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,010CMS example
Plan ID 33602TX0460926Sold statewide40% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
CHRISTUS Health Plan

CHRISTUS Standard Silver 70

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
$0 Virtual Urgent Care
Plan ID 66252TX0380008Sold in 39 Texas counties40% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
Community First

Community First Care Plan - Silver Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,000CMS example
Plan ID 63251TX0050002Sold in Bexar County40% coinsuranceNo referral needed
Network: Community First EPO
Details
Community Health Choice

Community Premier Silver 020

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 27248TX0010020Sold in 20 Texas counties40% coinsuranceNo referral needed
Network: Community Health Choice Premier Network
Details
Community Health Choice

Community Ultra Select Silver 020

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 11718TX0140020Sold in Harris County40% coinsuranceNo referral needed
Network: Community Health Choice Ultra Select Network
Details
Imperial Insurance Companies

Imperial Classic Silver

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,290CMS example
Plan ID 34826TX0020002Sold in 13 Texas counties40% coinsuranceReferral needed for specialists
Network: Imperial Value
Details
Molina Healthcare

Molina Silver Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 45786TX0020011Sold in 8 Texas counties40% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
Blue Cross and Blue Shield of Texas

MyBlue Health Silver℠ - Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,010CMS example
Plan ID 33602TX0461089Sold in 18 Texas counties40% coinsuranceReferral needed for specialists
Network: MyBlueHealth
Details
Ambetter Health

Signature Silver

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,910CMS example
Plan ID 29418TX0140108Sold in 151 Texas counties40% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Silver + Vision + Adult Dental

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,910CMS example
Plan ID 29418TX0160054Sold in 151 Texas counties40% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Silver VALUE

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,910CMS example
Plan ID 87226TX0060011Sold in 10 Texas counties40% coinsuranceReferral needed for specialists
Network: Value
Details
Ambetter Health

Signature Silver VALUE + Vision + Adult Dental

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$7,910CMS example
Plan ID 87226TX0120005Sold in 10 Texas counties40% coinsuranceReferral needed for specialists
Network: Value
Details
Oscar Health

Silver Classic Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,320CMS example
Plan ID 20069TX0100052Sold in 49 Texas counties40% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Silver Classic Standard Guided Care

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,320CMS example
Plan ID 20069TX0510031Sold in 14 Texas counties40% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Antidote Health of TX

Silver Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,100CMS example
Plan ID 11819TX0030020Sold in 18 Texas counties40% coinsuranceNo referral needed
Network: AH Texas
Details
UnitedHealthcare

UHC Sanitas 18 Silver Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,360CMS example
$0 Insulin
Plan ID 70754TX0020003Sold in Bexar County40% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Silver Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,360CMS example
$0 Insulin
Plan ID 70754TX0020028Sold in Fort Bend County40% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Silver Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,360CMS example
$0 Insulin
Plan ID 40220TX0080020Sold in 218 Texas counties40% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
WellPoint

Wellpoint Essential Silver 6400 Standard

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040013Sold in 44 Texas counties40% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and Pharmacy Base Network
Details
WellPoint

Wellpoint Essential Silver POS 6400 Standard

SilverPOS
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030001Sold in 44 Texas counties40% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and Pharmacy Base Network
Details
CHRISTUS Health Plan

CHRISTUS Value Silver 70

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$6,500$13,000 family
Having a baby$6,560CMS example
$0 Virtual Urgent Care
Plan ID 66252TX0380010Sold in 17 Texas countiesNo coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
CHRISTUS Health Plan

CHRISTUS Value Silver 70 Plus Dental & Vision

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$6,500$13,000 family
Having a baby$6,560CMS example
$0 Virtual Urgent Care
Plan ID 66252TX0380012Sold in 17 Texas countiesNo coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
Imperial Insurance Companies

Imperial Preferred Silver

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,500$21,000 family
Having a baby$8,160CMS example
Plan ID 34826TX0030002Sold in 13 Texas counties40% coinsuranceReferral needed for specialists
Network: Imperial Value
Details
Oscar Health

Silver Simple Chronic Care CKM Guided Care

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,500$21,000 family
Having a baby$8,400CMS example
Plan ID 20069TX0510012Sold in 14 Texas counties45% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Oscar Health

Silver Simple Diabetes Guided Care

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,600$21,200 family
Having a baby$8,400CMS example
Plan ID 20069TX0510013Sold in 14 Texas counties45% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
CHRISTUS Health Plan

CHRISTUS Silver Essential 70

SilverHMO
Deductible$6,900$13,800 family
Out-of-pocket max$10,350$20,700 family
Having a baby$8,560CMS example
$5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care
Plan ID 66252TX0380009Sold in 39 Texas counties50% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
CHRISTUS Health Plan

CHRISTUS Silver Essential 70 Plus Dental & Vision

SilverHMO
Deductible$6,900$13,800 family
Out-of-pocket max$10,350$20,700 family
Having a baby$8,560CMS example
$5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care
Plan ID 66252TX0380011Sold in 39 Texas counties50% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Silver℠ - Balance

SilverPOS
Deductible$7,000$14,000 family
Out-of-pocket max$10,700$21,400 family
Having a baby$9,290CMS example
Plan ID 33602TX0870007Sold statewide40% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Silver HMO℠ - Balance

SilverHMO
Deductible$7,000$14,000 family
Out-of-pocket max$10,700$21,400 family
Having a baby$9,270CMS example
Plan ID 33602TX0461083Sold in 165 Texas counties40% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Molina Healthcare

Molina Silver Saver 70 with Four Free PCP Visits

SilverHMO
Deductible$7,000$14,000 family
Out-of-pocket max$11,000$22,000 family
Having a baby$9,230CMS example
Plan ID 45786TX0020012Sold in 8 Texas counties40% coinsuranceNo referral needed
Network: Molina IFP Texas
Details
CHRISTUS Health Plan

CHRISTUS Bronze Essential

Expanded BronzeHMOHSA
Deductible$7,450$14,900 family
Out-of-pocket max$10,800$21,600 family
Having a baby$8,510CMS example
2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care
Plan ID 66252TX0380002Sold in 39 Texas counties50% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
CHRISTUS Health Plan

CHRISTUS Bronze Essential Plus Dental & Vision

Expanded BronzeHMOHSA
Deductible$7,450$14,900 family
Out-of-pocket max$10,800$21,600 family
Having a baby$8,510CMS example
2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care
Plan ID 66252TX0380005Sold in 39 Texas counties50% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Bronze HMO℠ - Standard HSA

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,120CMS example
Plan ID 33602TX0461033Sold statewide50% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Bronze℠ - Standard HSA

Expanded BronzePOSHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,120CMS example
Plan ID 33602TX0870004Sold statewide50% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Oscar Health

Bronze Classic Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,320CMS example
Plan ID 20069TX0100050Sold in 49 Texas counties50% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Antidote Health of TX

Bronze Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,300CMS example
Plan ID 11819TX0030010Sold in 18 Texas counties50% coinsuranceNo referral needed
Network: AH Texas
Details
CHRISTUS Health Plan

CHRISTUS Standard Expanded Bronze

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
$0 Virtual Urgent Care
Plan ID 66252TX0380001Sold in 39 Texas counties50% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
Community First

Community First Care Plan - Bronze

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,200CMS example
Plan ID 63251TX0030001Sold in Bexar County50% coinsuranceNo referral needed
Network: Community First EPO
Details
Community First

Community First Care Plan - Bronze Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,200CMS example
Plan ID 63251TX0030002Sold in Bexar County50% coinsuranceNo referral needed
Network: Community First EPO
Details
Community Health Choice

Community Premier Brone 018 HSA

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,060CMS example
Plan ID 27248TX0010018Sold in 20 Texas counties50% coinsuranceNo referral needed
Network: Community Health Choice Premier Network 2
Details
Community Health Choice

Community Ultra Select Bronze 018 HSA

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,060CMS example
Plan ID 11718TX0140018Sold in Harris County50% coinsuranceNo referral needed
Network: Community Health Choice Ultra Select Network
Details
Imperial Insurance Companies

Imperial Classic Bronze

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,800CMS example
Plan ID 34826TX0020001Sold in 13 Texas counties50% coinsuranceReferral needed for specialists
Network: Imperial Value
Details
Blue Cross and Blue Shield of Texas

MyBlue Health Bronze℠ - Standard HSA

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,120CMS example
Plan ID 33602TX0461087Sold in 18 Texas counties50% coinsuranceReferral needed for specialists
Network: MyBlueHealth
Details
Ambetter Health

Signature Expanded Bronze

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,820CMS example
Plan ID 29418TX0140086Sold in 151 Texas counties50% coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Signature Expanded Bronze + Vision + Adult Dental

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,820CMS example
Plan ID 29418TX0160056Sold in 151 Texas counties50% coinsuranceNo referral needed
Network: Premier
Details
UnitedHealthcare

UHC Bronze Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,360CMS example
HSA, $0 Insulin
Plan ID 40220TX0080015Sold in 218 Texas counties50% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Bronze Standard+

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,360CMS example
HSA, $0 Insulin, Dental + Vision
Plan ID 40220TX0090005Sold in 218 Texas counties50% coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
UnitedHealthcare

UHC Sanitas 18 Bronze Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,360CMS example
HSA, $0 Insulin
Plan ID 70754TX0020001Sold in Bexar County50% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Bronze Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,360CMS example
HSA, $0 Insulin
Plan ID 70754TX0020027Sold in Fort Bend County50% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
WellPoint

Wellpoint Essential Bronze 7500 HSA Standard

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0040005Sold in 44 Texas counties50% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and Pharmacy Base Network
Details
WellPoint

Wellpoint Essential Bronze POS 7500 HSA Standard

Expanded BronzePOSHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
$0 Select Drugs + Incentives
Plan ID 47501TX0030004Sold in 44 Texas counties50% coinsuranceNo referral needed
Network: Wellpoint Texas Essential and Pharmacy Base Network
Details
Ambetter Health

Choice Bronze HSA

Expanded BronzeEPOHSA
Deductible$7,950$15,900 family
Out-of-pocket max$7,950$15,900 family
Having a baby$8,010CMS example
Plan ID 29418TX0140111Sold in 151 Texas countiesNo coinsuranceNo referral needed
Network: Premier
Details
Ambetter Health

Choice Bronze HSA + Vision + Adult Dental

Expanded BronzeEPOHSA
Deductible$7,950$15,900 family
Out-of-pocket max$7,950$15,900 family
Having a baby$8,010CMS example
Plan ID 29418TX0160058Sold in 151 Texas countiesNo coinsuranceNo referral needed
Network: Premier
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Bronze℠ - Support HSA

Expanded BronzePOSHSA
Deductible$8,000$16,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,360CMS example
Plan ID 33602TX0870002Sold statewide50% coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
CHRISTUS Health Plan

CHRISTUS Bronze

Expanded BronzeHMOHSA
Deductible$8,500$17,000 family
Out-of-pocket max$10,850$21,700 family
Having a baby$10,160CMS example
2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care
Plan ID 66252TX0380003Sold in 28 Texas counties50% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
CHRISTUS Health Plan

CHRISTUS Bronze Plus Dental & Vision

Expanded BronzeHMOHSA
Deductible$8,500$17,000 family
Out-of-pocket max$10,850$21,700 family
Having a baby$10,160CMS example
2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care
Plan ID 66252TX0380006Sold in 28 Texas counties50% coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
Community Health Choice

Community Premier Bronze 003 HSA

Expanded BronzeHMOHSA
Deductible$8,500$17,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,170CMS example
Plan ID 27248TX0010003Sold in 20 Texas countiesNo coinsuranceNo referral needed
Network: Community Health Choice Premier Network 2
Details
Oscar Health

Silver Core Plan

SilverEPO
Deductible$9,000$18,000 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,800CMS example
Plan ID 20069TX0100069Sold in 49 Texas counties50% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
Oscar Health

Silver Core Plan Guided Care

SilverHMO
Deductible$9,000$18,000 family
Out-of-pocket max$10,300$20,600 family
Having a baby$9,800CMS example
Plan ID 20069TX0510133Sold in 14 Texas counties50% coinsuranceReferral needed for specialists
Network: Individual Texas HMO
Details
Oscar Health

Bronze Simple Breathe Easy with Enhanced COPD Benefits

Expanded BronzeEPOHSA
Deductible$9,000$18,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,200CMS example
Plan ID 20069TX0100064Sold in 49 Texas counties10% coinsuranceNo referral needed
Network: Individual Texas EPO
Details
UnitedHealthcare

UHC Sanitas 18 Bronze Value

Expanded BronzeHMOHSA
Deductible$9,150$18,300 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,010CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin
Plan ID 70754TX0020010Sold in Bexar County50% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
UnitedHealthcare

UHC Sanitas 26 Bronze Value

Expanded BronzeHMOHSA
Deductible$9,150$18,300 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,010CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin
Plan ID 70754TX0020022Sold in Fort Bend County50% coinsuranceReferral needed for specialists
Network: Sanitas Anchor Network
Details
Imperial Insurance Companies

Imperial Preferred Bronze

BronzeHMOHSA
Deductible$9,500$19,000 family
Out-of-pocket max$9,500$19,000 family
Having a baby$9,560CMS example
Plan ID 34826TX0030001Sold in 13 Texas countiesNo coinsuranceReferral needed for specialists
Network: Imperial Value
Details
Community Health Choice

Community Select Bronze 016 HSA

Expanded BronzeHMOHSA
Deductible$11,000$22,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$11,870CMS example
Plan ID 27248TX0010016Sold in Harris CountyNo coinsuranceNo referral needed
Network: Community Health Choice Select Network
Details
Community Health Choice

Community Ultra Select Bronze 016 HSA

Expanded BronzeHMOHSA
Deductible$11,000$22,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$11,870CMS example
Plan ID 11718TX0140016Sold in Harris CountyNo coinsuranceNo referral needed
Network: Community Health Choice Ultra Select Network
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Bronze HMO℠ - Balance HSA

Expanded BronzeHMOHSA
Deductible$11,750$23,500 family
Out-of-pocket max$11,750$23,500 family
Having a baby$11,810CMS example
Plan ID 33602TX0460554Sold statewideNo coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
UnitedHealthcare

UHC Bronze Essential

BronzeHMOHSA
Deductible$11,750$23,500 family
Out-of-pocket max$11,750$23,500 family
Having a baby$11,260CMS example
$0 Virtual Urgent Care, HSA, $0 Insulin
Plan ID 40220TX0080045Sold in 218 Texas countiesNo coinsuranceReferral needed for specialists
Network: Individual Exchange Benefit Plan Network
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Plus Security℠ - HSA

CatastrophicPOSHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
Plan ID 33602TX0870298Sold statewideNo coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
Blue Cross and Blue Shield of Texas

Blue Advantage Security HMO℠ - HSA

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
Plan ID 33602TX0460552Sold statewideNo coinsuranceReferral needed for specialists
Network: Blue Advantage
Details
CHRISTUS Health Plan

CHRISTUS Catastrophic

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
3 Free PCP visits
Plan ID 66252TX0380100Sold in 39 Texas countiesNo coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
CHRISTUS Health Plan

CHRISTUS Value Bronze

Expanded BronzeHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
3 Free PCP Visits, $0 Virtual Urgent Care
Plan ID 66252TX0380004Sold in 11 Texas countiesNo coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
CHRISTUS Health Plan

CHRISTUS Value Bronze Plus Dental & Vision

Expanded BronzeHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
3 Free PCP Visits, $0 Virtual Urgent Care
Plan ID 66252TX0380007Sold in 11 Texas countiesNo coinsuranceNo referral needed
Network: CHRISTUS Health Plan Texas
Details
Imperial Insurance Companies

Imperial Preferred Catastrophic

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
Plan ID 34826TX0030004Sold in 13 Texas countiesNo coinsuranceReferral needed for specialists
Network: Imperial Value
Details
Blue Cross and Blue Shield of Texas

MyBlue Health Security℠ - HSA

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
Plan ID 33602TX0461226Sold in 18 Texas countiesNo coinsuranceReferral needed for specialists
Network: MyBlueHealth
Details
WellPoint

Wellpoint Essential Catastrophic HSA

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
+ Incentives
Plan ID 47501TX0040006Sold in 44 Texas countiesNo coinsuranceNo referral needed
Network: Wellpoint Texas Essential and RX Choice Tiered Network
Details

Insurers selling Texas Marketplace plans

Select an insurer to see only its plans. No 2027 plans from Baylor Scott and White Health Plan, Cigna Healthcare, and Moda Health, which sold plans here for 2026.

InsurerPlansDeductiblesOut-of-pocket maxDoctors in networkDirectory updatedAction
UnitedHealthcare 45 $0 to $11,750 $6,500 to $12,000 75,271 Nov 5, 2026 See plans
Harbor Health 28 $0 to $8,000 $8,600 to $10,300 41,055 Nov 2, 2026 See plans
Oscar Health 28 $0 to $9,000 $8,600 to $12,000 64,514 Nov 5, 2026 See plans
Antidote Health of TX 27 $0 to $8,700 $8,600 to $12,000 77,998 Jan 1, 2026 See plans
Blue Cross and Blue Shield of Texas 25 $550 to $12,000 $7,800 to $12,000 182,140 Nov 2, 2026 See plans
Ambetter Health 24 $800 to $7,950 $7,250 to $12,000 66,846 Nov 4, 2026 See plans
WellPoint 23 $500 to $12,000 $5,000 to $12,000 36,809 Nov 5, 2026 See plans
CHRISTUS Health Plan 18 $0 to $12,000 $6,500 to $12,000 12,063 n/a See plans
Community Health Choice 15 $1,800 to $11,000 $8,500 to $12,000 22,445 Oct 29, 2026 See plans
Molina Healthcare 12 $750 to $7,000 $8,100 to $11,000 22,104 Oct 31, 2026 See plans
Community First 9 $0 to $7,500 $8,500 to $12,000 5,571 Sep 22, 2026 See plans
Imperial Insurance Companies 8 $0 to $12,000 $8,000 to $12,000 19,147 Oct 22, 2026 See plans
Sendero Health Plans, Local Nonprofit 5 $0 to $6,400 $8,600 to $12,000 12,642 Oct 31, 2026 See plans

Dental-only insurers

12 insurers sell stand-alone dental plans in Texas but no medical plans.

InsurerDental plansDentists in network
Dominion National68,182
BEST Life58,417
EMI Health54,358
Guardian58,018
Renaissance Dental59,359
DentaQuest41,633
Delta Dental PPO38,790
Humana312,084
TRUASSURE INSURANCE COMPANY37,655
Cigna Healthcare26,155
DeltaCare USA21,883
Solstice22,281

Where the in-network doctors are

Doctors and facilities in Texas listed by at least one Marketplace insurer, by city and by primary specialty.

Top cities

Houston32,515
Dallas18,404
San Antonio17,499
Austin13,585
Fort Worth8,698
El Paso5,655
Plano4,371
Lubbock2,915
Arlington2,725
Corpus Christi2,709
Katy2,508
Frisco2,507

Top specialties

Nurse Practitioner29,743
Counselor20,505
Dentist17,586
Internal Medicine17,421
Physician Assistant9,969
Family Medicine9,741
Physical Therapist7,792
Social Worker7,722
Pediatrics6,886
Clinic/Center6,458
Optometrist5,793
Pharmacy5,539

Questions about Texas Marketplace plans

Which insurers sell Marketplace plans in Texas?
13 insurers sell medical plans for 2027: UnitedHealthcare, Harbor Health, Oscar Health, Antidote Health of TX, Blue Cross and Blue Shield of Texas, Ambetter Health, WellPoint, CHRISTUS Health Plan, Community Health Choice, Molina Healthcare, Community First, Imperial Insurance Companies, and Sendero Health Plans, Local Nonprofit. 12 more insurers sell dental plans only.
When can I enroll in a Texas Marketplace plan for 2027?
Open enrollment for 2027 coverage runs Nov 1, 2026 to Jan 15, 2027 on HealthCare.gov. Outside those dates you need a qualifying life event, such as losing other coverage, moving or having a baby.
Which insurer has the most doctors in Texas?
Blue Cross and Blue Shield of Texas lists 182,140 Texas doctors, practices and hospitals, 121,892 of them accepting new patients. Directories can be out of date, so call the office to confirm before you enroll.
What is the lowest deductible on a Texas Marketplace plan?
41 plans have a $0 individual deductible. Deductibles run from $0 to $12,000. A lower deductible usually means a higher monthly premium, so compare the out-of-pocket maximum too.
Which plan year does this page cover?
Plans, deductibles and out-of-pocket maximums are from the 2027 CMS plan files. A doctor counts as in network only when the insurer's directory lists them for 2027 plans.
Which insurers stopped selling Marketplace plans in Texas for 2027?
Baylor Scott and White Health Plan, Cigna Healthcare, and Moda Health sold medical plans in Texas for 2026 and have no 2027 plans in the CMS plan files. People enrolled in those plans can choose a new plan during open enrollment.
Are all Texas plans sold in every county?
No. 251 plans are sold only in some counties, and 16 plans are sold statewide. Choose your county above the plan list to see only the plans sold where you live.
Why are there no monthly premiums on this page?
Premiums depend on your age, county, household size and income, and most enrollees get a subsidy, so a single price would mislead. Prices are listed on HealthCare.gov. This page compares what the plans cover: deductibles, out-of-pocket maximums, coinsurance and networks.

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.

SourceWhat it provides hereSource date
CMS Marketplace public use filesPlans, deductibles, out-of-pocket maximums and coverage examples, and the counties where each plan is soldPlan year 2027
Insurer provider directoriesWhich doctors, practices and hospitals each insurer lists in its networks. Only providers with an address in Texas are counted.Updated November 8, 2026
NPPES NPI registryProvider names, practice addresses and primary specialtiesMatched November 8, 2026
  • Only individual-market plans sold on HealthCare.gov are included; small-business (SHOP) and off-exchange plans are left out. A plan an insurer files once per region is shown once.
  • A doctor counts as in network only when the insurer's directory lists them for 2027 plans.
  • Deductibles, out-of-pocket maximums and coinsurance are for one person, in network, for the standard version of each plan. Coverage examples (having a baby, managing type 2 diabetes, a simple fracture) are what CMS's standard scenarios cost under each plan.
  • Directories can be out of date. Call the doctor's office and the insurer to confirm before you enroll.