Gold Classic
Gold · EPO · Oscar Insurance Company · Texas
At age 40 it costs between $574.52 and $759.25 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 20069TX0100055 |
|---|---|
| Insurer | Oscar Insurance Company |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $2,500 |
| Deductible (family) | $5,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,000 |
| Family maximum | $16,000 |
| Primary care visit | $25 |
| Specialist visit | $40 |
| Emergency room | $650 |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $50 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-855-672-2755 |
Where it is sold, and what it costs there
47 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Milam County | $449.56 | $510.24 | $574.52 | $802.89 | $1,220.07 |
| Austin County | $490.17 | $556.33 | $626.42 | $875.42 | $1,330.28 |
| Brazoria County | $490.17 | $556.33 | $626.42 | $875.42 | $1,330.28 |
| Fort Bend County | $490.17 | $556.33 | $626.42 | $875.42 | $1,330.28 |
| Waller County | $490.17 | $556.33 | $626.42 | $875.42 | $1,330.28 |
| Hidalgo County | $493.36 | $559.96 | $630.51 | $881.13 | $1,338.96 |
| Atascosa County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| Bandera County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| Bexar County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| Comal County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| Gonzales County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| Guadalupe County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| Kendall County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| La Salle County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| Medina County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| Wilson County | $496.31 | $563.30 | $634.27 | $886.39 | $1,346.96 |
| McMullen County | $497.19 | $564.30 | $635.40 | $887.97 | $1,349.36 |
| Cameron County | $498.90 | $566.24 | $637.58 | $891.01 | $1,353.98 |
| Kenedy County | $498.90 | $566.24 | $637.58 | $891.01 | $1,353.98 |
| Willacy County | $498.90 | $566.24 | $637.58 | $891.01 | $1,353.98 |
| El Paso County | $503.76 | $571.75 | $643.79 | $899.69 | $1,367.17 |
| Hudspeth County | $503.76 | $571.75 | $643.79 | $899.69 | $1,367.17 |
| Galveston County | $506.21 | $574.53 | $646.92 | $904.07 | $1,373.82 |
| Harris County | $506.21 | $574.53 | $646.92 | $904.07 | $1,373.82 |
| Cooke County | $516.13 | $585.79 | $659.60 | $921.79 | $1,400.74 |
| Collin County | $517.68 | $587.56 | $661.58 | $924.56 | $1,404.96 |
| Dallas County | $517.68 | $587.56 | $661.58 | $924.56 | $1,404.96 |
| Ellis County | $517.68 | $587.56 | $661.58 | $924.56 | $1,404.96 |
| Rockwall County | $517.68 | $587.56 | $661.58 | $924.56 | $1,404.96 |
| Jack County | $522.16 | $592.64 | $667.31 | $932.56 | $1,417.12 |
| Liberty County | $524.15 | $594.90 | $669.86 | $936.12 | $1,422.53 |
| Montgomery County | $524.15 | $594.90 | $669.86 | $936.12 | $1,422.53 |
| Walker County | $524.15 | $594.90 | $669.86 | $936.12 | $1,422.53 |
| Denton County | $561.66 | $637.47 | $717.79 | $1,003.11 | $1,524.32 |
| Parker County | $561.66 | $637.47 | $717.79 | $1,003.11 | $1,524.32 |
| Tarrant County | $561.66 | $637.47 | $717.79 | $1,003.11 | $1,524.32 |
| Wise County | $561.66 | $637.47 | $717.79 | $1,003.11 | $1,524.32 |
| Bastrop County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| Blanco County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| Burnet County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| Caldwell County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| Hays County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| Lee County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| Llano County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| Travis County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| Williamson County | $579 | $657.16 | $739.95 | $1,034.08 | $1,571.39 |
| San Jacinto County | $594.10 | $674.29 | $759.25 | $1,061.05 | $1,612.36 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.