Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Gold · HMO · Community Health Choice · Texas
At age 40 it costs between $591.50 and $659.62 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 | 27248TX0010005 |
|---|---|
| Insurer | Community Health Choice |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $2,500 |
| Deductible (family) | $5,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $20 |
| Specialist visit | $40 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | 35% 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 | 1-855-315-5386 · TTY 1-855-315-5386 |
Where it is sold, and what it costs there
20 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 |
|---|---|---|---|---|---|
| Hardin County | $462.83 | $525.32 | $591.50 | $826.62 | $1,256.13 |
| Jasper County | $462.83 | $525.32 | $591.50 | $826.62 | $1,256.13 |
| Jefferson County | $462.83 | $525.32 | $591.50 | $826.62 | $1,256.13 |
| Newton County | $462.83 | $525.32 | $591.50 | $826.62 | $1,256.13 |
| Orange County | $462.83 | $525.32 | $591.50 | $826.62 | $1,256.13 |
| Polk County | $462.83 | $525.32 | $591.50 | $826.62 | $1,256.13 |
| San Jacinto County | $462.83 | $525.32 | $591.50 | $826.62 | $1,256.13 |
| Tyler County | $462.83 | $525.32 | $591.50 | $826.62 | $1,256.13 |
| Austin County | $514.66 | $584.14 | $657.74 | $919.19 | $1,396.79 |
| Brazoria County | $514.66 | $584.14 | $657.74 | $919.19 | $1,396.79 |
| Fort Bend County | $514.66 | $584.14 | $657.74 | $919.19 | $1,396.79 |
| Matagorda County | $514.66 | $584.14 | $657.74 | $919.19 | $1,396.79 |
| Waller County | $514.66 | $584.14 | $657.74 | $919.19 | $1,396.79 |
| Wharton County | $514.66 | $584.14 | $657.74 | $919.19 | $1,396.79 |
| Galveston County | $515.92 | $585.57 | $659.35 | $921.44 | $1,400.22 |
| Harris County | $515.92 | $585.57 | $659.35 | $921.44 | $1,400.22 |
| Chambers County | $516.14 | $585.81 | $659.62 | $921.82 | $1,400.79 |
| Liberty County | $516.14 | $585.81 | $659.62 | $921.82 | $1,400.79 |
| Montgomery County | $516.14 | $585.81 | $659.62 | $921.82 | $1,400.79 |
| Walker County | $516.14 | $585.81 | $659.62 | $921.82 | $1,400.79 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.