QHP Index

Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)

Expanded Bronze · HMO · Community Health Choice · Texas

At age 40 it costs between $456.70 and $509.29 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 ID27248TX0010018
InsurerCommunity Health Choice
Metal levelExpanded Bronze
Plan typeHMO
Standardised designDesign 1 — a plan CMS defined the benefits of, so it can be compared like for like
Deductible (individual)$7,500
Deductible (family)$15,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$10,000
Family maximum$20,000
Primary care visit$50
Specialist visit$100
Emergency room50% Coinsurance after deductible
Inpatient stay50% Coinsurance after deductible
Generic drugs$25
Preferred brand drugs$50 Copay after deductible
Specialty drugs$500 Copay after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-855-315-5386 · 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.

CountyAt 21At 30At 40At 50At 60
Hardin County $357.35$405.60 $456.70$638.23 $969.86
Jasper County $357.35$405.60 $456.70$638.23 $969.86
Jefferson County $357.35$405.60 $456.70$638.23 $969.86
Newton County $357.35$405.60 $456.70$638.23 $969.86
Orange County $357.35$405.60 $456.70$638.23 $969.86
Polk County $357.35$405.60 $456.70$638.23 $969.86
San Jacinto County $357.35$405.60 $456.70$638.23 $969.86
Tyler County $357.35$405.60 $456.70$638.23 $969.86
Austin County $397.37$451.01 $507.84$709.70 $1,078.46
Brazoria County $397.37$451.01 $507.84$709.70 $1,078.46
Fort Bend County $397.37$451.01 $507.84$709.70 $1,078.46
Matagorda County $397.37$451.01 $507.84$709.70 $1,078.46
Waller County $397.37$451.01 $507.84$709.70 $1,078.46
Wharton County $397.37$451.01 $507.84$709.70 $1,078.46
Galveston County $398.34$452.12 $509.08$711.44 $1,081.10
Harris County $398.34$452.12 $509.08$711.44 $1,081.10
Chambers County $398.51$452.31 $509.29$711.73 $1,081.55
Liberty County $398.51$452.31 $509.29$711.73 $1,081.55
Montgomery County $398.51$452.31 $509.29$711.73 $1,081.55
Walker County $398.51$452.31 $509.29$711.73 $1,081.55

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.