Complete Gold
Gold · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $587.73 and $867.42 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 | 29418TX0140064 |
|---|---|
| Insurer | Ambetter from Superior HealthPlan |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $1,450 |
| Deductible (family) | $2,900 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $15 |
| Specialist visit | $35 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $30 |
| Specialty drugs | 30% 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 | 1-877-687-1196 · TTY 1-800-735-2989 |
Where it is sold, and what it costs there
150 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 |
|---|---|---|---|---|---|
| Gregg County | $459.90 | $521.97 | $587.73 | $821.36 | $1,248.13 |
| Panola County | $459.90 | $521.97 | $587.73 | $821.36 | $1,248.13 |
| Rusk County | $459.90 | $521.97 | $587.73 | $821.36 | $1,248.13 |
| Andrews County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Ector County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Hardin County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Houston County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Jefferson County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Midland County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Nacogdoches County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Orange County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| San Jacinto County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Trinity County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Tyler County | $471.90 | $535.59 | $603.07 | $842.79 | $1,280.70 |
| Brooks County | $474.68 | $538.75 | $606.63 | $847.76 | $1,288.25 |
| Hidalgo County | $474.68 | $538.75 | $606.63 | $847.76 | $1,288.25 |
| Starr County | $474.68 | $538.75 | $606.63 | $847.76 | $1,288.25 |
| Webb County | $474.68 | $538.75 | $606.63 | $847.76 | $1,288.25 |
| Zapata County | $474.68 | $538.75 | $606.63 | $847.76 | $1,288.25 |
| Cherokee County | $497.75 | $564.94 | $636.11 | $888.97 | $1,350.87 |
| Henderson County | $497.75 | $564.94 | $636.11 | $888.97 | $1,350.87 |
| Rains County | $497.75 | $564.94 | $636.11 | $888.97 | $1,350.87 |
| Smith County | $497.75 | $564.94 | $636.11 | $888.97 | $1,350.87 |
| Van Zandt County | $497.75 | $564.94 | $636.11 | $888.97 | $1,350.87 |
| Wood County | $497.75 | $564.94 | $636.11 | $888.97 | $1,350.87 |
| Jack County | $506.04 | $574.35 | $646.71 | $903.78 | $1,373.38 |
| Montague County | $506.04 | $574.35 | $646.71 | $903.78 | $1,373.38 |
| Brazos County | $513.46 | $582.77 | $656.19 | $917.02 | $1,393.50 |
| Burleson County | $513.46 | $582.77 | $656.19 | $917.02 | $1,393.50 |
| Grimes County | $513.46 | $582.77 | $656.19 | $917.02 | $1,393.50 |
| Leon County | $513.46 | $582.77 | $656.19 | $917.02 | $1,393.50 |
| Madison County | $513.46 | $582.77 | $656.19 | $917.02 | $1,393.50 |
| Milam County | $513.46 | $582.77 | $656.19 | $917.02 | $1,393.50 |
| Robertson County | $513.46 | $582.77 | $656.19 | $917.02 | $1,393.50 |
| Austin County | $520.83 | $591.13 | $665.60 | $930.18 | $1,413.49 |
| Brazoria County | $520.83 | $591.13 | $665.60 | $930.18 | $1,413.49 |
| Colorado County | $520.83 | $591.13 | $665.60 | $930.18 | $1,413.49 |
| Fort Bend County | $520.83 | $591.13 | $665.60 | $930.18 | $1,413.49 |
| Matagorda County | $520.83 | $591.13 | $665.60 | $930.18 | $1,413.49 |
| Waller County | $520.83 | $591.13 | $665.60 | $930.18 | $1,413.49 |
| Wharton County | $520.83 | $591.13 | $665.60 | $930.18 | $1,413.49 |
| Bosque County | $527.32 | $598.49 | $673.90 | $941.77 | $1,431.11 |
| Falls County | $527.32 | $598.49 | $673.90 | $941.77 | $1,431.11 |
| Freestone County | $527.32 | $598.49 | $673.90 | $941.77 | $1,431.11 |
| Hill County | $527.32 | $598.49 | $673.90 | $941.77 | $1,431.11 |
| Limestone County | $527.32 | $598.49 | $673.90 | $941.77 | $1,431.11 |
| McLennan County | $527.32 | $598.49 | $673.90 | $941.77 | $1,431.11 |
| Chambers County | $532.83 | $604.75 | $680.94 | $951.61 | $1,446.06 |
| Liberty County | $532.83 | $604.75 | $680.94 | $951.61 | $1,446.06 |
| Montgomery County | $532.83 | $604.75 | $680.94 | $951.61 | $1,446.06 |
| Walker County | $532.83 | $604.75 | $680.94 | $951.61 | $1,446.06 |
| Bell County | $534.68 | $606.85 | $683.31 | $954.92 | $1,451.10 |
| Hamilton County | $534.68 | $606.85 | $683.31 | $954.92 | $1,451.10 |
| Lampasas County | $534.68 | $606.85 | $683.31 | $954.92 | $1,451.10 |
| Mills County | $534.68 | $606.85 | $683.31 | $954.92 | $1,451.10 |
| San Saba County | $534.68 | $606.85 | $683.31 | $954.92 | $1,451.10 |
| Atascosa County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Bandera County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Bexar County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Comal County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Edwards County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Frio County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Gillespie County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Gonzales County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Guadalupe County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Kendall County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Kerr County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Kinney County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Maverick County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Medina County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Real County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Val Verde County | $536.53 | $608.96 | $685.68 | $958.23 | $1,456.13 |
| Aransas County | $540.24 | $613.16 | $690.42 | $964.86 | $1,466.19 |
| Nueces County | $540.24 | $613.16 | $690.42 | $964.86 | $1,466.19 |
| Refugio County | $540.24 | $613.16 | $690.42 | $964.86 | $1,466.19 |
| Armstrong County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Carson County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Castro County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Collingsworth County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Dallam County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Deaf Smith County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Donley County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Gray County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Hartley County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Oldham County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Parmer County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Potter County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Randall County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Sherman County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Wheeler County | $563.32 | $639.35 | $719.91 | $1,006.07 | $1,528.82 |
| Cameron County | $572.54 | $649.82 | $731.69 | $1,022.53 | $1,553.84 |
| Willacy County | $572.54 | $649.82 | $731.69 | $1,022.53 | $1,553.84 |
| Camp County | $573.46 | $650.87 | $732.87 | $1,024.19 | $1,556.35 |
| Delta County | $573.46 | $650.87 | $732.87 | $1,024.19 | $1,556.35 |
| Calhoun County | $575.32 | $652.97 | $735.24 | $1,027.50 | $1,561.39 |
| De Witt County | $575.32 | $652.97 | $735.24 | $1,027.50 | $1,561.39 |
| Goliad County | $575.32 | $652.97 | $735.24 | $1,027.50 | $1,561.39 |
| Jackson County | $575.32 | $652.97 | $735.24 | $1,027.50 | $1,561.39 |
| Lavaca County | $575.32 | $652.97 | $735.24 | $1,027.50 | $1,561.39 |
| Victoria County | $575.32 | $652.97 | $735.24 | $1,027.50 | $1,561.39 |
| Galveston County | $578.10 | $656.13 | $738.80 | $1,032.47 | $1,568.93 |
| Harris County | $578.10 | $656.13 | $738.80 | $1,032.47 | $1,568.93 |
| Bastrop County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Blanco County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Burnet County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Caldwell County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Fayette County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Hays County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Lee County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Llano County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Travis County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Williamson County | $597.46 | $678.11 | $763.55 | $1,067.05 | $1,621.49 |
| Brewster County | $609.47 | $691.73 | $778.88 | $1,088.49 | $1,654.06 |
| El Paso County | $609.47 | $691.73 | $778.88 | $1,088.49 | $1,654.06 |
| Cooke County | $617.81 | $701.20 | $789.55 | $1,103.39 | $1,676.71 |
| Fannin County | $617.81 | $701.20 | $789.55 | $1,103.39 | $1,676.71 |
| Grayson County | $617.81 | $701.20 | $789.55 | $1,103.39 | $1,676.71 |
| Brown County | $653.81 | $742.06 | $835.56 | $1,167.69 | $1,774.42 |
| Coleman County | $653.81 | $742.06 | $835.56 | $1,167.69 | $1,774.42 |
| Comanche County | $653.81 | $742.06 | $835.56 | $1,167.69 | $1,774.42 |
| Fisher County | $653.81 | $742.06 | $835.56 | $1,167.69 | $1,774.42 |
| Mitchell County | $653.81 | $742.06 | $835.56 | $1,167.69 | $1,774.42 |
| Runnels County | $653.81 | $742.06 | $835.56 | $1,167.69 | $1,774.42 |
| Scurry County | $653.81 | $742.06 | $835.56 | $1,167.69 | $1,774.42 |
| Stonewall County | $653.81 | $742.06 | $835.56 | $1,167.69 | $1,774.42 |
| Denton County | $664.88 | $754.63 | $849.71 | $1,187.47 | $1,804.47 |
| Hood County | $664.88 | $754.63 | $849.71 | $1,187.47 | $1,804.47 |
| Johnson County | $664.88 | $754.63 | $849.71 | $1,187.47 | $1,804.47 |
| Palo Pinto County | $664.88 | $754.63 | $849.71 | $1,187.47 | $1,804.47 |
| Parker County | $664.88 | $754.63 | $849.71 | $1,187.47 | $1,804.47 |
| Somervell County | $664.88 | $754.63 | $849.71 | $1,187.47 | $1,804.47 |
| Tarrant County | $664.88 | $754.63 | $849.71 | $1,187.47 | $1,804.47 |
| Wise County | $664.88 | $754.63 | $849.71 | $1,187.47 | $1,804.47 |
| Coke County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Concho County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Irion County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Kimble County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Mason County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| McCulloch County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Menard County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Schleicher County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Sterling County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Sutton County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Tom Green County | $673.18 | $764.04 | $860.31 | $1,202.28 | $1,826.97 |
| Collin County | $678.74 | $770.36 | $867.42 | $1,212.21 | $1,842.07 |
| Dallas County | $678.74 | $770.36 | $867.42 | $1,212.21 | $1,842.07 |
| Ellis County | $678.74 | $770.36 | $867.42 | $1,212.21 | $1,842.07 |
| Hunt County | $678.74 | $770.36 | $867.42 | $1,212.21 | $1,842.07 |
| Navarro County | $678.74 | $770.36 | $867.42 | $1,212.21 | $1,842.07 |
| Rockwall County | $678.74 | $770.36 | $867.42 | $1,212.21 | $1,842.07 |
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.