Focused Silver
Silver · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $631.75 and $932.38 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $6,300 | $8,400 | $40 | $3 |
| up to 150% of the federal poverty level | $0 | $1,500 | No Charge | No Charge |
| 150% to 200% | $0 | $3,350 | $20 | $3 |
| 200% to 250% | $5,150 | $7,200 | $35 | $3 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 29418TX0140100 |
|---|---|
| Insurer | Ambetter from Superior HealthPlan |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $6,300 |
| Deductible (family) | $12,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,400 |
| Family maximum | $16,800 |
| Primary care visit | $40 |
| Specialist visit | $85 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 |
| 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 | 1-877-687-1196 · 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 | $494.34 | $561.06 | $631.75 | $882.87 | $1,341.60 |
| Panola County | $494.34 | $561.06 | $631.75 | $882.87 | $1,341.60 |
| Rusk County | $494.34 | $561.06 | $631.75 | $882.87 | $1,341.60 |
| Andrews County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Ector County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Hardin County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Houston County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Jefferson County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Midland County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Nacogdoches County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Orange County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| San Jacinto County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Trinity County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Tyler County | $507.24 | $575.70 | $648.23 | $905.91 | $1,376.61 |
| Brooks County | $510.23 | $579.09 | $652.06 | $911.25 | $1,384.73 |
| Hidalgo County | $510.23 | $579.09 | $652.06 | $911.25 | $1,384.73 |
| Starr County | $510.23 | $579.09 | $652.06 | $911.25 | $1,384.73 |
| Webb County | $510.23 | $579.09 | $652.06 | $911.25 | $1,384.73 |
| Zapata County | $510.23 | $579.09 | $652.06 | $911.25 | $1,384.73 |
| Cherokee County | $535.03 | $607.25 | $683.75 | $955.54 | $1,452.04 |
| Henderson County | $535.03 | $607.25 | $683.75 | $955.54 | $1,452.04 |
| Rains County | $535.03 | $607.25 | $683.75 | $955.54 | $1,452.04 |
| Smith County | $535.03 | $607.25 | $683.75 | $955.54 | $1,452.04 |
| Van Zandt County | $535.03 | $607.25 | $683.75 | $955.54 | $1,452.04 |
| Wood County | $535.03 | $607.25 | $683.75 | $955.54 | $1,452.04 |
| Jack County | $543.94 | $617.36 | $695.14 | $971.46 | $1,476.23 |
| Montague County | $543.94 | $617.36 | $695.14 | $971.46 | $1,476.23 |
| Brazos County | $551.91 | $626.41 | $705.33 | $985.70 | $1,497.87 |
| Burleson County | $551.91 | $626.41 | $705.33 | $985.70 | $1,497.87 |
| Grimes County | $551.91 | $626.41 | $705.33 | $985.70 | $1,497.87 |
| Leon County | $551.91 | $626.41 | $705.33 | $985.70 | $1,497.87 |
| Madison County | $551.91 | $626.41 | $705.33 | $985.70 | $1,497.87 |
| Milam County | $551.91 | $626.41 | $705.33 | $985.70 | $1,497.87 |
| Robertson County | $551.91 | $626.41 | $705.33 | $985.70 | $1,497.87 |
| Austin County | $559.83 | $635.40 | $715.45 | $999.84 | $1,519.35 |
| Brazoria County | $559.83 | $635.40 | $715.45 | $999.84 | $1,519.35 |
| Colorado County | $559.83 | $635.40 | $715.45 | $999.84 | $1,519.35 |
| Fort Bend County | $559.83 | $635.40 | $715.45 | $999.84 | $1,519.35 |
| Matagorda County | $559.83 | $635.40 | $715.45 | $999.84 | $1,519.35 |
| Waller County | $559.83 | $635.40 | $715.45 | $999.84 | $1,519.35 |
| Wharton County | $559.83 | $635.40 | $715.45 | $999.84 | $1,519.35 |
| Bosque County | $566.81 | $643.31 | $724.36 | $1,012.30 | $1,538.28 |
| Falls County | $566.81 | $643.31 | $724.36 | $1,012.30 | $1,538.28 |
| Freestone County | $566.81 | $643.31 | $724.36 | $1,012.30 | $1,538.28 |
| Hill County | $566.81 | $643.31 | $724.36 | $1,012.30 | $1,538.28 |
| Limestone County | $566.81 | $643.31 | $724.36 | $1,012.30 | $1,538.28 |
| McLennan County | $566.81 | $643.31 | $724.36 | $1,012.30 | $1,538.28 |
| Chambers County | $572.73 | $650.04 | $731.94 | $1,022.88 | $1,554.36 |
| Liberty County | $572.73 | $650.04 | $731.94 | $1,022.88 | $1,554.36 |
| Montgomery County | $572.73 | $650.04 | $731.94 | $1,022.88 | $1,554.36 |
| Walker County | $572.73 | $650.04 | $731.94 | $1,022.88 | $1,554.36 |
| Bell County | $574.72 | $652.30 | $734.48 | $1,026.44 | $1,559.77 |
| Hamilton County | $574.72 | $652.30 | $734.48 | $1,026.44 | $1,559.77 |
| Lampasas County | $574.72 | $652.30 | $734.48 | $1,026.44 | $1,559.77 |
| Mills County | $574.72 | $652.30 | $734.48 | $1,026.44 | $1,559.77 |
| San Saba County | $574.72 | $652.30 | $734.48 | $1,026.44 | $1,559.77 |
| Atascosa County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Bandera County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Bexar County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Comal County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Edwards County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Frio County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Gillespie County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Gonzales County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Guadalupe County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Kendall County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Kerr County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Kinney County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Maverick County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Medina County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Real County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Val Verde County | $576.72 | $654.56 | $737.03 | $1,030 | $1,565.18 |
| Aransas County | $580.70 | $659.08 | $742.12 | $1,037.11 | $1,576 |
| Nueces County | $580.70 | $659.08 | $742.12 | $1,037.11 | $1,576 |
| Refugio County | $580.70 | $659.08 | $742.12 | $1,037.11 | $1,576 |
| Armstrong County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Carson County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Castro County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Collingsworth County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Dallam County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Deaf Smith County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Donley County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Gray County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Hartley County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Oldham County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Parmer County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Potter County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Randall County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Sherman County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Wheeler County | $605.50 | $687.24 | $773.82 | $1,081.41 | $1,643.31 |
| Cameron County | $615.41 | $698.48 | $786.49 | $1,099.11 | $1,670.20 |
| Willacy County | $615.41 | $698.48 | $786.49 | $1,099.11 | $1,670.20 |
| Camp County | $616.41 | $699.61 | $787.76 | $1,100.89 | $1,672.91 |
| Delta County | $616.41 | $699.61 | $787.76 | $1,100.89 | $1,672.91 |
| Calhoun County | $618.40 | $701.88 | $790.31 | $1,104.45 | $1,678.32 |
| De Witt County | $618.40 | $701.88 | $790.31 | $1,104.45 | $1,678.32 |
| Goliad County | $618.40 | $701.88 | $790.31 | $1,104.45 | $1,678.32 |
| Jackson County | $618.40 | $701.88 | $790.31 | $1,104.45 | $1,678.32 |
| Lavaca County | $618.40 | $701.88 | $790.31 | $1,104.45 | $1,678.32 |
| Victoria County | $618.40 | $701.88 | $790.31 | $1,104.45 | $1,678.32 |
| Galveston County | $621.39 | $705.27 | $794.13 | $1,109.79 | $1,686.43 |
| Harris County | $621.39 | $705.27 | $794.13 | $1,109.79 | $1,686.43 |
| Bastrop County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Blanco County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Burnet County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Caldwell County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Fayette County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Hays County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Lee County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Llano County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Travis County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Williamson County | $642.21 | $728.90 | $820.73 | $1,146.97 | $1,742.93 |
| Brewster County | $655.11 | $743.54 | $837.22 | $1,170 | $1,777.94 |
| El Paso County | $655.11 | $743.54 | $837.22 | $1,170 | $1,777.94 |
| Cooke County | $664.08 | $753.72 | $848.68 | $1,186.02 | $1,802.28 |
| Fannin County | $664.08 | $753.72 | $848.68 | $1,186.02 | $1,802.28 |
| Grayson County | $664.08 | $753.72 | $848.68 | $1,186.02 | $1,802.28 |
| Brown County | $702.77 | $797.64 | $898.13 | $1,255.14 | $1,907.30 |
| Coleman County | $702.77 | $797.64 | $898.13 | $1,255.14 | $1,907.30 |
| Comanche County | $702.77 | $797.64 | $898.13 | $1,255.14 | $1,907.30 |
| Fisher County | $702.77 | $797.64 | $898.13 | $1,255.14 | $1,907.30 |
| Mitchell County | $702.77 | $797.64 | $898.13 | $1,255.14 | $1,907.30 |
| Runnels County | $702.77 | $797.64 | $898.13 | $1,255.14 | $1,907.30 |
| Scurry County | $702.77 | $797.64 | $898.13 | $1,255.14 | $1,907.30 |
| Stonewall County | $702.77 | $797.64 | $898.13 | $1,255.14 | $1,907.30 |
| Denton County | $714.68 | $811.15 | $913.34 | $1,276.40 | $1,939.61 |
| Hood County | $714.68 | $811.15 | $913.34 | $1,276.40 | $1,939.61 |
| Johnson County | $714.68 | $811.15 | $913.34 | $1,276.40 | $1,939.61 |
| Palo Pinto County | $714.68 | $811.15 | $913.34 | $1,276.40 | $1,939.61 |
| Parker County | $714.68 | $811.15 | $913.34 | $1,276.40 | $1,939.61 |
| Somervell County | $714.68 | $811.15 | $913.34 | $1,276.40 | $1,939.61 |
| Tarrant County | $714.68 | $811.15 | $913.34 | $1,276.40 | $1,939.61 |
| Wise County | $714.68 | $811.15 | $913.34 | $1,276.40 | $1,939.61 |
| Coke County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Concho County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Irion County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Kimble County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Mason County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| McCulloch County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Menard County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Schleicher County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Sterling County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Sutton County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Tom Green County | $723.59 | $821.26 | $924.74 | $1,292.31 | $1,963.80 |
| Collin County | $729.57 | $828.05 | $932.38 | $1,302.99 | $1,980.02 |
| Dallas County | $729.57 | $828.05 | $932.38 | $1,302.99 | $1,980.02 |
| Ellis County | $729.57 | $828.05 | $932.38 | $1,302.99 | $1,980.02 |
| Hunt County | $729.57 | $828.05 | $932.38 | $1,302.99 | $1,980.02 |
| Navarro County | $729.57 | $828.05 | $932.38 | $1,302.99 | $1,980.02 |
| Rockwall County | $729.57 | $828.05 | $932.38 | $1,302.99 | $1,980.02 |
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.