Everyday Gold
Gold · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $577.31 and $852.03 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 | 29418TX0140102 |
|---|---|
| Insurer | Ambetter from Superior HealthPlan |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $800 |
| Deductible (family) | $1,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,250 |
| Family maximum | $14,500 |
| Primary care visit | $35 |
| Specialist visit | $55 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $60 |
| 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 | $451.74 | $512.71 | $577.31 | $806.79 | $1,225.99 |
| Panola County | $451.74 | $512.71 | $577.31 | $806.79 | $1,225.99 |
| Rusk County | $451.74 | $512.71 | $577.31 | $806.79 | $1,225.99 |
| Andrews County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Ector County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Hardin County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Houston County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Jefferson County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Midland County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Nacogdoches County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Orange County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| San Jacinto County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Trinity County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Tyler County | $463.53 | $526.09 | $592.37 | $827.84 | $1,257.98 |
| Brooks County | $466.26 | $529.19 | $595.86 | $832.72 | $1,265.39 |
| Hidalgo County | $466.26 | $529.19 | $595.86 | $832.72 | $1,265.39 |
| Starr County | $466.26 | $529.19 | $595.86 | $832.72 | $1,265.39 |
| Webb County | $466.26 | $529.19 | $595.86 | $832.72 | $1,265.39 |
| Zapata County | $466.26 | $529.19 | $595.86 | $832.72 | $1,265.39 |
| Cherokee County | $488.92 | $554.91 | $624.83 | $873.20 | $1,326.91 |
| Henderson County | $488.92 | $554.91 | $624.83 | $873.20 | $1,326.91 |
| Rains County | $488.92 | $554.91 | $624.83 | $873.20 | $1,326.91 |
| Smith County | $488.92 | $554.91 | $624.83 | $873.20 | $1,326.91 |
| Van Zandt County | $488.92 | $554.91 | $624.83 | $873.20 | $1,326.91 |
| Wood County | $488.92 | $554.91 | $624.83 | $873.20 | $1,326.91 |
| Jack County | $497.07 | $564.16 | $635.24 | $887.74 | $1,349.01 |
| Montague County | $497.07 | $564.16 | $635.24 | $887.74 | $1,349.01 |
| Brazos County | $504.35 | $572.43 | $644.55 | $900.75 | $1,368.78 |
| Burleson County | $504.35 | $572.43 | $644.55 | $900.75 | $1,368.78 |
| Grimes County | $504.35 | $572.43 | $644.55 | $900.75 | $1,368.78 |
| Leon County | $504.35 | $572.43 | $644.55 | $900.75 | $1,368.78 |
| Madison County | $504.35 | $572.43 | $644.55 | $900.75 | $1,368.78 |
| Milam County | $504.35 | $572.43 | $644.55 | $900.75 | $1,368.78 |
| Robertson County | $504.35 | $572.43 | $644.55 | $900.75 | $1,368.78 |
| Austin County | $511.59 | $580.64 | $653.79 | $913.68 | $1,388.42 |
| Brazoria County | $511.59 | $580.64 | $653.79 | $913.68 | $1,388.42 |
| Colorado County | $511.59 | $580.64 | $653.79 | $913.68 | $1,388.42 |
| Fort Bend County | $511.59 | $580.64 | $653.79 | $913.68 | $1,388.42 |
| Matagorda County | $511.59 | $580.64 | $653.79 | $913.68 | $1,388.42 |
| Waller County | $511.59 | $580.64 | $653.79 | $913.68 | $1,388.42 |
| Wharton County | $511.59 | $580.64 | $653.79 | $913.68 | $1,388.42 |
| Bosque County | $517.96 | $587.87 | $661.94 | $925.06 | $1,405.72 |
| Falls County | $517.96 | $587.87 | $661.94 | $925.06 | $1,405.72 |
| Freestone County | $517.96 | $587.87 | $661.94 | $925.06 | $1,405.72 |
| Hill County | $517.96 | $587.87 | $661.94 | $925.06 | $1,405.72 |
| Limestone County | $517.96 | $587.87 | $661.94 | $925.06 | $1,405.72 |
| McLennan County | $517.96 | $587.87 | $661.94 | $925.06 | $1,405.72 |
| Chambers County | $523.37 | $594.02 | $668.86 | $934.73 | $1,420.41 |
| Liberty County | $523.37 | $594.02 | $668.86 | $934.73 | $1,420.41 |
| Montgomery County | $523.37 | $594.02 | $668.86 | $934.73 | $1,420.41 |
| Walker County | $523.37 | $594.02 | $668.86 | $934.73 | $1,420.41 |
| Bell County | $525.20 | $596.09 | $671.19 | $937.98 | $1,425.35 |
| Hamilton County | $525.20 | $596.09 | $671.19 | $937.98 | $1,425.35 |
| Lampasas County | $525.20 | $596.09 | $671.19 | $937.98 | $1,425.35 |
| Mills County | $525.20 | $596.09 | $671.19 | $937.98 | $1,425.35 |
| San Saba County | $525.20 | $596.09 | $671.19 | $937.98 | $1,425.35 |
| Atascosa County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Bandera County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Bexar County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Comal County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Edwards County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Frio County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Gillespie County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Gonzales County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Guadalupe County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Kendall County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Kerr County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Kinney County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Maverick County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Medina County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Real County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Val Verde County | $527.02 | $598.15 | $673.51 | $941.23 | $1,430.30 |
| Aransas County | $530.66 | $602.29 | $678.17 | $947.74 | $1,440.18 |
| Nueces County | $530.66 | $602.29 | $678.17 | $947.74 | $1,440.18 |
| Refugio County | $530.66 | $602.29 | $678.17 | $947.74 | $1,440.18 |
| Armstrong County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Carson County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Castro County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Collingsworth County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Dallam County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Deaf Smith County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Donley County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Gray County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Hartley County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Oldham County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Parmer County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Potter County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Randall County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Sherman County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Wheeler County | $553.32 | $628.01 | $707.14 | $988.22 | $1,501.69 |
| Cameron County | $562.38 | $638.29 | $718.71 | $1,004.39 | $1,526.27 |
| Willacy County | $562.38 | $638.29 | $718.71 | $1,004.39 | $1,526.27 |
| Camp County | $563.29 | $639.32 | $719.87 | $1,006.02 | $1,528.74 |
| Delta County | $563.29 | $639.32 | $719.87 | $1,006.02 | $1,528.74 |
| Calhoun County | $565.11 | $641.39 | $722.20 | $1,009.27 | $1,533.69 |
| De Witt County | $565.11 | $641.39 | $722.20 | $1,009.27 | $1,533.69 |
| Goliad County | $565.11 | $641.39 | $722.20 | $1,009.27 | $1,533.69 |
| Jackson County | $565.11 | $641.39 | $722.20 | $1,009.27 | $1,533.69 |
| Lavaca County | $565.11 | $641.39 | $722.20 | $1,009.27 | $1,533.69 |
| Victoria County | $565.11 | $641.39 | $722.20 | $1,009.27 | $1,533.69 |
| Galveston County | $567.84 | $644.49 | $725.69 | $1,014.15 | $1,541.10 |
| Harris County | $567.84 | $644.49 | $725.69 | $1,014.15 | $1,541.10 |
| Bastrop County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Blanco County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Burnet County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Caldwell County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Fayette County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Hays County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Lee County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Llano County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Travis County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Williamson County | $586.87 | $666.08 | $750 | $1,048.12 | $1,592.73 |
| Brewster County | $598.65 | $679.46 | $765.07 | $1,069.18 | $1,624.72 |
| El Paso County | $598.65 | $679.46 | $765.07 | $1,069.18 | $1,624.72 |
| Cooke County | $606.85 | $688.76 | $775.54 | $1,083.82 | $1,646.96 |
| Fannin County | $606.85 | $688.76 | $775.54 | $1,083.82 | $1,646.96 |
| Grayson County | $606.85 | $688.76 | $775.54 | $1,083.82 | $1,646.96 |
| Brown County | $642.21 | $728.90 | $820.74 | $1,146.97 | $1,742.94 |
| Coleman County | $642.21 | $728.90 | $820.74 | $1,146.97 | $1,742.94 |
| Comanche County | $642.21 | $728.90 | $820.74 | $1,146.97 | $1,742.94 |
| Fisher County | $642.21 | $728.90 | $820.74 | $1,146.97 | $1,742.94 |
| Mitchell County | $642.21 | $728.90 | $820.74 | $1,146.97 | $1,742.94 |
| Runnels County | $642.21 | $728.90 | $820.74 | $1,146.97 | $1,742.94 |
| Scurry County | $642.21 | $728.90 | $820.74 | $1,146.97 | $1,742.94 |
| Stonewall County | $642.21 | $728.90 | $820.74 | $1,146.97 | $1,742.94 |
| Denton County | $653.09 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Hood County | $653.09 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Johnson County | $653.09 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Palo Pinto County | $653.09 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Parker County | $653.09 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Somervell County | $653.09 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Tarrant County | $653.09 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Wise County | $653.09 | $741.25 | $834.64 | $1,166.40 | $1,772.46 |
| Coke County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Concho County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Irion County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Kimble County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Mason County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| McCulloch County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Menard County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Schleicher County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Sterling County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Sutton County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Tom Green County | $661.23 | $750.49 | $845.05 | $1,180.95 | $1,794.56 |
| Collin County | $666.70 | $756.69 | $852.03 | $1,190.71 | $1,809.39 |
| Dallas County | $666.70 | $756.69 | $852.03 | $1,190.71 | $1,809.39 |
| Ellis County | $666.70 | $756.69 | $852.03 | $1,190.71 | $1,809.39 |
| Hunt County | $666.70 | $756.69 | $852.03 | $1,190.71 | $1,809.39 |
| Navarro County | $666.70 | $756.69 | $852.03 | $1,190.71 | $1,809.39 |
| Rockwall County | $666.70 | $756.69 | $852.03 | $1,190.71 | $1,809.39 |
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.