Standard Silver
Silver · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $628.53 and $927.62 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What 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 | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
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 | 29418TX0140108 |
|---|---|
| Insurer | Ambetter from Superior HealthPlan |
| Metal level | Silver |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 Copay 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 | $491.81 | $558.20 | $628.53 | $878.36 | $1,334.76 |
| Panola County | $491.81 | $558.20 | $628.53 | $878.36 | $1,334.76 |
| Rusk County | $491.81 | $558.20 | $628.53 | $878.36 | $1,334.76 |
| Andrews County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Ector County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Hardin County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Houston County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Jefferson County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Midland County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Nacogdoches County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Orange County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| San Jacinto County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Trinity County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Tyler County | $504.65 | $572.76 | $644.93 | $901.28 | $1,369.59 |
| Brooks County | $507.62 | $576.14 | $648.73 | $906.59 | $1,377.66 |
| Hidalgo County | $507.62 | $576.14 | $648.73 | $906.59 | $1,377.66 |
| Starr County | $507.62 | $576.14 | $648.73 | $906.59 | $1,377.66 |
| Webb County | $507.62 | $576.14 | $648.73 | $906.59 | $1,377.66 |
| Zapata County | $507.62 | $576.14 | $648.73 | $906.59 | $1,377.66 |
| Cherokee County | $532.30 | $604.15 | $680.26 | $950.67 | $1,444.63 |
| Henderson County | $532.30 | $604.15 | $680.26 | $950.67 | $1,444.63 |
| Rains County | $532.30 | $604.15 | $680.26 | $950.67 | $1,444.63 |
| Smith County | $532.30 | $604.15 | $680.26 | $950.67 | $1,444.63 |
| Van Zandt County | $532.30 | $604.15 | $680.26 | $950.67 | $1,444.63 |
| Wood County | $532.30 | $604.15 | $680.26 | $950.67 | $1,444.63 |
| Jack County | $541.17 | $614.21 | $691.60 | $966.50 | $1,468.70 |
| Montague County | $541.17 | $614.21 | $691.60 | $966.50 | $1,468.70 |
| Brazos County | $549.10 | $623.21 | $701.73 | $980.67 | $1,490.22 |
| Burleson County | $549.10 | $623.21 | $701.73 | $980.67 | $1,490.22 |
| Grimes County | $549.10 | $623.21 | $701.73 | $980.67 | $1,490.22 |
| Leon County | $549.10 | $623.21 | $701.73 | $980.67 | $1,490.22 |
| Madison County | $549.10 | $623.21 | $701.73 | $980.67 | $1,490.22 |
| Milam County | $549.10 | $623.21 | $701.73 | $980.67 | $1,490.22 |
| Robertson County | $549.10 | $623.21 | $701.73 | $980.67 | $1,490.22 |
| Austin County | $556.97 | $632.15 | $711.80 | $994.74 | $1,511.60 |
| Brazoria County | $556.97 | $632.15 | $711.80 | $994.74 | $1,511.60 |
| Colorado County | $556.97 | $632.15 | $711.80 | $994.74 | $1,511.60 |
| Fort Bend County | $556.97 | $632.15 | $711.80 | $994.74 | $1,511.60 |
| Matagorda County | $556.97 | $632.15 | $711.80 | $994.74 | $1,511.60 |
| Waller County | $556.97 | $632.15 | $711.80 | $994.74 | $1,511.60 |
| Wharton County | $556.97 | $632.15 | $711.80 | $994.74 | $1,511.60 |
| Bosque County | $563.91 | $640.03 | $720.67 | $1,007.13 | $1,530.43 |
| Falls County | $563.91 | $640.03 | $720.67 | $1,007.13 | $1,530.43 |
| Freestone County | $563.91 | $640.03 | $720.67 | $1,007.13 | $1,530.43 |
| Hill County | $563.91 | $640.03 | $720.67 | $1,007.13 | $1,530.43 |
| Limestone County | $563.91 | $640.03 | $720.67 | $1,007.13 | $1,530.43 |
| McLennan County | $563.91 | $640.03 | $720.67 | $1,007.13 | $1,530.43 |
| Chambers County | $569.81 | $646.72 | $728.20 | $1,017.66 | $1,546.43 |
| Liberty County | $569.81 | $646.72 | $728.20 | $1,017.66 | $1,546.43 |
| Montgomery County | $569.81 | $646.72 | $728.20 | $1,017.66 | $1,546.43 |
| Walker County | $569.81 | $646.72 | $728.20 | $1,017.66 | $1,546.43 |
| Bell County | $571.79 | $648.97 | $730.73 | $1,021.20 | $1,551.81 |
| Hamilton County | $571.79 | $648.97 | $730.73 | $1,021.20 | $1,551.81 |
| Lampasas County | $571.79 | $648.97 | $730.73 | $1,021.20 | $1,551.81 |
| Mills County | $571.79 | $648.97 | $730.73 | $1,021.20 | $1,551.81 |
| San Saba County | $571.79 | $648.97 | $730.73 | $1,021.20 | $1,551.81 |
| Atascosa County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Bandera County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Bexar County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Comal County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Edwards County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Frio County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Gillespie County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Gonzales County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Guadalupe County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Kendall County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Kerr County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Kinney County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Maverick County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Medina County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Real County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Val Verde County | $573.77 | $651.22 | $733.27 | $1,024.74 | $1,557.19 |
| Aransas County | $577.74 | $655.72 | $738.34 | $1,031.82 | $1,567.95 |
| Nueces County | $577.74 | $655.72 | $738.34 | $1,031.82 | $1,567.95 |
| Refugio County | $577.74 | $655.72 | $738.34 | $1,031.82 | $1,567.95 |
| Armstrong County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Carson County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Castro County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Collingsworth County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Dallam County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Deaf Smith County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Donley County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Gray County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Hartley County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Oldham County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Parmer County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Potter County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Randall County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Sherman County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Wheeler County | $602.41 | $683.73 | $769.87 | $1,075.89 | $1,634.92 |
| Cameron County | $612.27 | $694.92 | $782.47 | $1,093.50 | $1,661.68 |
| Willacy County | $612.27 | $694.92 | $782.47 | $1,093.50 | $1,661.68 |
| Camp County | $613.26 | $696.04 | $783.74 | $1,095.27 | $1,664.37 |
| Delta County | $613.26 | $696.04 | $783.74 | $1,095.27 | $1,664.37 |
| Calhoun County | $615.25 | $698.29 | $786.27 | $1,098.81 | $1,669.75 |
| De Witt County | $615.25 | $698.29 | $786.27 | $1,098.81 | $1,669.75 |
| Goliad County | $615.25 | $698.29 | $786.27 | $1,098.81 | $1,669.75 |
| Jackson County | $615.25 | $698.29 | $786.27 | $1,098.81 | $1,669.75 |
| Lavaca County | $615.25 | $698.29 | $786.27 | $1,098.81 | $1,669.75 |
| Victoria County | $615.25 | $698.29 | $786.27 | $1,098.81 | $1,669.75 |
| Galveston County | $618.22 | $701.67 | $790.07 | $1,104.13 | $1,677.83 |
| Harris County | $618.22 | $701.67 | $790.07 | $1,104.13 | $1,677.83 |
| Bastrop County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Blanco County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Burnet County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Caldwell County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Fayette County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Hays County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Lee County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Llano County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Travis County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Williamson County | $638.93 | $725.18 | $816.54 | $1,141.11 | $1,734.03 |
| Brewster County | $651.76 | $739.74 | $832.94 | $1,164.03 | $1,768.86 |
| El Paso County | $651.76 | $739.74 | $832.94 | $1,164.03 | $1,768.86 |
| Cooke County | $660.69 | $749.87 | $844.35 | $1,179.97 | $1,793.08 |
| Fannin County | $660.69 | $749.87 | $844.35 | $1,179.97 | $1,793.08 |
| Grayson County | $660.69 | $749.87 | $844.35 | $1,179.97 | $1,793.08 |
| Brown County | $699.19 | $793.57 | $893.55 | $1,248.73 | $1,897.57 |
| Coleman County | $699.19 | $793.57 | $893.55 | $1,248.73 | $1,897.57 |
| Comanche County | $699.19 | $793.57 | $893.55 | $1,248.73 | $1,897.57 |
| Fisher County | $699.19 | $793.57 | $893.55 | $1,248.73 | $1,897.57 |
| Mitchell County | $699.19 | $793.57 | $893.55 | $1,248.73 | $1,897.57 |
| Runnels County | $699.19 | $793.57 | $893.55 | $1,248.73 | $1,897.57 |
| Scurry County | $699.19 | $793.57 | $893.55 | $1,248.73 | $1,897.57 |
| Stonewall County | $699.19 | $793.57 | $893.55 | $1,248.73 | $1,897.57 |
| Denton County | $711.03 | $807.01 | $908.68 | $1,269.88 | $1,929.71 |
| Hood County | $711.03 | $807.01 | $908.68 | $1,269.88 | $1,929.71 |
| Johnson County | $711.03 | $807.01 | $908.68 | $1,269.88 | $1,929.71 |
| Palo Pinto County | $711.03 | $807.01 | $908.68 | $1,269.88 | $1,929.71 |
| Parker County | $711.03 | $807.01 | $908.68 | $1,269.88 | $1,929.71 |
| Somervell County | $711.03 | $807.01 | $908.68 | $1,269.88 | $1,929.71 |
| Tarrant County | $711.03 | $807.01 | $908.68 | $1,269.88 | $1,929.71 |
| Wise County | $711.03 | $807.01 | $908.68 | $1,269.88 | $1,929.71 |
| Coke County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Concho County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Irion County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Kimble County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Mason County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| McCulloch County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Menard County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Schleicher County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Sterling County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Sutton County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Tom Green County | $719.90 | $817.07 | $920.02 | $1,285.72 | $1,953.78 |
| Collin County | $725.85 | $823.82 | $927.62 | $1,296.34 | $1,969.92 |
| Dallas County | $725.85 | $823.82 | $927.62 | $1,296.34 | $1,969.92 |
| Ellis County | $725.85 | $823.82 | $927.62 | $1,296.34 | $1,969.92 |
| Hunt County | $725.85 | $823.82 | $927.62 | $1,296.34 | $1,969.92 |
| Navarro County | $725.85 | $823.82 | $927.62 | $1,296.34 | $1,969.92 |
| Rockwall County | $725.85 | $823.82 | $927.62 | $1,296.34 | $1,969.92 |
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.