Standard Gold
Gold · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $574.65 and $848.11 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 | 29418TX0140109 |
|---|---|
| Insurer | Ambetter from Superior HealthPlan |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $449.66 | $510.35 | $574.65 | $803.07 | $1,220.35 |
| Panola County | $449.66 | $510.35 | $574.65 | $803.07 | $1,220.35 |
| Rusk County | $449.66 | $510.35 | $574.65 | $803.07 | $1,220.35 |
| Andrews County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Ector County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Hardin County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Houston County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Jefferson County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Midland County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Nacogdoches County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Orange County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| San Jacinto County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Trinity County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Tyler County | $461.39 | $523.67 | $589.65 | $824.03 | $1,252.19 |
| Brooks County | $464.11 | $526.76 | $593.12 | $828.89 | $1,259.57 |
| Hidalgo County | $464.11 | $526.76 | $593.12 | $828.89 | $1,259.57 |
| Starr County | $464.11 | $526.76 | $593.12 | $828.89 | $1,259.57 |
| Webb County | $464.11 | $526.76 | $593.12 | $828.89 | $1,259.57 |
| Zapata County | $464.11 | $526.76 | $593.12 | $828.89 | $1,259.57 |
| Cherokee County | $486.67 | $552.36 | $621.96 | $869.18 | $1,320.80 |
| Henderson County | $486.67 | $552.36 | $621.96 | $869.18 | $1,320.80 |
| Rains County | $486.67 | $552.36 | $621.96 | $869.18 | $1,320.80 |
| Smith County | $486.67 | $552.36 | $621.96 | $869.18 | $1,320.80 |
| Van Zandt County | $486.67 | $552.36 | $621.96 | $869.18 | $1,320.80 |
| Wood County | $486.67 | $552.36 | $621.96 | $869.18 | $1,320.80 |
| Jack County | $494.78 | $561.57 | $632.32 | $883.66 | $1,342.81 |
| Montague County | $494.78 | $561.57 | $632.32 | $883.66 | $1,342.81 |
| Brazos County | $502.03 | $569.80 | $641.58 | $896.61 | $1,362.49 |
| Burleson County | $502.03 | $569.80 | $641.58 | $896.61 | $1,362.49 |
| Grimes County | $502.03 | $569.80 | $641.58 | $896.61 | $1,362.49 |
| Leon County | $502.03 | $569.80 | $641.58 | $896.61 | $1,362.49 |
| Madison County | $502.03 | $569.80 | $641.58 | $896.61 | $1,362.49 |
| Milam County | $502.03 | $569.80 | $641.58 | $896.61 | $1,362.49 |
| Robertson County | $502.03 | $569.80 | $641.58 | $896.61 | $1,362.49 |
| Austin County | $509.23 | $577.97 | $650.79 | $909.47 | $1,382.03 |
| Brazoria County | $509.23 | $577.97 | $650.79 | $909.47 | $1,382.03 |
| Colorado County | $509.23 | $577.97 | $650.79 | $909.47 | $1,382.03 |
| Fort Bend County | $509.23 | $577.97 | $650.79 | $909.47 | $1,382.03 |
| Matagorda County | $509.23 | $577.97 | $650.79 | $909.47 | $1,382.03 |
| Waller County | $509.23 | $577.97 | $650.79 | $909.47 | $1,382.03 |
| Wharton County | $509.23 | $577.97 | $650.79 | $909.47 | $1,382.03 |
| Bosque County | $515.58 | $585.17 | $658.90 | $920.81 | $1,399.25 |
| Falls County | $515.58 | $585.17 | $658.90 | $920.81 | $1,399.25 |
| Freestone County | $515.58 | $585.17 | $658.90 | $920.81 | $1,399.25 |
| Hill County | $515.58 | $585.17 | $658.90 | $920.81 | $1,399.25 |
| Limestone County | $515.58 | $585.17 | $658.90 | $920.81 | $1,399.25 |
| McLennan County | $515.58 | $585.17 | $658.90 | $920.81 | $1,399.25 |
| Chambers County | $520.97 | $591.29 | $665.78 | $930.43 | $1,413.88 |
| Liberty County | $520.97 | $591.29 | $665.78 | $930.43 | $1,413.88 |
| Montgomery County | $520.97 | $591.29 | $665.78 | $930.43 | $1,413.88 |
| Walker County | $520.97 | $591.29 | $665.78 | $930.43 | $1,413.88 |
| Bell County | $522.78 | $593.34 | $668.10 | $933.67 | $1,418.80 |
| Hamilton County | $522.78 | $593.34 | $668.10 | $933.67 | $1,418.80 |
| Lampasas County | $522.78 | $593.34 | $668.10 | $933.67 | $1,418.80 |
| Mills County | $522.78 | $593.34 | $668.10 | $933.67 | $1,418.80 |
| San Saba County | $522.78 | $593.34 | $668.10 | $933.67 | $1,418.80 |
| Atascosa County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Bandera County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Bexar County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Comal County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Edwards County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Frio County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Gillespie County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Gonzales County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Guadalupe County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Kendall County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Kerr County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Kinney County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Maverick County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Medina County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Real County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Val Verde County | $524.59 | $595.40 | $670.42 | $936.91 | $1,423.72 |
| Aransas County | $528.22 | $599.52 | $675.05 | $943.38 | $1,433.56 |
| Nueces County | $528.22 | $599.52 | $675.05 | $943.38 | $1,433.56 |
| Refugio County | $528.22 | $599.52 | $675.05 | $943.38 | $1,433.56 |
| Armstrong County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Carson County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Castro County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Collingsworth County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Dallam County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Deaf Smith County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Donley County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Gray County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Hartley County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Oldham County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Parmer County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Potter County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Randall County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Sherman County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Wheeler County | $550.78 | $625.12 | $703.88 | $983.67 | $1,494.79 |
| Cameron County | $559.79 | $635.35 | $715.40 | $999.77 | $1,519.25 |
| Willacy County | $559.79 | $635.35 | $715.40 | $999.77 | $1,519.25 |
| Camp County | $560.70 | $636.38 | $716.56 | $1,001.39 | $1,521.71 |
| Delta County | $560.70 | $636.38 | $716.56 | $1,001.39 | $1,521.71 |
| Calhoun County | $562.51 | $638.44 | $718.88 | $1,004.63 | $1,526.63 |
| De Witt County | $562.51 | $638.44 | $718.88 | $1,004.63 | $1,526.63 |
| Goliad County | $562.51 | $638.44 | $718.88 | $1,004.63 | $1,526.63 |
| Jackson County | $562.51 | $638.44 | $718.88 | $1,004.63 | $1,526.63 |
| Lavaca County | $562.51 | $638.44 | $718.88 | $1,004.63 | $1,526.63 |
| Victoria County | $562.51 | $638.44 | $718.88 | $1,004.63 | $1,526.63 |
| Galveston County | $565.23 | $641.53 | $722.35 | $1,009.49 | $1,534.01 |
| Harris County | $565.23 | $641.53 | $722.35 | $1,009.49 | $1,534.01 |
| Bastrop County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Blanco County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Burnet County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Caldwell County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Fayette County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Hays County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Lee County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Llano County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Travis County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Williamson County | $584.17 | $663.02 | $746.55 | $1,043.30 | $1,585.40 |
| Brewster County | $595.90 | $676.34 | $761.55 | $1,064.26 | $1,617.25 |
| El Paso County | $595.90 | $676.34 | $761.55 | $1,064.26 | $1,617.25 |
| Cooke County | $604.06 | $685.60 | $771.97 | $1,078.83 | $1,639.39 |
| Fannin County | $604.06 | $685.60 | $771.97 | $1,078.83 | $1,639.39 |
| Grayson County | $604.06 | $685.60 | $771.97 | $1,078.83 | $1,639.39 |
| Brown County | $639.26 | $725.55 | $816.96 | $1,141.70 | $1,734.92 |
| Coleman County | $639.26 | $725.55 | $816.96 | $1,141.70 | $1,734.92 |
| Comanche County | $639.26 | $725.55 | $816.96 | $1,141.70 | $1,734.92 |
| Fisher County | $639.26 | $725.55 | $816.96 | $1,141.70 | $1,734.92 |
| Mitchell County | $639.26 | $725.55 | $816.96 | $1,141.70 | $1,734.92 |
| Runnels County | $639.26 | $725.55 | $816.96 | $1,141.70 | $1,734.92 |
| Scurry County | $639.26 | $725.55 | $816.96 | $1,141.70 | $1,734.92 |
| Stonewall County | $639.26 | $725.55 | $816.96 | $1,141.70 | $1,734.92 |
| Denton County | $650.09 | $737.84 | $830.80 | $1,161.04 | $1,764.31 |
| Hood County | $650.09 | $737.84 | $830.80 | $1,161.04 | $1,764.31 |
| Johnson County | $650.09 | $737.84 | $830.80 | $1,161.04 | $1,764.31 |
| Palo Pinto County | $650.09 | $737.84 | $830.80 | $1,161.04 | $1,764.31 |
| Parker County | $650.09 | $737.84 | $830.80 | $1,161.04 | $1,764.31 |
| Somervell County | $650.09 | $737.84 | $830.80 | $1,161.04 | $1,764.31 |
| Tarrant County | $650.09 | $737.84 | $830.80 | $1,161.04 | $1,764.31 |
| Wise County | $650.09 | $737.84 | $830.80 | $1,161.04 | $1,764.31 |
| Coke County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Concho County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Irion County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Kimble County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Mason County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| McCulloch County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Menard County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Schleicher County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Sterling County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Sutton County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Tom Green County | $658.19 | $747.04 | $841.16 | $1,175.52 | $1,786.31 |
| Collin County | $663.63 | $753.21 | $848.11 | $1,185.23 | $1,801.07 |
| Dallas County | $663.63 | $753.21 | $848.11 | $1,185.23 | $1,801.07 |
| Ellis County | $663.63 | $753.21 | $848.11 | $1,185.23 | $1,801.07 |
| Hunt County | $663.63 | $753.21 | $848.11 | $1,185.23 | $1,801.07 |
| Navarro County | $663.63 | $753.21 | $848.11 | $1,185.23 | $1,801.07 |
| Rockwall County | $663.63 | $753.21 | $848.11 | $1,185.23 | $1,801.07 |
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.