Complete Gold + Vision + Adult Dental
Gold · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $609.62 and $899.71 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 | 29418TX0160020 |
|---|---|
| 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 | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 96.27% |
| 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 | $477.02 | $541.40 | $609.62 | $851.94 | $1,294.60 |
| Panola County | $477.02 | $541.40 | $609.62 | $851.94 | $1,294.60 |
| Rusk County | $477.02 | $541.40 | $609.62 | $851.94 | $1,294.60 |
| Andrews County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Ector County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Hardin County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Houston County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Jefferson County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Midland County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Nacogdoches County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Orange County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| San Jacinto County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Trinity County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Tyler County | $489.47 | $555.53 | $625.52 | $874.17 | $1,328.38 |
| Brooks County | $492.35 | $558.81 | $629.21 | $879.32 | $1,336.21 |
| Hidalgo County | $492.35 | $558.81 | $629.21 | $879.32 | $1,336.21 |
| Starr County | $492.35 | $558.81 | $629.21 | $879.32 | $1,336.21 |
| Webb County | $492.35 | $558.81 | $629.21 | $879.32 | $1,336.21 |
| Zapata County | $492.35 | $558.81 | $629.21 | $879.32 | $1,336.21 |
| Cherokee County | $516.28 | $585.97 | $659.80 | $922.07 | $1,401.17 |
| Henderson County | $516.28 | $585.97 | $659.80 | $922.07 | $1,401.17 |
| Rains County | $516.28 | $585.97 | $659.80 | $922.07 | $1,401.17 |
| Smith County | $516.28 | $585.97 | $659.80 | $922.07 | $1,401.17 |
| Van Zandt County | $516.28 | $585.97 | $659.80 | $922.07 | $1,401.17 |
| Wood County | $516.28 | $585.97 | $659.80 | $922.07 | $1,401.17 |
| Jack County | $524.89 | $595.73 | $670.79 | $937.43 | $1,424.51 |
| Montague County | $524.89 | $595.73 | $670.79 | $937.43 | $1,424.51 |
| Brazos County | $532.58 | $604.46 | $680.62 | $951.17 | $1,445.39 |
| Burleson County | $532.58 | $604.46 | $680.62 | $951.17 | $1,445.39 |
| Grimes County | $532.58 | $604.46 | $680.62 | $951.17 | $1,445.39 |
| Leon County | $532.58 | $604.46 | $680.62 | $951.17 | $1,445.39 |
| Madison County | $532.58 | $604.46 | $680.62 | $951.17 | $1,445.39 |
| Milam County | $532.58 | $604.46 | $680.62 | $951.17 | $1,445.39 |
| Robertson County | $532.58 | $604.46 | $680.62 | $951.17 | $1,445.39 |
| Austin County | $540.22 | $613.14 | $690.38 | $964.81 | $1,466.12 |
| Brazoria County | $540.22 | $613.14 | $690.38 | $964.81 | $1,466.12 |
| Colorado County | $540.22 | $613.14 | $690.38 | $964.81 | $1,466.12 |
| Fort Bend County | $540.22 | $613.14 | $690.38 | $964.81 | $1,466.12 |
| Matagorda County | $540.22 | $613.14 | $690.38 | $964.81 | $1,466.12 |
| Waller County | $540.22 | $613.14 | $690.38 | $964.81 | $1,466.12 |
| Wharton County | $540.22 | $613.14 | $690.38 | $964.81 | $1,466.12 |
| Bosque County | $546.95 | $620.78 | $698.99 | $976.83 | $1,484.39 |
| Falls County | $546.95 | $620.78 | $698.99 | $976.83 | $1,484.39 |
| Freestone County | $546.95 | $620.78 | $698.99 | $976.83 | $1,484.39 |
| Hill County | $546.95 | $620.78 | $698.99 | $976.83 | $1,484.39 |
| Limestone County | $546.95 | $620.78 | $698.99 | $976.83 | $1,484.39 |
| McLennan County | $546.95 | $620.78 | $698.99 | $976.83 | $1,484.39 |
| Chambers County | $552.66 | $627.26 | $706.29 | $987.04 | $1,499.90 |
| Liberty County | $552.66 | $627.26 | $706.29 | $987.04 | $1,499.90 |
| Montgomery County | $552.66 | $627.26 | $706.29 | $987.04 | $1,499.90 |
| Walker County | $552.66 | $627.26 | $706.29 | $987.04 | $1,499.90 |
| Bell County | $554.59 | $629.45 | $708.75 | $990.48 | $1,505.12 |
| Hamilton County | $554.59 | $629.45 | $708.75 | $990.48 | $1,505.12 |
| Lampasas County | $554.59 | $629.45 | $708.75 | $990.48 | $1,505.12 |
| Mills County | $554.59 | $629.45 | $708.75 | $990.48 | $1,505.12 |
| San Saba County | $554.59 | $629.45 | $708.75 | $990.48 | $1,505.12 |
| Atascosa County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Bandera County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Bexar County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Comal County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Edwards County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Frio County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Gillespie County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Gonzales County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Guadalupe County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Kendall County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Kerr County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Kinney County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Maverick County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Medina County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Real County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Val Verde County | $556.51 | $631.63 | $711.21 | $993.91 | $1,510.34 |
| Aransas County | $560.36 | $635.99 | $716.12 | $1,000.78 | $1,520.78 |
| Nueces County | $560.36 | $635.99 | $716.12 | $1,000.78 | $1,520.78 |
| Refugio County | $560.36 | $635.99 | $716.12 | $1,000.78 | $1,520.78 |
| Armstrong County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Carson County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Castro County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Collingsworth County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Dallam County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Deaf Smith County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Donley County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Gray County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Hartley County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Oldham County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Parmer County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Potter County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Randall County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Sherman County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Wheeler County | $584.29 | $663.16 | $746.71 | $1,043.53 | $1,585.74 |
| Cameron County | $593.85 | $674.01 | $758.93 | $1,060.60 | $1,611.69 |
| Willacy County | $593.85 | $674.01 | $758.93 | $1,060.60 | $1,611.69 |
| Camp County | $594.82 | $675.10 | $760.16 | $1,062.32 | $1,614.30 |
| Delta County | $594.82 | $675.10 | $760.16 | $1,062.32 | $1,614.30 |
| Calhoun County | $596.74 | $677.29 | $762.62 | $1,065.76 | $1,619.52 |
| De Witt County | $596.74 | $677.29 | $762.62 | $1,065.76 | $1,619.52 |
| Goliad County | $596.74 | $677.29 | $762.62 | $1,065.76 | $1,619.52 |
| Jackson County | $596.74 | $677.29 | $762.62 | $1,065.76 | $1,619.52 |
| Lavaca County | $596.74 | $677.29 | $762.62 | $1,065.76 | $1,619.52 |
| Victoria County | $596.74 | $677.29 | $762.62 | $1,065.76 | $1,619.52 |
| Galveston County | $599.62 | $680.56 | $766.31 | $1,070.91 | $1,627.35 |
| Harris County | $599.62 | $680.56 | $766.31 | $1,070.91 | $1,627.35 |
| Bastrop County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Blanco County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Burnet County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Caldwell County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Fayette County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Hays County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Lee County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Llano County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Travis County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Williamson County | $619.71 | $703.36 | $791.98 | $1,106.78 | $1,681.87 |
| Brewster County | $632.16 | $717.49 | $807.88 | $1,129.02 | $1,715.65 |
| El Paso County | $632.16 | $717.49 | $807.88 | $1,129.02 | $1,715.65 |
| Cooke County | $640.81 | $727.31 | $818.94 | $1,144.47 | $1,739.14 |
| Fannin County | $640.81 | $727.31 | $818.94 | $1,144.47 | $1,739.14 |
| Grayson County | $640.81 | $727.31 | $818.94 | $1,144.47 | $1,739.14 |
| Brown County | $678.15 | $769.69 | $866.67 | $1,211.17 | $1,840.48 |
| Coleman County | $678.15 | $769.69 | $866.67 | $1,211.17 | $1,840.48 |
| Comanche County | $678.15 | $769.69 | $866.67 | $1,211.17 | $1,840.48 |
| Fisher County | $678.15 | $769.69 | $866.67 | $1,211.17 | $1,840.48 |
| Mitchell County | $678.15 | $769.69 | $866.67 | $1,211.17 | $1,840.48 |
| Runnels County | $678.15 | $769.69 | $866.67 | $1,211.17 | $1,840.48 |
| Scurry County | $678.15 | $769.69 | $866.67 | $1,211.17 | $1,840.48 |
| Stonewall County | $678.15 | $769.69 | $866.67 | $1,211.17 | $1,840.48 |
| Denton County | $689.64 | $782.73 | $881.35 | $1,231.68 | $1,871.66 |
| Hood County | $689.64 | $782.73 | $881.35 | $1,231.68 | $1,871.66 |
| Johnson County | $689.64 | $782.73 | $881.35 | $1,231.68 | $1,871.66 |
| Palo Pinto County | $689.64 | $782.73 | $881.35 | $1,231.68 | $1,871.66 |
| Parker County | $689.64 | $782.73 | $881.35 | $1,231.68 | $1,871.66 |
| Somervell County | $689.64 | $782.73 | $881.35 | $1,231.68 | $1,871.66 |
| Tarrant County | $689.64 | $782.73 | $881.35 | $1,231.68 | $1,871.66 |
| Wise County | $689.64 | $782.73 | $881.35 | $1,231.68 | $1,871.66 |
| Coke County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Concho County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Irion County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Kimble County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Mason County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| McCulloch County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Menard County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Schleicher County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Sterling County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Sutton County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Tom Green County | $698.24 | $792.49 | $892.34 | $1,247.04 | $1,895 |
| Collin County | $704.01 | $799.04 | $899.71 | $1,257.34 | $1,910.66 |
| Dallas County | $704.01 | $799.04 | $899.71 | $1,257.34 | $1,910.66 |
| Ellis County | $704.01 | $799.04 | $899.71 | $1,257.34 | $1,910.66 |
| Hunt County | $704.01 | $799.04 | $899.71 | $1,257.34 | $1,910.66 |
| Navarro County | $704.01 | $799.04 | $899.71 | $1,257.34 | $1,910.66 |
| Rockwall County | $704.01 | $799.04 | $899.71 | $1,257.34 | $1,910.66 |
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.