Standard Silver + Vision + Adult Dental
Silver · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $652.15 and $962.48 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 | 29418TX0160054 |
|---|---|
| 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 | 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 | $510.30 | $579.18 | $652.15 | $911.37 | $1,384.92 |
| Panola County | $510.30 | $579.18 | $652.15 | $911.37 | $1,384.92 |
| Rusk County | $510.30 | $579.18 | $652.15 | $911.37 | $1,384.92 |
| Andrews County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Ector County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Hardin County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Houston County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Jefferson County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Midland County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Nacogdoches County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Orange County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| San Jacinto County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Trinity County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Tyler County | $523.61 | $594.29 | $669.16 | $935.15 | $1,421.06 |
| Brooks County | $526.70 | $597.79 | $673.11 | $940.67 | $1,429.43 |
| Hidalgo County | $526.70 | $597.79 | $673.11 | $940.67 | $1,429.43 |
| Starr County | $526.70 | $597.79 | $673.11 | $940.67 | $1,429.43 |
| Webb County | $526.70 | $597.79 | $673.11 | $940.67 | $1,429.43 |
| Zapata County | $526.70 | $597.79 | $673.11 | $940.67 | $1,429.43 |
| Cherokee County | $552.30 | $626.85 | $705.83 | $986.39 | $1,498.92 |
| Henderson County | $552.30 | $626.85 | $705.83 | $986.39 | $1,498.92 |
| Rains County | $552.30 | $626.85 | $705.83 | $986.39 | $1,498.92 |
| Smith County | $552.30 | $626.85 | $705.83 | $986.39 | $1,498.92 |
| Van Zandt County | $552.30 | $626.85 | $705.83 | $986.39 | $1,498.92 |
| Wood County | $552.30 | $626.85 | $705.83 | $986.39 | $1,498.92 |
| Jack County | $561.50 | $637.29 | $717.59 | $1,002.83 | $1,523.89 |
| Montague County | $561.50 | $637.29 | $717.59 | $1,002.83 | $1,523.89 |
| Brazos County | $569.73 | $646.63 | $728.11 | $1,017.52 | $1,546.23 |
| Burleson County | $569.73 | $646.63 | $728.11 | $1,017.52 | $1,546.23 |
| Grimes County | $569.73 | $646.63 | $728.11 | $1,017.52 | $1,546.23 |
| Leon County | $569.73 | $646.63 | $728.11 | $1,017.52 | $1,546.23 |
| Madison County | $569.73 | $646.63 | $728.11 | $1,017.52 | $1,546.23 |
| Milam County | $569.73 | $646.63 | $728.11 | $1,017.52 | $1,546.23 |
| Robertson County | $569.73 | $646.63 | $728.11 | $1,017.52 | $1,546.23 |
| Austin County | $577.90 | $655.91 | $738.55 | $1,032.12 | $1,568.41 |
| Brazoria County | $577.90 | $655.91 | $738.55 | $1,032.12 | $1,568.41 |
| Colorado County | $577.90 | $655.91 | $738.55 | $1,032.12 | $1,568.41 |
| Fort Bend County | $577.90 | $655.91 | $738.55 | $1,032.12 | $1,568.41 |
| Matagorda County | $577.90 | $655.91 | $738.55 | $1,032.12 | $1,568.41 |
| Waller County | $577.90 | $655.91 | $738.55 | $1,032.12 | $1,568.41 |
| Wharton County | $577.90 | $655.91 | $738.55 | $1,032.12 | $1,568.41 |
| Bosque County | $585.11 | $664.08 | $747.75 | $1,044.98 | $1,587.95 |
| Falls County | $585.11 | $664.08 | $747.75 | $1,044.98 | $1,587.95 |
| Freestone County | $585.11 | $664.08 | $747.75 | $1,044.98 | $1,587.95 |
| Hill County | $585.11 | $664.08 | $747.75 | $1,044.98 | $1,587.95 |
| Limestone County | $585.11 | $664.08 | $747.75 | $1,044.98 | $1,587.95 |
| McLennan County | $585.11 | $664.08 | $747.75 | $1,044.98 | $1,587.95 |
| Chambers County | $591.22 | $671.02 | $755.57 | $1,055.90 | $1,604.55 |
| Liberty County | $591.22 | $671.02 | $755.57 | $1,055.90 | $1,604.55 |
| Montgomery County | $591.22 | $671.02 | $755.57 | $1,055.90 | $1,604.55 |
| Walker County | $591.22 | $671.02 | $755.57 | $1,055.90 | $1,604.55 |
| Bell County | $593.28 | $673.36 | $758.20 | $1,059.58 | $1,610.13 |
| Hamilton County | $593.28 | $673.36 | $758.20 | $1,059.58 | $1,610.13 |
| Lampasas County | $593.28 | $673.36 | $758.20 | $1,059.58 | $1,610.13 |
| Mills County | $593.28 | $673.36 | $758.20 | $1,059.58 | $1,610.13 |
| San Saba County | $593.28 | $673.36 | $758.20 | $1,059.58 | $1,610.13 |
| Atascosa County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Bandera County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Bexar County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Comal County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Edwards County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Frio County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Gillespie County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Gonzales County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Guadalupe County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Kendall County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Kerr County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Kinney County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Maverick County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Medina County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Real County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Val Verde County | $595.34 | $675.69 | $760.83 | $1,063.25 | $1,615.71 |
| Aransas County | $599.45 | $680.36 | $766.08 | $1,070.60 | $1,626.88 |
| Nueces County | $599.45 | $680.36 | $766.08 | $1,070.60 | $1,626.88 |
| Refugio County | $599.45 | $680.36 | $766.08 | $1,070.60 | $1,626.88 |
| Armstrong County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Carson County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Castro County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Collingsworth County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Dallam County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Deaf Smith County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Donley County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Gray County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Hartley County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Oldham County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Parmer County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Potter County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Randall County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Sherman County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Wheeler County | $625.05 | $709.42 | $798.80 | $1,116.33 | $1,696.37 |
| Cameron County | $635.28 | $721.03 | $811.88 | $1,134.60 | $1,724.13 |
| Willacy County | $635.28 | $721.03 | $811.88 | $1,134.60 | $1,724.13 |
| Camp County | $636.31 | $722.20 | $813.19 | $1,136.43 | $1,726.92 |
| Delta County | $636.31 | $722.20 | $813.19 | $1,136.43 | $1,726.92 |
| Calhoun County | $638.37 | $724.54 | $815.82 | $1,140.11 | $1,732.51 |
| De Witt County | $638.37 | $724.54 | $815.82 | $1,140.11 | $1,732.51 |
| Goliad County | $638.37 | $724.54 | $815.82 | $1,140.11 | $1,732.51 |
| Jackson County | $638.37 | $724.54 | $815.82 | $1,140.11 | $1,732.51 |
| Lavaca County | $638.37 | $724.54 | $815.82 | $1,140.11 | $1,732.51 |
| Victoria County | $638.37 | $724.54 | $815.82 | $1,140.11 | $1,732.51 |
| Galveston County | $641.45 | $728.04 | $819.77 | $1,145.62 | $1,740.88 |
| Harris County | $641.45 | $728.04 | $819.77 | $1,145.62 | $1,740.88 |
| Bastrop County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Blanco County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Burnet County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Caldwell County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Fayette County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Hays County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Lee County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Llano County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Travis County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Williamson County | $662.94 | $752.43 | $847.23 | $1,184 | $1,799.20 |
| Brewster County | $676.26 | $767.54 | $864.25 | $1,207.78 | $1,835.34 |
| El Paso County | $676.26 | $767.54 | $864.25 | $1,207.78 | $1,835.34 |
| Cooke County | $685.52 | $778.05 | $876.08 | $1,224.32 | $1,860.47 |
| Fannin County | $685.52 | $778.05 | $876.08 | $1,224.32 | $1,860.47 |
| Grayson County | $685.52 | $778.05 | $876.08 | $1,224.32 | $1,860.47 |
| Brown County | $725.46 | $823.39 | $927.13 | $1,295.66 | $1,968.88 |
| Coleman County | $725.46 | $823.39 | $927.13 | $1,295.66 | $1,968.88 |
| Comanche County | $725.46 | $823.39 | $927.13 | $1,295.66 | $1,968.88 |
| Fisher County | $725.46 | $823.39 | $927.13 | $1,295.66 | $1,968.88 |
| Mitchell County | $725.46 | $823.39 | $927.13 | $1,295.66 | $1,968.88 |
| Runnels County | $725.46 | $823.39 | $927.13 | $1,295.66 | $1,968.88 |
| Scurry County | $725.46 | $823.39 | $927.13 | $1,295.66 | $1,968.88 |
| Stonewall County | $725.46 | $823.39 | $927.13 | $1,295.66 | $1,968.88 |
| Denton County | $737.75 | $837.34 | $942.83 | $1,317.61 | $2,002.23 |
| Hood County | $737.75 | $837.34 | $942.83 | $1,317.61 | $2,002.23 |
| Johnson County | $737.75 | $837.34 | $942.83 | $1,317.61 | $2,002.23 |
| Palo Pinto County | $737.75 | $837.34 | $942.83 | $1,317.61 | $2,002.23 |
| Parker County | $737.75 | $837.34 | $942.83 | $1,317.61 | $2,002.23 |
| Somervell County | $737.75 | $837.34 | $942.83 | $1,317.61 | $2,002.23 |
| Tarrant County | $737.75 | $837.34 | $942.83 | $1,317.61 | $2,002.23 |
| Wise County | $737.75 | $837.34 | $942.83 | $1,317.61 | $2,002.23 |
| Coke County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Concho County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Irion County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Kimble County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Mason County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| McCulloch County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Menard County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Schleicher County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Sterling County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Sutton County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Tom Green County | $746.95 | $847.78 | $954.59 | $1,334.04 | $2,027.20 |
| Collin County | $753.12 | $854.79 | $962.48 | $1,345.06 | $2,043.95 |
| Dallas County | $753.12 | $854.79 | $962.48 | $1,345.06 | $2,043.95 |
| Ellis County | $753.12 | $854.79 | $962.48 | $1,345.06 | $2,043.95 |
| Hunt County | $753.12 | $854.79 | $962.48 | $1,345.06 | $2,043.95 |
| Navarro County | $753.12 | $854.79 | $962.48 | $1,345.06 | $2,043.95 |
| Rockwall County | $753.12 | $854.79 | $962.48 | $1,345.06 | $2,043.95 |
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.