Focused Silver + Vision + Adult Dental
Silver · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $655.49 and $967.42 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 | $6,300 | $8,400 | $40 | $3 |
| up to 150% of the federal poverty level | $0 | $1,500 | No Charge | No Charge |
| 150% to 200% | $0 | $3,350 | $20 | $3 |
| 200% to 250% | $5,150 | $7,200 | $35 | $3 |
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 | 29418TX0160100 |
|---|---|
| Insurer | Ambetter from Superior HealthPlan |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $6,300 |
| Deductible (family) | $12,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,400 |
| Family maximum | $16,800 |
| Primary care visit | $40 |
| Specialist visit | $85 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $75 |
| Specialty drugs | 50% 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 | $512.92 | $582.15 | $655.49 | $916.05 | $1,392.03 |
| Panola County | $512.92 | $582.15 | $655.49 | $916.05 | $1,392.03 |
| Rusk County | $512.92 | $582.15 | $655.49 | $916.05 | $1,392.03 |
| Andrews County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Ector County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Hardin County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Houston County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Jefferson County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Midland County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Nacogdoches County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Orange County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| San Jacinto County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Trinity County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Tyler County | $526.30 | $597.34 | $672.60 | $939.96 | $1,428.35 |
| Brooks County | $529.40 | $600.86 | $676.56 | $945.50 | $1,436.77 |
| Hidalgo County | $529.40 | $600.86 | $676.56 | $945.50 | $1,436.77 |
| Starr County | $529.40 | $600.86 | $676.56 | $945.50 | $1,436.77 |
| Webb County | $529.40 | $600.86 | $676.56 | $945.50 | $1,436.77 |
| Zapata County | $529.40 | $600.86 | $676.56 | $945.50 | $1,436.77 |
| Cherokee County | $555.14 | $630.07 | $709.45 | $991.46 | $1,506.62 |
| Henderson County | $555.14 | $630.07 | $709.45 | $991.46 | $1,506.62 |
| Rains County | $555.14 | $630.07 | $709.45 | $991.46 | $1,506.62 |
| Smith County | $555.14 | $630.07 | $709.45 | $991.46 | $1,506.62 |
| Van Zandt County | $555.14 | $630.07 | $709.45 | $991.46 | $1,506.62 |
| Wood County | $555.14 | $630.07 | $709.45 | $991.46 | $1,506.62 |
| Jack County | $564.39 | $640.57 | $721.27 | $1,007.97 | $1,531.72 |
| Montague County | $564.39 | $640.57 | $721.27 | $1,007.97 | $1,531.72 |
| Brazos County | $572.66 | $649.95 | $731.84 | $1,022.75 | $1,554.16 |
| Burleson County | $572.66 | $649.95 | $731.84 | $1,022.75 | $1,554.16 |
| Grimes County | $572.66 | $649.95 | $731.84 | $1,022.75 | $1,554.16 |
| Leon County | $572.66 | $649.95 | $731.84 | $1,022.75 | $1,554.16 |
| Madison County | $572.66 | $649.95 | $731.84 | $1,022.75 | $1,554.16 |
| Milam County | $572.66 | $649.95 | $731.84 | $1,022.75 | $1,554.16 |
| Robertson County | $572.66 | $649.95 | $731.84 | $1,022.75 | $1,554.16 |
| Austin County | $580.87 | $659.28 | $742.34 | $1,037.42 | $1,576.46 |
| Brazoria County | $580.87 | $659.28 | $742.34 | $1,037.42 | $1,576.46 |
| Colorado County | $580.87 | $659.28 | $742.34 | $1,037.42 | $1,576.46 |
| Fort Bend County | $580.87 | $659.28 | $742.34 | $1,037.42 | $1,576.46 |
| Matagorda County | $580.87 | $659.28 | $742.34 | $1,037.42 | $1,576.46 |
| Waller County | $580.87 | $659.28 | $742.34 | $1,037.42 | $1,576.46 |
| Wharton County | $580.87 | $659.28 | $742.34 | $1,037.42 | $1,576.46 |
| Bosque County | $588.11 | $667.49 | $751.59 | $1,050.35 | $1,596.10 |
| Falls County | $588.11 | $667.49 | $751.59 | $1,050.35 | $1,596.10 |
| Freestone County | $588.11 | $667.49 | $751.59 | $1,050.35 | $1,596.10 |
| Hill County | $588.11 | $667.49 | $751.59 | $1,050.35 | $1,596.10 |
| Limestone County | $588.11 | $667.49 | $751.59 | $1,050.35 | $1,596.10 |
| McLennan County | $588.11 | $667.49 | $751.59 | $1,050.35 | $1,596.10 |
| Chambers County | $594.26 | $674.47 | $759.45 | $1,061.32 | $1,612.78 |
| Liberty County | $594.26 | $674.47 | $759.45 | $1,061.32 | $1,612.78 |
| Montgomery County | $594.26 | $674.47 | $759.45 | $1,061.32 | $1,612.78 |
| Walker County | $594.26 | $674.47 | $759.45 | $1,061.32 | $1,612.78 |
| Bell County | $596.32 | $676.82 | $762.09 | $1,065.02 | $1,618.40 |
| Hamilton County | $596.32 | $676.82 | $762.09 | $1,065.02 | $1,618.40 |
| Lampasas County | $596.32 | $676.82 | $762.09 | $1,065.02 | $1,618.40 |
| Mills County | $596.32 | $676.82 | $762.09 | $1,065.02 | $1,618.40 |
| San Saba County | $596.32 | $676.82 | $762.09 | $1,065.02 | $1,618.40 |
| Atascosa County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Bandera County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Bexar County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Comal County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Edwards County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Frio County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Gillespie County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Gonzales County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Guadalupe County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Kendall County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Kerr County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Kinney County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Maverick County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Medina County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Real County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Val Verde County | $598.39 | $679.16 | $764.73 | $1,068.71 | $1,624.01 |
| Aransas County | $602.53 | $683.86 | $770.02 | $1,076.10 | $1,635.23 |
| Nueces County | $602.53 | $683.86 | $770.02 | $1,076.10 | $1,635.23 |
| Refugio County | $602.53 | $683.86 | $770.02 | $1,076.10 | $1,635.23 |
| Armstrong County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Carson County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Castro County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Collingsworth County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Dallam County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Deaf Smith County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Donley County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Gray County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Hartley County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Oldham County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Parmer County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Potter County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Randall County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Sherman County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Wheeler County | $628.26 | $713.07 | $802.91 | $1,122.06 | $1,705.08 |
| Cameron County | $638.54 | $724.74 | $816.05 | $1,140.42 | $1,732.98 |
| Willacy County | $638.54 | $724.74 | $816.05 | $1,140.42 | $1,732.98 |
| Camp County | $639.58 | $725.91 | $817.37 | $1,142.27 | $1,735.79 |
| Delta County | $639.58 | $725.91 | $817.37 | $1,142.27 | $1,735.79 |
| Calhoun County | $641.65 | $728.26 | $820.01 | $1,145.96 | $1,741.40 |
| De Witt County | $641.65 | $728.26 | $820.01 | $1,145.96 | $1,741.40 |
| Goliad County | $641.65 | $728.26 | $820.01 | $1,145.96 | $1,741.40 |
| Jackson County | $641.65 | $728.26 | $820.01 | $1,145.96 | $1,741.40 |
| Lavaca County | $641.65 | $728.26 | $820.01 | $1,145.96 | $1,741.40 |
| Victoria County | $641.65 | $728.26 | $820.01 | $1,145.96 | $1,741.40 |
| Galveston County | $644.75 | $731.78 | $823.98 | $1,151.50 | $1,749.82 |
| Harris County | $644.75 | $731.78 | $823.98 | $1,151.50 | $1,749.82 |
| Bastrop County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Blanco County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Burnet County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Caldwell County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Fayette County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Hays County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Lee County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Llano County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Travis County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Williamson County | $666.35 | $756.29 | $851.58 | $1,190.08 | $1,808.44 |
| Brewster County | $679.73 | $771.48 | $868.68 | $1,213.98 | $1,844.76 |
| El Paso County | $679.73 | $771.48 | $868.68 | $1,213.98 | $1,844.76 |
| Cooke County | $689.04 | $782.04 | $880.58 | $1,230.60 | $1,870.02 |
| Fannin County | $689.04 | $782.04 | $880.58 | $1,230.60 | $1,870.02 |
| Grayson County | $689.04 | $782.04 | $880.58 | $1,230.60 | $1,870.02 |
| Brown County | $729.19 | $827.62 | $931.89 | $1,302.31 | $1,978.99 |
| Coleman County | $729.19 | $827.62 | $931.89 | $1,302.31 | $1,978.99 |
| Comanche County | $729.19 | $827.62 | $931.89 | $1,302.31 | $1,978.99 |
| Fisher County | $729.19 | $827.62 | $931.89 | $1,302.31 | $1,978.99 |
| Mitchell County | $729.19 | $827.62 | $931.89 | $1,302.31 | $1,978.99 |
| Runnels County | $729.19 | $827.62 | $931.89 | $1,302.31 | $1,978.99 |
| Scurry County | $729.19 | $827.62 | $931.89 | $1,302.31 | $1,978.99 |
| Stonewall County | $729.19 | $827.62 | $931.89 | $1,302.31 | $1,978.99 |
| Denton County | $741.54 | $841.64 | $947.67 | $1,324.37 | $2,012.51 |
| Hood County | $741.54 | $841.64 | $947.67 | $1,324.37 | $2,012.51 |
| Johnson County | $741.54 | $841.64 | $947.67 | $1,324.37 | $2,012.51 |
| Palo Pinto County | $741.54 | $841.64 | $947.67 | $1,324.37 | $2,012.51 |
| Parker County | $741.54 | $841.64 | $947.67 | $1,324.37 | $2,012.51 |
| Somervell County | $741.54 | $841.64 | $947.67 | $1,324.37 | $2,012.51 |
| Tarrant County | $741.54 | $841.64 | $947.67 | $1,324.37 | $2,012.51 |
| Wise County | $741.54 | $841.64 | $947.67 | $1,324.37 | $2,012.51 |
| Coke County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Concho County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Irion County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Kimble County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Mason County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| McCulloch County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Menard County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Schleicher County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Sterling County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Sutton County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Tom Green County | $750.79 | $852.13 | $959.49 | $1,340.89 | $2,037.61 |
| Collin County | $756.99 | $859.17 | $967.42 | $1,351.97 | $2,054.45 |
| Dallas County | $756.99 | $859.17 | $967.42 | $1,351.97 | $2,054.45 |
| Ellis County | $756.99 | $859.17 | $967.42 | $1,351.97 | $2,054.45 |
| Hunt County | $756.99 | $859.17 | $967.42 | $1,351.97 | $2,054.45 |
| Navarro County | $756.99 | $859.17 | $967.42 | $1,351.97 | $2,054.45 |
| Rockwall County | $756.99 | $859.17 | $967.42 | $1,351.97 | $2,054.45 |
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.