Everyday Gold + Vision + Adult Dental
Gold · EPO · Ambetter from Superior HealthPlan · Texas
At age 40 it costs between $598.79 and $883.74 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 | 29418TX0160102 |
|---|---|
| Insurer | Ambetter from Superior HealthPlan |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $800 |
| Deductible (family) | $1,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,250 |
| Family maximum | $14,500 |
| Primary care visit | $35 |
| Specialist visit | $55 |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | $3 |
| Preferred brand drugs | $60 |
| 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 | $468.55 | $531.79 | $598.79 | $836.81 | $1,271.61 |
| Panola County | $468.55 | $531.79 | $598.79 | $836.81 | $1,271.61 |
| Rusk County | $468.55 | $531.79 | $598.79 | $836.81 | $1,271.61 |
| Andrews County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Ector County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Hardin County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Houston County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Jefferson County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Midland County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Nacogdoches County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Orange County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| San Jacinto County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Trinity County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Tyler County | $480.77 | $545.67 | $614.42 | $858.64 | $1,304.79 |
| Brooks County | $483.61 | $548.88 | $618.04 | $863.71 | $1,312.48 |
| Hidalgo County | $483.61 | $548.88 | $618.04 | $863.71 | $1,312.48 |
| Starr County | $483.61 | $548.88 | $618.04 | $863.71 | $1,312.48 |
| Webb County | $483.61 | $548.88 | $618.04 | $863.71 | $1,312.48 |
| Zapata County | $483.61 | $548.88 | $618.04 | $863.71 | $1,312.48 |
| Cherokee County | $507.12 | $575.57 | $648.08 | $905.69 | $1,376.29 |
| Henderson County | $507.12 | $575.57 | $648.08 | $905.69 | $1,376.29 |
| Rains County | $507.12 | $575.57 | $648.08 | $905.69 | $1,376.29 |
| Smith County | $507.12 | $575.57 | $648.08 | $905.69 | $1,376.29 |
| Van Zandt County | $507.12 | $575.57 | $648.08 | $905.69 | $1,376.29 |
| Wood County | $507.12 | $575.57 | $648.08 | $905.69 | $1,376.29 |
| Jack County | $515.56 | $585.15 | $658.88 | $920.78 | $1,399.21 |
| Montague County | $515.56 | $585.15 | $658.88 | $920.78 | $1,399.21 |
| Brazos County | $523.12 | $593.73 | $668.54 | $934.28 | $1,419.72 |
| Burleson County | $523.12 | $593.73 | $668.54 | $934.28 | $1,419.72 |
| Grimes County | $523.12 | $593.73 | $668.54 | $934.28 | $1,419.72 |
| Leon County | $523.12 | $593.73 | $668.54 | $934.28 | $1,419.72 |
| Madison County | $523.12 | $593.73 | $668.54 | $934.28 | $1,419.72 |
| Milam County | $523.12 | $593.73 | $668.54 | $934.28 | $1,419.72 |
| Robertson County | $523.12 | $593.73 | $668.54 | $934.28 | $1,419.72 |
| Austin County | $530.62 | $602.25 | $678.13 | $947.68 | $1,440.09 |
| Brazoria County | $530.62 | $602.25 | $678.13 | $947.68 | $1,440.09 |
| Colorado County | $530.62 | $602.25 | $678.13 | $947.68 | $1,440.09 |
| Fort Bend County | $530.62 | $602.25 | $678.13 | $947.68 | $1,440.09 |
| Matagorda County | $530.62 | $602.25 | $678.13 | $947.68 | $1,440.09 |
| Waller County | $530.62 | $602.25 | $678.13 | $947.68 | $1,440.09 |
| Wharton County | $530.62 | $602.25 | $678.13 | $947.68 | $1,440.09 |
| Bosque County | $537.24 | $609.75 | $686.57 | $959.49 | $1,458.03 |
| Falls County | $537.24 | $609.75 | $686.57 | $959.49 | $1,458.03 |
| Freestone County | $537.24 | $609.75 | $686.57 | $959.49 | $1,458.03 |
| Hill County | $537.24 | $609.75 | $686.57 | $959.49 | $1,458.03 |
| Limestone County | $537.24 | $609.75 | $686.57 | $959.49 | $1,458.03 |
| McLennan County | $537.24 | $609.75 | $686.57 | $959.49 | $1,458.03 |
| Chambers County | $542.85 | $616.12 | $693.75 | $969.51 | $1,473.27 |
| Liberty County | $542.85 | $616.12 | $693.75 | $969.51 | $1,473.27 |
| Montgomery County | $542.85 | $616.12 | $693.75 | $969.51 | $1,473.27 |
| Walker County | $542.85 | $616.12 | $693.75 | $969.51 | $1,473.27 |
| Bell County | $544.74 | $618.27 | $696.16 | $972.89 | $1,478.40 |
| Hamilton County | $544.74 | $618.27 | $696.16 | $972.89 | $1,478.40 |
| Lampasas County | $544.74 | $618.27 | $696.16 | $972.89 | $1,478.40 |
| Mills County | $544.74 | $618.27 | $696.16 | $972.89 | $1,478.40 |
| San Saba County | $544.74 | $618.27 | $696.16 | $972.89 | $1,478.40 |
| Atascosa County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Bandera County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Bexar County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Comal County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Edwards County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Frio County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Gillespie County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Gonzales County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Guadalupe County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Kendall County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Kerr County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Kinney County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Maverick County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Medina County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Real County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Val Verde County | $546.63 | $620.41 | $698.58 | $976.26 | $1,483.52 |
| Aransas County | $550.41 | $624.70 | $703.41 | $983.01 | $1,493.78 |
| Nueces County | $550.41 | $624.70 | $703.41 | $983.01 | $1,493.78 |
| Refugio County | $550.41 | $624.70 | $703.41 | $983.01 | $1,493.78 |
| Armstrong County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Carson County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Castro County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Collingsworth County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Dallam County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Deaf Smith County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Donley County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Gray County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Hartley County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Oldham County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Parmer County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Potter County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Randall County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Sherman County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Wheeler County | $573.92 | $651.38 | $733.45 | $1,024.99 | $1,557.58 |
| Cameron County | $583.31 | $662.04 | $745.45 | $1,041.77 | $1,583.07 |
| Willacy County | $583.31 | $662.04 | $745.45 | $1,041.77 | $1,583.07 |
| Camp County | $584.25 | $663.12 | $746.66 | $1,043.46 | $1,585.63 |
| Delta County | $584.25 | $663.12 | $746.66 | $1,043.46 | $1,585.63 |
| Calhoun County | $586.14 | $665.26 | $749.08 | $1,046.83 | $1,590.76 |
| De Witt County | $586.14 | $665.26 | $749.08 | $1,046.83 | $1,590.76 |
| Goliad County | $586.14 | $665.26 | $749.08 | $1,046.83 | $1,590.76 |
| Jackson County | $586.14 | $665.26 | $749.08 | $1,046.83 | $1,590.76 |
| Lavaca County | $586.14 | $665.26 | $749.08 | $1,046.83 | $1,590.76 |
| Victoria County | $586.14 | $665.26 | $749.08 | $1,046.83 | $1,590.76 |
| Galveston County | $588.98 | $668.48 | $752.70 | $1,051.89 | $1,598.45 |
| Harris County | $588.98 | $668.48 | $752.70 | $1,051.89 | $1,598.45 |
| Bastrop County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Blanco County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Burnet County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Caldwell County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Fayette County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Hays County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Lee County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Llano County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Travis County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Williamson County | $608.71 | $690.87 | $777.91 | $1,087.13 | $1,652 |
| Brewster County | $620.93 | $704.75 | $793.54 | $1,108.97 | $1,685.18 |
| El Paso County | $620.93 | $704.75 | $793.54 | $1,108.97 | $1,685.18 |
| Cooke County | $629.43 | $714.39 | $804.40 | $1,124.15 | $1,708.25 |
| Fannin County | $629.43 | $714.39 | $804.40 | $1,124.15 | $1,708.25 |
| Grayson County | $629.43 | $714.39 | $804.40 | $1,124.15 | $1,708.25 |
| Brown County | $666.11 | $756.03 | $851.28 | $1,189.66 | $1,807.80 |
| Coleman County | $666.11 | $756.03 | $851.28 | $1,189.66 | $1,807.80 |
| Comanche County | $666.11 | $756.03 | $851.28 | $1,189.66 | $1,807.80 |
| Fisher County | $666.11 | $756.03 | $851.28 | $1,189.66 | $1,807.80 |
| Mitchell County | $666.11 | $756.03 | $851.28 | $1,189.66 | $1,807.80 |
| Runnels County | $666.11 | $756.03 | $851.28 | $1,189.66 | $1,807.80 |
| Scurry County | $666.11 | $756.03 | $851.28 | $1,189.66 | $1,807.80 |
| Stonewall County | $666.11 | $756.03 | $851.28 | $1,189.66 | $1,807.80 |
| Denton County | $677.39 | $768.83 | $865.70 | $1,209.81 | $1,838.42 |
| Hood County | $677.39 | $768.83 | $865.70 | $1,209.81 | $1,838.42 |
| Johnson County | $677.39 | $768.83 | $865.70 | $1,209.81 | $1,838.42 |
| Palo Pinto County | $677.39 | $768.83 | $865.70 | $1,209.81 | $1,838.42 |
| Parker County | $677.39 | $768.83 | $865.70 | $1,209.81 | $1,838.42 |
| Somervell County | $677.39 | $768.83 | $865.70 | $1,209.81 | $1,838.42 |
| Tarrant County | $677.39 | $768.83 | $865.70 | $1,209.81 | $1,838.42 |
| Wise County | $677.39 | $768.83 | $865.70 | $1,209.81 | $1,838.42 |
| Coke County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Concho County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Irion County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Kimble County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Mason County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| McCulloch County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Menard County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Schleicher County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Sterling County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Sutton County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Tom Green County | $685.84 | $778.42 | $876.49 | $1,224.90 | $1,861.35 |
| Collin County | $691.51 | $784.85 | $883.74 | $1,235.02 | $1,876.73 |
| Dallas County | $691.51 | $784.85 | $883.74 | $1,235.02 | $1,876.73 |
| Ellis County | $691.51 | $784.85 | $883.74 | $1,235.02 | $1,876.73 |
| Hunt County | $691.51 | $784.85 | $883.74 | $1,235.02 | $1,876.73 |
| Navarro County | $691.51 | $784.85 | $883.74 | $1,235.02 | $1,876.73 |
| Rockwall County | $691.51 | $784.85 | $883.74 | $1,235.02 | $1,876.73 |
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.