BSW Prime Silver HMO 005
Silver · HMO · Baylor Scott and White Health Plan · Texas
At age 40 it costs between $563.51 and $1,044 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 | $3,000 | $9,000 | $45 | $20 |
| up to 150% of the federal poverty level | $0 | $2,400 | No Charge | No Charge |
| 150% to 200% | $500 | $3,150 | $10 | $10 |
| 200% to 250% | $2,000 | $7,700 | $45 | $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 | 40788TX0460005 |
|---|---|
| Insurer | Baylor Scott and White Health Plan |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $3,000 |
| Deductible (family) | $6,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,000 |
| Family maximum | $18,000 |
| Primary care visit | $45 |
| Specialist visit | $85 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $60 Copay after deductible |
| Specialty drugs | $500 Copay after deductible |
| 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 | 1-844-633-5325 · TTY 1-800-735-2989 |
Where it is sold, and what it costs there
104 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 |
|---|---|---|---|---|---|
| Cottle County | $440.93 | $500.46 | $563.51 | $787.50 | $1,196.69 |
| Knox County | $440.93 | $500.46 | $563.51 | $787.50 | $1,196.69 |
| Bexar County | $537.57 | $610.14 | $687.02 | $960.10 | $1,458.97 |
| Burnet County | $547.43 | $621.34 | $699.62 | $977.72 | $1,485.74 |
| Llano County | $547.43 | $621.34 | $699.62 | $977.72 | $1,485.74 |
| Travis County | $547.43 | $621.34 | $699.62 | $977.72 | $1,485.74 |
| Williamson County | $547.43 | $621.34 | $699.62 | $977.72 | $1,485.74 |
| Collin County | $553.18 | $627.86 | $706.97 | $987.98 | $1,501.34 |
| Dallas County | $553.18 | $627.86 | $706.97 | $987.98 | $1,501.34 |
| Ellis County | $553.18 | $627.86 | $706.97 | $987.98 | $1,501.34 |
| Navarro County | $553.18 | $627.86 | $706.97 | $987.98 | $1,501.34 |
| Rockwall County | $553.18 | $627.86 | $706.97 | $987.98 | $1,501.34 |
| Somervell County | $583.32 | $662.07 | $745.48 | $1,041.81 | $1,583.13 |
| Bosque County | $594.76 | $675.05 | $760.10 | $1,062.24 | $1,614.17 |
| Falls County | $594.76 | $675.05 | $760.10 | $1,062.24 | $1,614.17 |
| Freestone County | $594.76 | $675.05 | $760.10 | $1,062.24 | $1,614.17 |
| Hill County | $594.76 | $675.05 | $760.10 | $1,062.24 | $1,614.17 |
| Limestone County | $594.76 | $675.05 | $760.10 | $1,062.24 | $1,614.17 |
| McLennan County | $594.76 | $675.05 | $760.10 | $1,062.24 | $1,614.17 |
| Andrews County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Borden County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Crane County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Dawson County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Ector County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Gaines County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Glasscock County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Howard County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Loving County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Martin County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Midland County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Pecos County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Reeves County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Upton County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Ward County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Winkler County | $602.01 | $683.29 | $769.37 | $1,075.20 | $1,633.87 |
| Crosby County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Dickens County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Floyd County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Garza County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Hale County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Hockley County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| King County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Lamb County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Lubbock County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Lynn County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Motley County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Terry County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Yoakum County | $609.85 | $692.18 | $779.39 | $1,089.19 | $1,655.14 |
| Bell County | $610.20 | $692.58 | $779.84 | $1,089.82 | $1,656.09 |
| Coryell County | $610.20 | $692.58 | $779.84 | $1,089.82 | $1,656.09 |
| Hamilton County | $610.20 | $692.58 | $779.84 | $1,089.82 | $1,656.09 |
| Lampasas County | $610.20 | $692.58 | $779.84 | $1,089.82 | $1,656.09 |
| Mills County | $610.20 | $692.58 | $779.84 | $1,089.82 | $1,656.09 |
| San Saba County | $610.20 | $692.58 | $779.84 | $1,089.82 | $1,656.09 |
| Brazos County | $620.01 | $703.71 | $792.37 | $1,107.33 | $1,682.70 |
| Milam County | $620.01 | $703.71 | $792.37 | $1,107.33 | $1,682.70 |
| Washington County | $620.01 | $703.71 | $792.37 | $1,107.33 | $1,682.70 |
| Brewster County | $621.93 | $705.89 | $794.83 | $1,110.77 | $1,687.93 |
| Coke County | $762.29 | $865.20 | $974.21 | $1,361.46 | $2,068.87 |
| McCulloch County | $762.29 | $865.20 | $974.21 | $1,361.46 | $2,068.87 |
| Reagan County | $762.29 | $865.20 | $974.21 | $1,361.46 | $2,068.87 |
| Callahan County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Coleman County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Comanche County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Eastland County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Fisher County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Haskell County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Jones County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Kent County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Mitchell County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Nolan County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Runnels County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Scurry County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Shackelford County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Stephens County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Stonewall County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Taylor County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Throckmorton County | $786.61 | $892.80 | $1,005.29 | $1,404.89 | $2,134.86 |
| Armstrong County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Briscoe County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Carson County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Castro County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Childress County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Collingsworth County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Dallam County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Deaf Smith County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Donley County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Gray County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Hall County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Hansford County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Hartley County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Hemphill County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Hutchinson County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Lipscomb County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Moore County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Ochiltree County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Oldham County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Parmer County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Potter County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Randall County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Roberts County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Sherman County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Swisher County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
| Wheeler County | $816.90 | $927.18 | $1,044 | $1,458.99 | $2,217.07 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.