BSW Prime Silver HMO 008
Silver · HMO · Baylor Scott and White Health Plan · Texas
At age 40 it costs between $563.96 and $1,044.83 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 | $5,000 | $8,500 | $35 | $20 |
| up to 150% of the federal poverty level | $0 | $1,700 | No Charge | No Charge |
| 150% to 200% | $1,000 | $3,200 | $10 | $10 |
| 200% to 250% | $4,500 | $7,600 | $25 | $15 |
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 | 40788TX0460008 |
|---|---|
| Insurer | Baylor Scott and White Health Plan |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,000 |
| Deductible (family) | $10,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,500 |
| Family maximum | $17,000 |
| Primary care visit | $35 |
| Specialist visit | $70 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $90 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 | $441.28 | $500.85 | $563.96 | $788.13 | $1,197.64 |
| Knox County | $441.28 | $500.85 | $563.96 | $788.13 | $1,197.64 |
| Bexar County | $538 | $610.63 | $687.56 | $960.87 | $1,460.13 |
| Burnet County | $547.87 | $621.83 | $700.18 | $978.49 | $1,486.92 |
| Llano County | $547.87 | $621.83 | $700.18 | $978.49 | $1,486.92 |
| Travis County | $547.87 | $621.83 | $700.18 | $978.49 | $1,486.92 |
| Williamson County | $547.87 | $621.83 | $700.18 | $978.49 | $1,486.92 |
| Collin County | $553.62 | $628.36 | $707.53 | $988.77 | $1,502.53 |
| Dallas County | $553.62 | $628.36 | $707.53 | $988.77 | $1,502.53 |
| Ellis County | $553.62 | $628.36 | $707.53 | $988.77 | $1,502.53 |
| Navarro County | $553.62 | $628.36 | $707.53 | $988.77 | $1,502.53 |
| Rockwall County | $553.62 | $628.36 | $707.53 | $988.77 | $1,502.53 |
| Somervell County | $583.78 | $662.59 | $746.07 | $1,042.64 | $1,584.39 |
| Bosque County | $595.23 | $675.59 | $760.70 | $1,063.08 | $1,615.45 |
| Falls County | $595.23 | $675.59 | $760.70 | $1,063.08 | $1,615.45 |
| Freestone County | $595.23 | $675.59 | $760.70 | $1,063.08 | $1,615.45 |
| Hill County | $595.23 | $675.59 | $760.70 | $1,063.08 | $1,615.45 |
| Limestone County | $595.23 | $675.59 | $760.70 | $1,063.08 | $1,615.45 |
| McLennan County | $595.23 | $675.59 | $760.70 | $1,063.08 | $1,615.45 |
| Andrews County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Borden County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Crane County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Dawson County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Ector County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Gaines County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Glasscock County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Howard County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Loving County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Martin County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Midland County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Pecos County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Reeves County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Upton County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Ward County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Winkler County | $602.49 | $683.83 | $769.98 | $1,076.05 | $1,635.16 |
| Crosby County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Dickens County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Floyd County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Garza County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Hale County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Hockley County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| King County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Lamb County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Lubbock County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Lynn County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Motley County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Terry County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Yoakum County | $610.33 | $692.73 | $780.01 | $1,090.06 | $1,656.45 |
| Bell County | $610.69 | $693.13 | $780.46 | $1,090.68 | $1,657.40 |
| Coryell County | $610.69 | $693.13 | $780.46 | $1,090.68 | $1,657.40 |
| Hamilton County | $610.69 | $693.13 | $780.46 | $1,090.68 | $1,657.40 |
| Lampasas County | $610.69 | $693.13 | $780.46 | $1,090.68 | $1,657.40 |
| Mills County | $610.69 | $693.13 | $780.46 | $1,090.68 | $1,657.40 |
| San Saba County | $610.69 | $693.13 | $780.46 | $1,090.68 | $1,657.40 |
| Brazos County | $620.50 | $704.26 | $793 | $1,108.21 | $1,684.03 |
| Milam County | $620.50 | $704.26 | $793 | $1,108.21 | $1,684.03 |
| Washington County | $620.50 | $704.26 | $793 | $1,108.21 | $1,684.03 |
| Brewster County | $622.43 | $706.45 | $795.46 | $1,111.65 | $1,689.26 |
| Coke County | $762.90 | $865.89 | $974.98 | $1,362.54 | $2,070.50 |
| McCulloch County | $762.90 | $865.89 | $974.98 | $1,362.54 | $2,070.50 |
| Reagan County | $762.90 | $865.89 | $974.98 | $1,362.54 | $2,070.50 |
| Callahan County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Coleman County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Comanche County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Eastland County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Fisher County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Haskell County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Jones County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Kent County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Mitchell County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Nolan County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Runnels County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Scurry County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Shackelford County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Stephens County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Stonewall County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Taylor County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Throckmorton County | $787.23 | $893.51 | $1,006.09 | $1,406 | $2,136.56 |
| Armstrong County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Briscoe County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Carson County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Castro County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Childress County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Collingsworth County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Dallam County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Deaf Smith County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Donley County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Gray County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Hall County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Hansford County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Hartley County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Hemphill County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Hutchinson County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Lipscomb County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Moore County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Ochiltree County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Oldham County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Parmer County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Potter County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Randall County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Roberts County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Sherman County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Swisher County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
| Wheeler County | $817.55 | $927.92 | $1,044.83 | $1,460.14 | $2,218.83 |
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.