Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Silver · POS · WellPoint · Texas
At age 40 it costs between $714.36 and $876.54 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 | 47501TX0030001 |
|---|---|
| Insurer | WellPoint |
| Metal level | Silver |
| Plan type | POS |
| 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 | 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 | 1-833-476-1458 · TTY 1-711-000-0000 |
Where it is sold, and what it costs there
30 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 |
|---|---|---|---|---|---|
| Bexar County | $558.97 | $634.43 | $714.36 | $998.32 | $1,517.04 |
| Comal County | $558.97 | $634.43 | $714.36 | $998.32 | $1,517.04 |
| Guadalupe County | $558.97 | $634.43 | $714.36 | $998.32 | $1,517.04 |
| Medina County | $558.97 | $634.43 | $714.36 | $998.32 | $1,517.04 |
| Wilson County | $558.97 | $634.43 | $714.36 | $998.32 | $1,517.04 |
| Collin County | $579.17 | $657.36 | $740.18 | $1,034.40 | $1,571.87 |
| Dallas County | $579.17 | $657.36 | $740.18 | $1,034.40 | $1,571.87 |
| Ellis County | $579.17 | $657.36 | $740.18 | $1,034.40 | $1,571.87 |
| Hunt County | $579.17 | $657.36 | $740.18 | $1,034.40 | $1,571.87 |
| Kaufman County | $579.17 | $657.36 | $740.18 | $1,034.40 | $1,571.87 |
| Rockwall County | $579.17 | $657.36 | $740.18 | $1,034.40 | $1,571.87 |
| Jefferson County | $600.34 | $681.39 | $767.23 | $1,072.21 | $1,629.32 |
| Orange County | $600.34 | $681.39 | $767.23 | $1,072.21 | $1,629.32 |
| Montgomery County | $607.98 | $690.06 | $777 | $1,085.85 | $1,650.06 |
| Walker County | $607.98 | $690.06 | $777 | $1,085.85 | $1,650.06 |
| Caldwell County | $609 | $691.22 | $778.30 | $1,087.67 | $1,652.83 |
| El Paso County | $609.24 | $691.49 | $778.61 | $1,088.10 | $1,653.48 |
| Hidalgo County | $613.03 | $695.79 | $783.45 | $1,094.87 | $1,663.76 |
| Denton County | $615.14 | $698.18 | $786.15 | $1,098.64 | $1,669.49 |
| Johnson County | $615.14 | $698.18 | $786.15 | $1,098.64 | $1,669.49 |
| Tarrant County | $615.14 | $698.18 | $786.15 | $1,098.64 | $1,669.49 |
| Cameron County | $617.66 | $701.04 | $789.37 | $1,103.14 | $1,676.33 |
| Harris County | $632.04 | $717.37 | $807.75 | $1,128.82 | $1,715.36 |
| Brazoria County | $636.13 | $722.01 | $812.97 | $1,136.13 | $1,726.46 |
| Fort Bend County | $636.13 | $722.01 | $812.97 | $1,136.13 | $1,726.46 |
| Matagorda County | $636.13 | $722.01 | $812.97 | $1,136.13 | $1,726.46 |
| Crosby County | $685.87 | $778.46 | $876.54 | $1,224.96 | $1,861.45 |
| Lubbock County | $685.87 | $778.46 | $876.54 | $1,224.96 | $1,861.45 |
| Lynn County | $685.87 | $778.46 | $876.54 | $1,224.96 | $1,861.45 |
| Terry County | $685.87 | $778.46 | $876.54 | $1,224.96 | $1,861.45 |
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.