Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Expanded Bronze · POS · WellPoint · Texas
At age 40 it costs between $441.11 and $541.26 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 | 47501TX0030002 |
|---|---|
| Insurer | WellPoint |
| Metal level | Expanded Bronze |
| Plan type | POS |
| Deductible (individual) | $5,500 |
| Deductible (family) | $11,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,600 |
| Family maximum | $21,200 |
| Primary care visit | $30 |
| Specialist visit | 35% Coinsurance after deductible |
| Emergency room | $500 Copay after deductible and 50% Coinsurance after deductible |
| Inpatient stay | $500 Copay per Stay after deductible and 50% Coinsurance after deductible |
| Generic drugs | 35% Coinsurance after deductible |
| Preferred brand drugs | 40% Coinsurance after deductible |
| Specialty drugs | 50% Coinsurance 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 | $345.16 | $391.76 | $441.11 | $616.46 | $936.76 |
| Comal County | $345.16 | $391.76 | $441.11 | $616.46 | $936.76 |
| Guadalupe County | $345.16 | $391.76 | $441.11 | $616.46 | $936.76 |
| Medina County | $345.16 | $391.76 | $441.11 | $616.46 | $936.76 |
| Wilson County | $345.16 | $391.76 | $441.11 | $616.46 | $936.76 |
| Collin County | $357.64 | $405.92 | $457.06 | $638.75 | $970.63 |
| Dallas County | $357.64 | $405.92 | $457.06 | $638.75 | $970.63 |
| Ellis County | $357.64 | $405.92 | $457.06 | $638.75 | $970.63 |
| Hunt County | $357.64 | $405.92 | $457.06 | $638.75 | $970.63 |
| Kaufman County | $357.64 | $405.92 | $457.06 | $638.75 | $970.63 |
| Rockwall County | $357.64 | $405.92 | $457.06 | $638.75 | $970.63 |
| Jefferson County | $370.71 | $420.76 | $473.77 | $662.09 | $1,006.11 |
| Orange County | $370.71 | $420.76 | $473.77 | $662.09 | $1,006.11 |
| Montgomery County | $375.43 | $426.11 | $479.80 | $670.52 | $1,018.92 |
| Walker County | $375.43 | $426.11 | $479.80 | $670.52 | $1,018.92 |
| Caldwell County | $376.06 | $426.83 | $480.60 | $671.64 | $1,020.63 |
| El Paso County | $376.21 | $427 | $480.80 | $671.91 | $1,021.03 |
| Hidalgo County | $378.55 | $429.65 | $483.79 | $676.09 | $1,027.38 |
| Denton County | $379.85 | $431.13 | $485.45 | $678.41 | $1,030.91 |
| Johnson County | $379.85 | $431.13 | $485.45 | $678.41 | $1,030.91 |
| Tarrant County | $379.85 | $431.13 | $485.45 | $678.41 | $1,030.91 |
| Cameron County | $381.41 | $432.90 | $487.44 | $681.20 | $1,035.15 |
| Harris County | $390.28 | $442.97 | $498.78 | $697.04 | $1,059.22 |
| Brazoria County | $392.81 | $445.84 | $502.01 | $701.56 | $1,066.09 |
| Fort Bend County | $392.81 | $445.84 | $502.01 | $701.56 | $1,066.09 |
| Matagorda County | $392.81 | $445.84 | $502.01 | $701.56 | $1,066.09 |
| Crosby County | $423.52 | $480.70 | $541.26 | $756.41 | $1,149.43 |
| Lubbock County | $423.52 | $480.70 | $541.26 | $756.41 | $1,149.43 |
| Lynn County | $423.52 | $480.70 | $541.26 | $756.41 | $1,149.43 |
| Terry County | $423.52 | $480.70 | $541.26 | $756.41 | $1,149.43 |
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.