Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Gold · POS · WellPoint · Texas
At age 40 it costs between $600.05 and $736.27 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 | 47501TX0030005 |
|---|---|
| Insurer | WellPoint |
| Metal level | Gold |
| Plan type | POS |
| Deductible (individual) | $1,000 |
| Deductible (family) | $2,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,950 |
| Family maximum | $17,900 |
| Primary care visit | $20 |
| Specialist visit | $50 |
| Emergency room | $500 Copay after deductible and 20% Coinsurance after deductible |
| Inpatient stay | $500 Copay per Stay after deductible and 20% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | $30 |
| 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 | $469.52 | $532.91 | $600.05 | $838.56 | $1,274.28 |
| Comal County | $469.52 | $532.91 | $600.05 | $838.56 | $1,274.28 |
| Guadalupe County | $469.52 | $532.91 | $600.05 | $838.56 | $1,274.28 |
| Medina County | $469.52 | $532.91 | $600.05 | $838.56 | $1,274.28 |
| Wilson County | $469.52 | $532.91 | $600.05 | $838.56 | $1,274.28 |
| Collin County | $486.49 | $552.17 | $621.73 | $868.87 | $1,320.33 |
| Dallas County | $486.49 | $552.17 | $621.73 | $868.87 | $1,320.33 |
| Ellis County | $486.49 | $552.17 | $621.73 | $868.87 | $1,320.33 |
| Hunt County | $486.49 | $552.17 | $621.73 | $868.87 | $1,320.33 |
| Kaufman County | $486.49 | $552.17 | $621.73 | $868.87 | $1,320.33 |
| Rockwall County | $486.49 | $552.17 | $621.73 | $868.87 | $1,320.33 |
| Jefferson County | $504.27 | $572.35 | $644.46 | $900.63 | $1,368.59 |
| Orange County | $504.27 | $572.35 | $644.46 | $900.63 | $1,368.59 |
| Montgomery County | $510.69 | $579.63 | $652.66 | $912.09 | $1,386.01 |
| Walker County | $510.69 | $579.63 | $652.66 | $912.09 | $1,386.01 |
| Caldwell County | $511.55 | $580.61 | $653.76 | $913.63 | $1,388.35 |
| El Paso County | $511.75 | $580.84 | $654.02 | $913.99 | $1,388.89 |
| Hidalgo County | $514.93 | $584.45 | $658.08 | $919.66 | $1,397.52 |
| Denton County | $516.70 | $586.45 | $660.34 | $922.83 | $1,402.32 |
| Johnson County | $516.70 | $586.45 | $660.34 | $922.83 | $1,402.32 |
| Tarrant County | $516.70 | $586.45 | $660.34 | $922.83 | $1,402.32 |
| Cameron County | $518.82 | $588.86 | $663.05 | $926.61 | $1,408.08 |
| Harris County | $530.90 | $602.57 | $678.49 | $948.19 | $1,440.86 |
| Brazoria County | $534.33 | $606.46 | $682.87 | $954.31 | $1,450.17 |
| Fort Bend County | $534.33 | $606.46 | $682.87 | $954.31 | $1,450.17 |
| Matagorda County | $534.33 | $606.46 | $682.87 | $954.31 | $1,450.17 |
| Crosby County | $576.11 | $653.88 | $736.27 | $1,028.93 | $1,563.56 |
| Lubbock County | $576.11 | $653.88 | $736.27 | $1,028.93 | $1,563.56 |
| Lynn County | $576.11 | $653.88 | $736.27 | $1,028.93 | $1,563.56 |
| Terry County | $576.11 | $653.88 | $736.27 | $1,028.93 | $1,563.56 |
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.