QHP Index

Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Gold · POS · WellPoint · Texas

At age 40 it costs between $598.72 and $734.63 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 ID47501TX0030006
InsurerWellPoint
Metal levelGold
Plan typePOS
Standardised designDesign 1 — a plan CMS defined the benefits of, so it can be compared like for like
Deductible (individual)$2,000
Deductible (family)$4,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,200
Family maximum$16,400
Primary care visit$30
Specialist visit$60
Emergency room25% Coinsurance after deductible
Inpatient stay25% Coinsurance after deductible
Generic drugs$15
Preferred brand drugs$30
Specialty drugs$250
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-476-1458 · 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.

CountyAt 21At 30At 40At 50At 60
Bexar County $468.48$531.72 $598.72$836.71 $1,271.45
Comal County $468.48$531.72 $598.72$836.71 $1,271.45
Guadalupe County $468.48$531.72 $598.72$836.71 $1,271.45
Medina County $468.48$531.72 $598.72$836.71 $1,271.45
Wilson County $468.48$531.72 $598.72$836.71 $1,271.45
Collin County $485.41$550.94 $620.35$866.94 $1,317.40
Dallas County $485.41$550.94 $620.35$866.94 $1,317.40
Ellis County $485.41$550.94 $620.35$866.94 $1,317.40
Hunt County $485.41$550.94 $620.35$866.94 $1,317.40
Kaufman County $485.41$550.94 $620.35$866.94 $1,317.40
Rockwall County $485.41$550.94 $620.35$866.94 $1,317.40
Jefferson County $503.16$571.09 $643.04$898.64 $1,365.58
Orange County $503.16$571.09 $643.04$898.64 $1,365.58
Montgomery County $509.56$578.35 $651.22$910.07 $1,382.95
Walker County $509.56$578.35 $651.22$910.07 $1,382.95
Caldwell County $510.42$579.33 $652.32$911.61 $1,385.28
El Paso County $510.62$579.55 $652.57$911.97 $1,385.82
Hidalgo County $513.79$583.15 $656.62$917.63 $1,394.43
Denton County $515.56$585.16 $658.89$920.79 $1,399.23
Johnson County $515.56$585.16 $658.89$920.79 $1,399.23
Tarrant County $515.56$585.16 $658.89$920.79 $1,399.23
Cameron County $517.67$587.56 $661.58$924.56 $1,404.96
Harris County $529.72$601.23 $676.98$946.08 $1,437.66
Brazoria County $533.15$605.13 $681.37$952.21 $1,446.97
Fort Bend County $533.15$605.13 $681.37$952.21 $1,446.97
Matagorda County $533.15$605.13 $681.37$952.21 $1,446.97
Crosby County $574.83$652.43 $734.63$1,026.65 $1,560.09
Lubbock County $574.83$652.43 $734.63$1,026.65 $1,560.09
Lynn County $574.83$652.43 $734.63$1,026.65 $1,560.09
Terry County $574.83$652.43 $734.63$1,026.65 $1,560.09

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.