Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Gold · POS · WellPoint · Texas
At age 40 it costs between $596.35 and $731.74 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 | 47501TX0030007 |
|---|---|
| Insurer | WellPoint |
| Metal level | Gold |
| Plan type | POS |
| Deductible (individual) | $700 |
| Deductible (family) | $1,400 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $7,500 |
| Family maximum | $15,000 |
| Primary care visit | $20 |
| Specialist visit | $50 |
| Emergency room | $500 Copay after deductible and 40% Coinsurance after deductible |
| Inpatient stay | $500 Copay per Stay after deductible and 40% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | $60 |
| Specialty drugs | 40% 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 | $466.63 | $529.63 | $596.35 | $833.40 | $1,266.43 |
| Comal County | $466.63 | $529.63 | $596.35 | $833.40 | $1,266.43 |
| Guadalupe County | $466.63 | $529.63 | $596.35 | $833.40 | $1,266.43 |
| Medina County | $466.63 | $529.63 | $596.35 | $833.40 | $1,266.43 |
| Wilson County | $466.63 | $529.63 | $596.35 | $833.40 | $1,266.43 |
| Collin County | $483.50 | $548.77 | $617.91 | $863.53 | $1,312.22 |
| Dallas County | $483.50 | $548.77 | $617.91 | $863.53 | $1,312.22 |
| Ellis County | $483.50 | $548.77 | $617.91 | $863.53 | $1,312.22 |
| Hunt County | $483.50 | $548.77 | $617.91 | $863.53 | $1,312.22 |
| Kaufman County | $483.50 | $548.77 | $617.91 | $863.53 | $1,312.22 |
| Rockwall County | $483.50 | $548.77 | $617.91 | $863.53 | $1,312.22 |
| Jefferson County | $501.18 | $568.84 | $640.51 | $895.11 | $1,360.20 |
| Orange County | $501.18 | $568.84 | $640.51 | $895.11 | $1,360.20 |
| Montgomery County | $507.55 | $576.07 | $648.65 | $906.48 | $1,377.49 |
| Walker County | $507.55 | $576.07 | $648.65 | $906.48 | $1,377.49 |
| Caldwell County | $508.41 | $577.05 | $649.75 | $908.02 | $1,379.82 |
| El Paso County | $508.61 | $577.27 | $650 | $908.38 | $1,380.37 |
| Hidalgo County | $511.77 | $580.86 | $654.04 | $914.02 | $1,388.94 |
| Denton County | $513.53 | $582.86 | $656.29 | $917.16 | $1,393.72 |
| Johnson County | $513.53 | $582.86 | $656.29 | $917.16 | $1,393.72 |
| Tarrant County | $513.53 | $582.86 | $656.29 | $917.16 | $1,393.72 |
| Cameron County | $515.64 | $585.25 | $658.99 | $920.93 | $1,399.45 |
| Harris County | $527.64 | $598.87 | $674.32 | $942.37 | $1,432.01 |
| Brazoria County | $531.05 | $602.74 | $678.68 | $948.46 | $1,441.27 |
| Fort Bend County | $531.05 | $602.74 | $678.68 | $948.46 | $1,441.27 |
| Matagorda County | $531.05 | $602.74 | $678.68 | $948.46 | $1,441.27 |
| Crosby County | $572.57 | $649.87 | $731.74 | $1,022.61 | $1,553.95 |
| Lubbock County | $572.57 | $649.87 | $731.74 | $1,022.61 | $1,553.95 |
| Lynn County | $572.57 | $649.87 | $731.74 | $1,022.61 | $1,553.95 |
| Terry County | $572.57 | $649.87 | $731.74 | $1,022.61 | $1,553.95 |
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.