QHP Index

Wellpoint Essential Bronze 4000 HSA (+ Incentives)

Expanded Bronze · HMO · WellPoint · Texas

At age 40 it costs between $436.33 and $535.41 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 ID47501TX0040002
InsurerWellPoint
Metal levelExpanded Bronze
Plan typeHMO
Deductible (individual)$4,000
Deductible (family)$8,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,450
Family maximum$16,900
Primary care visit40% Coinsurance after deductible
Specialist visit40% Coinsurance after deductible
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 drugs20% Coinsurance after deductible
Preferred brand drugs40% Coinsurance after deductible
Specialty drugs50% Coinsurance after deductible
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 $341.42$387.51 $436.33$609.78 $926.61
Comal County $341.42$387.51 $436.33$609.78 $926.61
Guadalupe County $341.42$387.51 $436.33$609.78 $926.61
Medina County $341.42$387.51 $436.33$609.78 $926.61
Wilson County $341.42$387.51 $436.33$609.78 $926.61
Collin County $353.77$401.53 $452.12$631.83 $960.13
Dallas County $353.77$401.53 $452.12$631.83 $960.13
Ellis County $353.77$401.53 $452.12$631.83 $960.13
Hunt County $353.77$401.53 $452.12$631.83 $960.13
Kaufman County $353.77$401.53 $452.12$631.83 $960.13
Rockwall County $353.77$401.53 $452.12$631.83 $960.13
Jefferson County $366.70$416.20 $468.64$654.93 $995.22
Orange County $366.70$416.20 $468.64$654.93 $995.22
Montgomery County $371.36$421.49 $474.60$663.25 $1,007.87
Walker County $371.36$421.49 $474.60$663.25 $1,007.87
Caldwell County $371.99$422.21 $475.40$664.37 $1,009.58
El Paso County $372.14$422.38 $475.59$664.64 $1,009.99
Hidalgo County $374.45$425 $478.55$668.77 $1,016.26
Denton County $375.74$426.46 $480.20$671.07 $1,019.76
Johnson County $375.74$426.46 $480.20$671.07 $1,019.76
Tarrant County $375.74$426.46 $480.20$671.07 $1,019.76
Cameron County $377.28$428.21 $482.16$673.82 $1,023.94
Harris County $386.06$438.18 $493.38$689.50 $1,047.77
Brazoria County $388.56$441.02 $496.58$693.97 $1,054.55
Fort Bend County $388.56$441.02 $496.58$693.97 $1,054.55
Matagorda County $388.56$441.02 $496.58$693.97 $1,054.55
Crosby County $418.94$475.50 $535.41$748.23 $1,137
Lubbock County $418.94$475.50 $535.41$748.23 $1,137
Lynn County $418.94$475.50 $535.41$748.23 $1,137
Terry County $418.94$475.50 $535.41$748.23 $1,137

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.