Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Expanded Bronze · HMO · WellPoint · Texas
At age 40 it costs between $423.71 and $519.90 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 | 47501TX0040005 |
|---|---|
| Insurer | WellPoint |
| Metal level | Expanded Bronze |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $7,500 |
| Deductible (family) | $15,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $10,000 |
| Family maximum | $20,000 |
| Primary care visit | $50 |
| Specialist visit | $100 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | 50% Coinsurance after deductible |
| Generic drugs | $25 |
| Preferred brand drugs | $50 Copay after deductible |
| Specialty drugs | $500 Copay 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 | $331.54 | $376.30 | $423.71 | $592.13 | $899.80 |
| Comal County | $331.54 | $376.30 | $423.71 | $592.13 | $899.80 |
| Guadalupe County | $331.54 | $376.30 | $423.71 | $592.13 | $899.80 |
| Medina County | $331.54 | $376.30 | $423.71 | $592.13 | $899.80 |
| Wilson County | $331.54 | $376.30 | $423.71 | $592.13 | $899.80 |
| Collin County | $343.52 | $389.90 | $439.02 | $613.53 | $932.31 |
| Dallas County | $343.52 | $389.90 | $439.02 | $613.53 | $932.31 |
| Ellis County | $343.52 | $389.90 | $439.02 | $613.53 | $932.31 |
| Hunt County | $343.52 | $389.90 | $439.02 | $613.53 | $932.31 |
| Kaufman County | $343.52 | $389.90 | $439.02 | $613.53 | $932.31 |
| Rockwall County | $343.52 | $389.90 | $439.02 | $613.53 | $932.31 |
| Jefferson County | $356.08 | $404.15 | $455.07 | $635.96 | $966.40 |
| Orange County | $356.08 | $404.15 | $455.07 | $635.96 | $966.40 |
| Montgomery County | $360.61 | $409.29 | $460.86 | $644.05 | $978.70 |
| Walker County | $360.61 | $409.29 | $460.86 | $644.05 | $978.70 |
| Caldwell County | $361.22 | $409.98 | $461.64 | $645.14 | $980.35 |
| El Paso County | $361.36 | $410.14 | $461.82 | $645.39 | $980.73 |
| Hidalgo County | $363.61 | $412.70 | $464.69 | $649.41 | $986.84 |
| Denton County | $364.86 | $414.12 | $466.29 | $651.64 | $990.23 |
| Johnson County | $364.86 | $414.12 | $466.29 | $651.64 | $990.23 |
| Tarrant County | $364.86 | $414.12 | $466.29 | $651.64 | $990.23 |
| Cameron County | $366.35 | $415.81 | $468.20 | $654.30 | $994.27 |
| Harris County | $374.88 | $425.49 | $479.10 | $669.54 | $1,017.42 |
| Brazoria County | $377.31 | $428.25 | $482.20 | $673.88 | $1,024.02 |
| Fort Bend County | $377.31 | $428.25 | $482.20 | $673.88 | $1,024.02 |
| Matagorda County | $377.31 | $428.25 | $482.20 | $673.88 | $1,024.02 |
| Crosby County | $406.81 | $461.73 | $519.90 | $726.56 | $1,104.08 |
| Lubbock County | $406.81 | $461.73 | $519.90 | $726.56 | $1,104.08 |
| Lynn County | $406.81 | $461.73 | $519.90 | $726.56 | $1,104.08 |
| Terry County | $406.81 | $461.73 | $519.90 | $726.56 | $1,104.08 |
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.