Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Gold · HMO · WellPoint · Texas
At age 40 it costs between $571.15 and $700.82 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 | 47501TX0040007 |
|---|---|
| Insurer | WellPoint |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $1,500 |
| Deductible (family) | $3,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $5,000 |
| Family maximum | $10,000 |
| Primary care visit | $45 |
| Specialist visit | 40% 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 drugs | $10 |
| Preferred brand drugs | $50 |
| 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 | $446.91 | $507.24 | $571.15 | $798.18 | $1,212.91 |
| Comal County | $446.91 | $507.24 | $571.15 | $798.18 | $1,212.91 |
| Guadalupe County | $446.91 | $507.24 | $571.15 | $798.18 | $1,212.91 |
| Medina County | $446.91 | $507.24 | $571.15 | $798.18 | $1,212.91 |
| Wilson County | $446.91 | $507.24 | $571.15 | $798.18 | $1,212.91 |
| Collin County | $463.06 | $525.57 | $591.79 | $827.03 | $1,256.74 |
| Dallas County | $463.06 | $525.57 | $591.79 | $827.03 | $1,256.74 |
| Ellis County | $463.06 | $525.57 | $591.79 | $827.03 | $1,256.74 |
| Hunt County | $463.06 | $525.57 | $591.79 | $827.03 | $1,256.74 |
| Kaufman County | $463.06 | $525.57 | $591.79 | $827.03 | $1,256.74 |
| Rockwall County | $463.06 | $525.57 | $591.79 | $827.03 | $1,256.74 |
| Jefferson County | $479.99 | $544.79 | $613.43 | $857.26 | $1,302.69 |
| Orange County | $479.99 | $544.79 | $613.43 | $857.26 | $1,302.69 |
| Montgomery County | $486.10 | $551.72 | $621.24 | $868.17 | $1,319.28 |
| Walker County | $486.10 | $551.72 | $621.24 | $868.17 | $1,319.28 |
| Caldwell County | $486.91 | $552.64 | $622.27 | $869.62 | $1,321.47 |
| El Paso County | $487.11 | $552.87 | $622.53 | $869.98 | $1,322.02 |
| Hidalgo County | $490.14 | $556.31 | $626.40 | $875.39 | $1,330.24 |
| Denton County | $491.82 | $558.22 | $628.55 | $878.39 | $1,334.80 |
| Johnson County | $491.82 | $558.22 | $628.55 | $878.39 | $1,334.80 |
| Tarrant County | $491.82 | $558.22 | $628.55 | $878.39 | $1,334.80 |
| Cameron County | $493.84 | $560.51 | $631.13 | $882 | $1,340.28 |
| Harris County | $505.33 | $573.55 | $645.81 | $902.52 | $1,371.47 |
| Brazoria County | $508.60 | $577.26 | $649.99 | $908.36 | $1,380.34 |
| Fort Bend County | $508.60 | $577.26 | $649.99 | $908.36 | $1,380.34 |
| Matagorda County | $508.60 | $577.26 | $649.99 | $908.36 | $1,380.34 |
| Crosby County | $548.37 | $622.40 | $700.82 | $979.39 | $1,488.28 |
| Lubbock County | $548.37 | $622.40 | $700.82 | $979.39 | $1,488.28 |
| Lynn County | $548.37 | $622.40 | $700.82 | $979.39 | $1,488.28 |
| Terry County | $548.37 | $622.40 | $700.82 | $979.39 | $1,488.28 |
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.