Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Gold · HMO · WellPoint · Texas
At age 40 it costs between $570.18 and $699.63 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 ID | 47501TX0040008 |
|---|---|
| Insurer | WellPoint |
| Metal level | Gold |
| Plan type | HMO |
| Standardised design | Design 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 deductible | Included 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 room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $446.15 | $506.38 | $570.18 | $796.82 | $1,210.85 |
| Comal County | $446.15 | $506.38 | $570.18 | $796.82 | $1,210.85 |
| Guadalupe County | $446.15 | $506.38 | $570.18 | $796.82 | $1,210.85 |
| Medina County | $446.15 | $506.38 | $570.18 | $796.82 | $1,210.85 |
| Wilson County | $446.15 | $506.38 | $570.18 | $796.82 | $1,210.85 |
| Collin County | $462.28 | $524.69 | $590.79 | $825.63 | $1,254.63 |
| Dallas County | $462.28 | $524.69 | $590.79 | $825.63 | $1,254.63 |
| Ellis County | $462.28 | $524.69 | $590.79 | $825.63 | $1,254.63 |
| Hunt County | $462.28 | $524.69 | $590.79 | $825.63 | $1,254.63 |
| Kaufman County | $462.28 | $524.69 | $590.79 | $825.63 | $1,254.63 |
| Rockwall County | $462.28 | $524.69 | $590.79 | $825.63 | $1,254.63 |
| Jefferson County | $479.18 | $543.87 | $612.39 | $855.82 | $1,300.49 |
| Orange County | $479.18 | $543.87 | $612.39 | $855.82 | $1,300.49 |
| Montgomery County | $485.27 | $550.78 | $620.18 | $866.69 | $1,317.02 |
| Walker County | $485.27 | $550.78 | $620.18 | $866.69 | $1,317.02 |
| Caldwell County | $486.09 | $551.71 | $621.22 | $868.16 | $1,319.25 |
| El Paso County | $486.28 | $551.93 | $621.47 | $868.50 | $1,319.76 |
| Hidalgo County | $489.31 | $555.37 | $625.34 | $873.91 | $1,327.99 |
| Denton County | $490.99 | $557.27 | $627.49 | $876.91 | $1,332.55 |
| Johnson County | $490.99 | $557.27 | $627.49 | $876.91 | $1,332.55 |
| Tarrant County | $490.99 | $557.27 | $627.49 | $876.91 | $1,332.55 |
| Cameron County | $493 | $559.56 | $630.05 | $880.50 | $1,338 |
| Harris County | $504.48 | $572.58 | $644.73 | $901 | $1,369.16 |
| Brazoria County | $507.74 | $576.28 | $648.89 | $906.82 | $1,378.01 |
| Fort Bend County | $507.74 | $576.28 | $648.89 | $906.82 | $1,378.01 |
| Matagorda County | $507.74 | $576.28 | $648.89 | $906.82 | $1,378.01 |
| Crosby County | $547.44 | $621.34 | $699.63 | $977.73 | $1,485.75 |
| Lubbock County | $547.44 | $621.34 | $699.63 | $977.73 | $1,485.75 |
| Lynn County | $547.44 | $621.34 | $699.63 | $977.73 | $1,485.75 |
| Terry County | $547.44 | $621.34 | $699.63 | $977.73 | $1,485.75 |
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.