Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Gold · HMO · WellPoint · Texas
At age 40 it costs between $567.76 and $696.66 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 | 47501TX0040009 |
|---|---|
| Insurer | WellPoint |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $800 |
| Deductible (family) | $1,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,000 |
| Family maximum | $18,000 |
| Primary care visit | $10 |
| Specialist visit | $45 |
| Emergency room | $500 Copay after deductible and 30% Coinsurance after deductible |
| Inpatient stay | $500 Copay per Stay after deductible and 30% Coinsurance after deductible |
| Generic drugs | $5 |
| 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 | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Comal County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Guadalupe County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Medina County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Wilson County | $444.26 | $504.24 | $567.76 | $793.45 | $1,205.72 |
| Collin County | $460.32 | $522.46 | $588.29 | $822.13 | $1,249.31 |
| Dallas County | $460.32 | $522.46 | $588.29 | $822.13 | $1,249.31 |
| Ellis County | $460.32 | $522.46 | $588.29 | $822.13 | $1,249.31 |
| Hunt County | $460.32 | $522.46 | $588.29 | $822.13 | $1,249.31 |
| Kaufman County | $460.32 | $522.46 | $588.29 | $822.13 | $1,249.31 |
| Rockwall County | $460.32 | $522.46 | $588.29 | $822.13 | $1,249.31 |
| Jefferson County | $477.15 | $541.57 | $609.80 | $852.19 | $1,294.99 |
| Orange County | $477.15 | $541.57 | $609.80 | $852.19 | $1,294.99 |
| Montgomery County | $483.22 | $548.45 | $617.56 | $863.03 | $1,311.46 |
| Walker County | $483.22 | $548.45 | $617.56 | $863.03 | $1,311.46 |
| Caldwell County | $484.03 | $549.37 | $618.59 | $864.48 | $1,313.66 |
| El Paso County | $484.22 | $549.59 | $618.83 | $864.82 | $1,314.17 |
| Hidalgo County | $487.23 | $553.01 | $622.68 | $870.19 | $1,322.34 |
| Denton County | $488.90 | $554.90 | $624.81 | $873.18 | $1,326.87 |
| Johnson County | $488.90 | $554.90 | $624.81 | $873.18 | $1,326.87 |
| Tarrant County | $488.90 | $554.90 | $624.81 | $873.18 | $1,326.87 |
| Cameron County | $490.91 | $557.18 | $627.38 | $876.77 | $1,332.33 |
| Harris County | $502.34 | $570.16 | $641.99 | $897.18 | $1,363.35 |
| Brazoria County | $505.59 | $573.84 | $646.14 | $902.98 | $1,372.17 |
| Fort Bend County | $505.59 | $573.84 | $646.14 | $902.98 | $1,372.17 |
| Matagorda County | $505.59 | $573.84 | $646.14 | $902.98 | $1,372.17 |
| Crosby County | $545.12 | $618.71 | $696.66 | $973.58 | $1,479.46 |
| Lubbock County | $545.12 | $618.71 | $696.66 | $973.58 | $1,479.46 |
| Lynn County | $545.12 | $618.71 | $696.66 | $973.58 | $1,479.46 |
| Terry County | $545.12 | $618.71 | $696.66 | $973.58 | $1,479.46 |
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.