Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Silver · HMO · WellPoint · Texas
At age 40 it costs between $680.27 and $834.70 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 47501TX0040013 |
|---|---|
| Insurer | WellPoint |
| Metal level | Silver |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 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 | $532.29 | $604.15 | $680.27 | $950.67 | $1,444.64 |
| Comal County | $532.29 | $604.15 | $680.27 | $950.67 | $1,444.64 |
| Guadalupe County | $532.29 | $604.15 | $680.27 | $950.67 | $1,444.64 |
| Medina County | $532.29 | $604.15 | $680.27 | $950.67 | $1,444.64 |
| Wilson County | $532.29 | $604.15 | $680.27 | $950.67 | $1,444.64 |
| Collin County | $551.53 | $625.99 | $704.86 | $985.03 | $1,496.85 |
| Dallas County | $551.53 | $625.99 | $704.86 | $985.03 | $1,496.85 |
| Ellis County | $551.53 | $625.99 | $704.86 | $985.03 | $1,496.85 |
| Hunt County | $551.53 | $625.99 | $704.86 | $985.03 | $1,496.85 |
| Kaufman County | $551.53 | $625.99 | $704.86 | $985.03 | $1,496.85 |
| Rockwall County | $551.53 | $625.99 | $704.86 | $985.03 | $1,496.85 |
| Jefferson County | $571.69 | $648.87 | $730.62 | $1,021.04 | $1,551.57 |
| Orange County | $571.69 | $648.87 | $730.62 | $1,021.04 | $1,551.57 |
| Montgomery County | $578.96 | $657.12 | $739.91 | $1,034.02 | $1,571.30 |
| Walker County | $578.96 | $657.12 | $739.91 | $1,034.02 | $1,571.30 |
| Caldwell County | $579.94 | $658.23 | $741.16 | $1,035.77 | $1,573.96 |
| El Paso County | $580.17 | $658.49 | $741.46 | $1,036.18 | $1,574.58 |
| Hidalgo County | $583.77 | $662.58 | $746.06 | $1,042.61 | $1,584.35 |
| Denton County | $585.78 | $664.86 | $748.63 | $1,046.20 | $1,589.81 |
| Johnson County | $585.78 | $664.86 | $748.63 | $1,046.20 | $1,589.81 |
| Tarrant County | $585.78 | $664.86 | $748.63 | $1,046.20 | $1,589.81 |
| Cameron County | $588.18 | $667.58 | $751.69 | $1,050.49 | $1,596.32 |
| Harris County | $601.87 | $683.12 | $769.19 | $1,074.94 | $1,633.48 |
| Brazoria County | $605.77 | $687.55 | $774.17 | $1,081.91 | $1,644.06 |
| Fort Bend County | $605.77 | $687.55 | $774.17 | $1,081.91 | $1,644.06 |
| Matagorda County | $605.77 | $687.55 | $774.17 | $1,081.91 | $1,644.06 |
| Crosby County | $653.13 | $741.30 | $834.70 | $1,166.49 | $1,772.59 |
| Lubbock County | $653.13 | $741.30 | $834.70 | $1,166.49 | $1,772.59 |
| Lynn County | $653.13 | $741.30 | $834.70 | $1,166.49 | $1,772.59 |
| Terry County | $653.13 | $741.30 | $834.70 | $1,166.49 | $1,772.59 |
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.