Sendero Health Real Gold / $350 Deductible
Gold · HMO · Sendero Health Plans, Local Nonprofit · Texas
At age 40 it costs $587.09 a month before any subsidy.
What CMS publishes about it
| Plan ID | 71837TX0010002 |
|---|---|
| Insurer | Sendero Health Plans, Local Nonprofit |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $350 |
| Deductible (family) | $700 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,750 |
| Family maximum | $17,500 |
| Primary care visit | 30% Coinsurance after deductible |
| Specialist visit | 40% Coinsurance after deductible |
| Emergency room | 35% Coinsurance after deductible |
| Inpatient stay | 35% Coinsurance after deductible |
| Generic drugs | No Charge after Deductible |
| Preferred brand drugs | $40 Copay with deductible |
| Specialty drugs | 35% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | Yes |
| 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 | 1-844-800-4693 · TTY 1-844-800-4693 |
Where it is sold, and what it costs there
8 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 |
|---|---|---|---|---|---|
| Bastrop County | $459.38 | $521.40 | $587.09 | $820.46 | $1,246.77 |
| Burnet County | $459.38 | $521.40 | $587.09 | $820.46 | $1,246.77 |
| Caldwell County | $459.38 | $521.40 | $587.09 | $820.46 | $1,246.77 |
| Fayette County | $459.38 | $521.40 | $587.09 | $820.46 | $1,246.77 |
| Hays County | $459.38 | $521.40 | $587.09 | $820.46 | $1,246.77 |
| Lee County | $459.38 | $521.40 | $587.09 | $820.46 | $1,246.77 |
| Travis County | $459.38 | $521.40 | $587.09 | $820.46 | $1,246.77 |
| Williamson County | $459.38 | $521.40 | $587.09 | $820.46 | $1,246.77 |
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.