2026 plan year · Texas
2026 health insurance plans in Fayette County, TX
49 Marketplace plans from 4 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $625benchmark silver (age 40)
- $433cheapest bronze (age 40)
- 4insurers
- +17.5%benchmark change vs. 2025
Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| UHC Bronze Essential ($0 Virtual Urgent Care) UnitedHealthcare · HMO | $352 | $450 | $956 | $10,600 | $10,600 | No Charge after Deductible |
| Blue Advantage Plus Bronze℠ 305 Blue Cross and Blue Shield of Texas · POS | $491 | $628 | $1,334 | $7,300 | $10,600 | 40% Coinsurance after deductible |
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist Sendero Health Plans, Local Nonprofit · HMO | $339 | $433 | $919 | $7,500 | $10,000 | $50 |
| Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs Sendero Health Plans, Local Nonprofit · HMO | $359 | $459 | $975 | $8,550 | $9,800 | $25 |
| UHC Bronze Standard UnitedHealthcare · HMO | $368 | $470 | $999 | $7,500 | $10,000 | $50 |
| UHC Bronze Standard+ (Dental + Vision) UnitedHealthcare · HMO | $381 | $486 | $1,033 | $7,500 | $10,000 | $50 |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) UnitedHealthcare · HMO | $390 | $498 | $1,057 | $0 | $10,600 | $45 |
| Blue Advantage Bronze HMO℠ Standard Blue Cross and Blue Shield of Texas · HMO | $500 | $639 | $1,357 | $7,500 | $10,000 | $50 |
| Blue Advantage Bronze HMO℠ 204 Blue Cross and Blue Shield of Texas · HMO | $501 | $640 | $1,359 | $6,000 | $10,150 | $45 |
| Blue Advantage Plus Bronze℠ Standard Blue Cross and Blue Shield of Texas · POS | $514 | $657 | $1,396 | $7,500 | $10,000 | $50 |
| Blue Advantage Plus Bronze℠ 303 Blue Cross and Blue Shield of Texas · POS | $531 | $678 | $1,441 | $7,000 | $10,150 | $75 |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs Sendero Health Plans, Local Nonprofit · HMO | $476 | $608 | $1,291 | $6,000 | $8,900 | $40 |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs Sendero Health Plans, Local Nonprofit · HMO | $489 | $625 | $1,327 | $4,250 | $7,750 | $20 |
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible Sendero Health Plans, Local Nonprofit · HMO | $521 | $666 | $1,415 | $0 | $9,200 | $40 |
| UHC Silver Standard UnitedHealthcare · HMO | $542 | $692 | $1,471 | $6,000 | $8,900 | $40 |
| UHC Silver Value ($0 Virtual Urgent Care) UnitedHealthcare · HMO | $551 | $704 | $1,494 | $3,000 | $8,950 | $20 |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) UnitedHealthcare · HMO | $551 | $704 | $1,496 | $3,500 | $9,200 | $15 |
| UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision) UnitedHealthcare · HMO | $563 | $720 | $1,528 | $3,000 | $8,950 | $20 |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) UnitedHealthcare · HMO | $564 | $720 | $1,530 | $3,500 | $9,200 | $15 |
| Standard Silver Ambetter from Superior HealthPlan · EPO | $639 | $817 | $1,734 | $6,000 | $8,900 | $40 |
| Focused Silver Ambetter from Superior HealthPlan · EPO | $642 | $821 | $1,743 | $6,300 | $8,400 | $40 |
| Enhanced Diabetes Care Silver with $0 Drug Options Ambetter from Superior HealthPlan · EPO | $648 | $828 | $1,759 | $5,000 | $8,650 | $30 |
| Standard Silver + Vision + Adult Dental Ambetter from Superior HealthPlan · EPO | $663 | $847 | $1,799 | $6,000 | $8,900 | $40 |
| Focused Silver + Vision + Adult Dental Ambetter from Superior HealthPlan · EPO | $666 | $852 | $1,808 | $6,300 | $8,400 | $40 |
| Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental Ambetter from Superior HealthPlan · EPO | $673 | $860 | $1,825 | $5,000 | $8,650 | $30 |
| Blue Advantage Silver HMO℠ Standard Blue Cross and Blue Shield of Texas · HMO | $807 | $1,031 | $2,190 | $6,000 | $8,900 | $40 |
| Blue Advantage Silver HMO℠ 205 Blue Cross and Blue Shield of Texas · HMO | $816 | $1,043 | $2,215 | $1,450 | $10,600 | No Charge |
| Blue Advantage Plus Silver℠ 202 Blue Cross and Blue Shield of Texas · POS | $823 | $1,052 | $2,234 | $1,250 | $10,500 | $25 |
| Blue Advantage Plus Silver℠ Standard Blue Cross and Blue Shield of Texas · POS | $826 | $1,056 | $2,243 | $6,000 | $8,900 | $40 |
| Blue Advantage Plus Silver℠ 605 Blue Cross and Blue Shield of Texas · POS | $847 | $1,082 | $2,298 | $0 | $10,150 | $115 |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs Sendero Health Plans, Local Nonprofit · HMO | $452 | $577 | $1,226 | $2,000 | $8,200 | $30 |
| Sendero Health Real Gold / $350 Deductible Sendero Health Plans, Local Nonprofit · HMO | $459 | $587 | $1,247 | $350 | $8,750 | 30% Coinsurance after deductible |
| UHC Gold Standard UnitedHealthcare · HMO | $468 | $598 | $1,269 | $2,000 | $8,200 | $30 |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) UnitedHealthcare · HMO | $478 | $611 | $1,298 | $0 | $7,800 | $15 |
| UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) UnitedHealthcare · HMO | $480 | $613 | $1,303 | $1,000 | $7,500 | $15 |
| UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) UnitedHealthcare · HMO | $491 | $628 | $1,333 | $0 | $7,800 | $15 |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) UnitedHealthcare · HMO | $493 | $629 | $1,337 | $1,000 | $7,500 | $15 |
| Standard Gold Ambetter from Superior HealthPlan · EPO | $584 | $747 | $1,585 | $2,000 | $8,200 | $30 |
| Everyday Gold Ambetter from Superior HealthPlan · EPO | $587 | $750 | $1,593 | $800 | $7,250 | $35 |
| Complete Gold Ambetter from Superior HealthPlan · EPO | $597 | $764 | $1,621 | $1,450 | $7,500 | $15 |
| Standard Gold + Vision + Adult Dental Ambetter from Superior HealthPlan · EPO | $606 | $774 | $1,644 | $2,000 | $8,200 | $30 |
| Everyday Gold + Vision + Adult Dental Ambetter from Superior HealthPlan · EPO | $609 | $778 | $1,652 | $800 | $7,250 | $35 |
| Complete Gold + Vision + Adult Dental Ambetter from Superior HealthPlan · EPO | $620 | $792 | $1,682 | $1,450 | $7,500 | $15 |
| Blue Advantage Gold HMO℠ 206 Blue Cross and Blue Shield of Texas · HMO | $680 | $869 | $1,844 | $550 | $10,100 | $30 |
| Blue Advantage Plus Gold℠ 803 Blue Cross and Blue Shield of Texas · POS | $689 | $880 | $1,869 | $2,400 | $10,400 | No Charge |
| Blue Advantage Gold HMO℠ Standard Blue Cross and Blue Shield of Texas · HMO | $694 | $886 | $1,883 | $2,000 | $8,200 | $30 |
| Blue Advantage Plus Gold℠ 203 Blue Cross and Blue Shield of Texas · POS | $697 | $891 | $1,891 | $1,700 | $10,150 | $20 |
| Blue Advantage Plus Gold℠ Standard Blue Cross and Blue Shield of Texas · POS | $724 | $925 | $1,965 | $2,000 | $8,200 | $30 |
Catastrophic plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Blue Advantage Security HMO℠ 200 Blue Cross and Blue Shield of Texas · HMO | $493 | $630 | $1,337 | $10,600 | $10,600 | $20 |
Care quality in Fayette County
Marketplace plans use networks. Check that the hospitals and doctors you'd want are in network, and how they're rated.
Turning 65?
Marketplace plans are for people who aren't on Medicare. See Medicare Advantage plans in Fayette County.
Frequently asked questions
How many Marketplace health plans are available in Fayette County, TX for 2026?
49 plans from 4 insurers: Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit, UnitedHealthcare.
What is the benchmark silver plan premium in Fayette County, TX?
For 2026, the second-lowest-cost silver plan costs $625 a month for a 40-year-old before tax credits, up 17.5% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Fayette County, TX?
The lowest bronze premium for a 40-year-old is $433 a month before tax credits. Bronze plans have low premiums but high deductibles.