Texas health insurance 2027: prices, plans and free help

Texas health insurance facts

Marketplace

Texas uses HealthCare.gov, the federally facilitated Marketplace.Source

2027 open enrollment

November 1, 2026 to January 15, 2027. Enroll by December 15, 2026 for coverage that starts January 1, 2027; enroll December 16 to January 15 for a February 1 start.Source All states' 2027 dates.

Medicaid expansion

Texas has not adopted Medicaid expansion. Adults without children generally do not qualify for Medicaid on income alone, and people below the poverty line may fall into a coverage gap.Source

State insurance department

Texas Department of Insurance. File complaints and check agent licenses here.Source

Facts checked 2026-09-14. Rules change; confirm anything you plan around at the linked source.

Average cost of health insurance in Texas for 2027

The benchmark plan, the second-lowest-cost silver plan that tax credits are measured against, averages $737 a month for a 40-year-old in Texas for 2027, before any credit. That is up 11% from $661 in 2026.Source By county, the 2027 benchmark runs from $644 to $1,049 a month.Source

2027 benchmark silver price by age in Texas

Age 40 is the KFF benchmark. Other ages use the CMS default age curve.SourceSource Tax credits lower these prices for most buyers. See your own price with the 2027 price checker.

The 2026 Marketplace in Texas, in numbers

For 2026, 4,172,233 Texas residents picked a Marketplace plan during Open Enrollment, and 92.9% of them received an advance premium tax credit. The average premium was $709 a month per person before the credit and $89 after it, counting everyone who picked a plan. 49.5% paid $10 a month or less after the credit.Source

The benchmark plan, the second-lowest-cost silver plan that tax credits are measured against, averaged $661 a month for a 40-year-old in Texas in 2026, before any credit.Source 18 insurers offered individual-market plans through HealthCare.gov in Texas for 2026.Source

Your own price depends on your age, county, household income and the plan you pick, and you see exact 2027 numbers only on a Marketplace application or a quote. How the pieces fit together is in how much health insurance costs per month.

What our clients in Texas actually paid each month is in health insurance cost by state.

Health insurance companies in Texas for 2027

CMS lists 13 insurers selling 907 Marketplace plans in Texas for 2027, across 254 counties. Which ones you can buy depends on your county.Source

• Blue Cross and Blue Shield of Texas: all 254 counties
• UnitedHealthcare: 218 of 254 counties
• Ambetter from Superior HealthPlan: 151 of 254 counties
• Oscar Insurance Company: 49 of 254 counties
• WellPoint: 44 of 254 counties
• CHRISTUS Health Plan: 39 of 254 counties
• Community Health Choice: 20 of 254 counties
• Antidote Health of TX: 18 of 254 counties
• Harbor Health: 13 of 254 counties
• Imperial Insurance Companies, Inc.: 13 of 254 counties
• Sendero Health Plans, Local Nonprofit: 8 of 254 counties
• Molina Healthcare: 8 of 254 counties
• Community First: 1 of 254 counties

This is CMS’s list of insurers on HealthCare.gov, not a list of the companies America First Healthcare works with.

Cheap health insurance in Texas: where the low prices are

Before tax credits, the lowest-cost bronze plan for a 40-year-old costs $528 a month in the middle Texas county for 2027, from $389 to $635 across the state. The lowest-cost silver plan costs $792 in the middle county.Source

Tax credits change the price most. For 2026, 92.9% of Texas Marketplace enrollees got a premium tax credit, and 49.5% paid $10 a month or less after it.Source

Texas has not expanded Medicaid, so some adults with low incomes fall between Medicaid and Marketplace tax credits.Source For people who mainly want protection from a large bill, a catastrophic plan can cost less; what our own clients pay is in health insurance cost by state.

Short-term health insurance in Texas

Short-term plans are sold in Texas. The Texas Department of Insurance describes them as plans that last three months or less; when a plan ends you have to buy a new one, and they do not have to follow federal rules on pre-existing conditions or essential benefits.Source Short-term plans are not Marketplace coverage and do not get tax credits. How they compare with a catastrophic plan is in catastrophic coverage.

Free, impartial help in Texas

If you have Medicare or will soon: Texas’s State Health Insurance Assistance Program (SHIP) is Health Information, Counseling, and Advocacy Program (HICAP), 1-800-252-9240.Source SHIPs are federally funded, give objective one-on-one Medicare counseling, and there is no cost to use them.Source

If you are buying a Marketplace plan: HealthCare.gov’s Find Local Help directory lists assisters trained and certified by the Marketplace, who are required to give fair, impartial information.Source

America First Healthcare is a licensed agency, not a SHIP or a Marketplace assister. Use them, us, or both; a second opinion costs you nothing either way.

Who we usually help in Texas

New to private coverage? Start with private health insurance in the USA.

Self-employed? Self-employed health insurance in Texas has your 4 options, 2026 prices and a tax deduction calculator.

• Self-employed and 1099 workers, plus the five coverage alternatives and how the rules differ by state
• Small business owners
• Early retirees bridging to Medicare
• People losing employer coverage
• People who are out of work
• Families who want catastrophic-first coverage

We work with families across Texas, including Houston, Dallas, San Antonio, Austin and Fort Worth, and everywhere in between. The review is by phone or video, so where you live in the state does not change how it works.

What a licensed advisor does and how advisors are paid is on talk to a licensed advisor near you.

On our homepage map, Texas is one of the states marked active now.

Texas health insurance FAQs

Educational only. Not medical, legal, or personalized insurance advice. Plans are offered and underwritten by third-party carriers. All states.