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Health insurance in Texas: private plans, the Marketplace, and how AFHC helps
America First Healthcare helps Texas residents compare private plans, Marketplace options and gap coverage with a licensed advisor. Below is how buying coverage works in Texas, with every fact linked to its source.
Verify any agent's license through the NIPR lookup.
Quick facts
- Marketplace
- HealthCare.gov
- 2027 open enrollment
- See the dates
- Medicaid expansion
- Not adopted
- Short-term plans
- Limited
- Insurance department
- Texas Department of Insurance
Facts checked 2026-09-14.
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
- 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
- Short-term plans
- 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
- 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.
Who we usually help in Texas
Most Texas households who book a review are buying coverage without an employer in the middle. The hubs below explain each situation in detail.
- Self-employed and 1099 workers
- Small business owners
- Early retirees bridging to Medicare
- People losing employer coverage
- 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.
How the free review works for Texas residents
- Book online at the free healthcare review page or call (888) 728-7640.
- One scheduled call with one licensed advisor. We look at what you have and what your household actually needs in Texas.
- You get the options side by side with every cost shown. No timeline and no pressure; move forward or walk away knowing where you stand.
On our homepage map, Texas is one of the states marked active now.
Texas health insurance FAQs
Is short-term health insurance allowed 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.
When is open enrollment in Texas for 2027 coverage?
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.
Does Texas use HealthCare.gov or its own marketplace?
Texas uses HealthCare.gov, the federally facilitated Marketplace, for Marketplace plans and premium tax credits.
How do I verify an insurance agent's license in Texas?
Look the agent up through the NIPR license lookup, or contact the Texas Department of Insurance. Ask for the agent's name and national producer number before you share personal information. NIPR license lookup.
Want a plain-English walkthrough of your Texas options? Book a free healthcare review. No hard sell.
Free healthcare reviewEducational only. Not medical, legal, or personalized insurance advice. Plans are offered and underwritten by third-party carriers. All states.