Showing results for Texas, US
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Texas Health Resources
texashealth.org › Costs-and-Billing › Health-Insurance-Marketplace
Health Insurance Marketplace
Following are resources in the community where you can get in-person help to apply for a Health Insurance Marketplace plan. ... Carevide 111 N. Johnson Street Farmerville, Texas 75442 Web: www.carevide.org Phone: 972-782-6131
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Texas.gov
texas.gov › home › health services › texas health insurance
Texas Health Insurance | Texas.gov
These centers provide high quality, low-cost health care on a sliding fee scale to individuals and their families regardless of age, health, insurance, or immigration status. Insurance you buy from a company or the marketplace is individual insurance.
People also ask

Who can buy Marketplace health insurance in Texas?
To qualify for health coverage through the Texas Marketplace, you must:
  • Live in Texas
  • Be lawfully present in the United States
  • Not be incarcerated
  • Not be enrolled in Medicare
Eligibility for financial assistance (premium subsidies and cost-sharing reductions) depends on your income. In addition, to qualify for financial assistance with the cost of your Marketplace plan you must:
  • Not have access to affordable health coverage offered by an employer. If your employer offers coverage but you feel it’s too expensive, you can use our Employer Health Plan Affordability Calculator to see if you might qualify for premium subsidies in the Marketplace.
  • Not be eligible for Medicaid or CHIP.
  • Not be eligible for premium-free Medicare Part A.[efn_note]Medicare and the Marketplace, Master FAQ. Centers for Medicare and Medicaid Services. Accessed Dec. 28, 2025[/efn_note]
  • If married, file a joint tax return.[efn_note]Premium Tax Credit — The Basics. Internal Revenue Service. Accessed Dec. 28, 2025[/efn_note]
  • Not be able to be claimed by someone else as a tax dependent.[efn_note]Premium Tax Credit — The Basics. Internal Revenue Service. Accessed Dec. 28, 2025[/efn_note]
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healthinsurance.org
healthinsurance.org › home › health insurance marketplace › texas health insurance marketplace | 2026 aca guide
Texas ACA Health Insurance Marketplace | 2026 Guide
How do I enroll in Texas ACA Marketplace health insurance?
To enroll in an ACA Marketplace plan in Texas, you can:
  • Visit HealthCare.gov, the Texas health insurance marketplace.
  • Purchase individual and family health coverage with the help of an insurance agent or broker, a Navigator or certified application counselor, or an approved enhanced direct enrollment entity.[efn_note]“Entities Approved to Use Enhanced Direct Enrollment” CMS.gov. Dec. 9, 2025[/efn_note]
  • Get a quote from a licensed third-party agency using the quoting feature below. 
  • Talk directly with a licensed third-party agent or broker at 866-553-3223
You can also call HealthCare.gov’s contact center by dialing 1-800-318-2596 (TTY: 1-855-889-4325). The call center is available 24 hours a day, seven days a week, but it’s closed on holidays.
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healthinsurance.org
healthinsurance.org › home › health insurance marketplace › texas health insurance marketplace | 2026 aca guide
Texas ACA Health Insurance Marketplace | 2026 Guide
How many insurers offer Marketplace coverage in Texas?
The Texas individual/family Marketplace has 16 participating insurers offering coverage for 2026 (coverage areas differ from one insurer to another). This is the same as 2025, but with some changes: Aetna is no longer offering coverage after the end of 2025 (as is the case in all states where Aetna offered Marketplace coverage in 2025), and Harbor Health joined the Texas Marketplace for 2026.[efn_note]"Texas Rate Review Submissions" RateReview.HealthCare.gov. And "SERFF Filing number HHIC-134520793" Texas SERFF. Accessed Aug. 30, 2025[/efn_note] Enrollees with 2025 Aetna coverage were able to select a new plan during the open enrollment period that began November 1, 2025. There was a similar change for 2025, when the number of participating insurers stayed at 16,[efn_note]"Texas Rate Review Submissions" RateReview.HealthCare.gov. Accessed Dec. 4, 2024[/efn_note] but there was one newcomer (Wellpoint)[efn_note]"Wellpoint expanding healthcare coverage in your market for 2025 plan year" Wellpoint Provider News. Sep. 17, 2024[/efn_note] and one carrier that exited at the end of 2024 (Ascension/U.S. Health & Life).[efn_note]"Ascension will stop offering health insurance plans in Texas" Kut News. June 27, 2024[/efn_note] In most Texas counties, at least three insurers offered health plans on the exchange in 2025, although some counties in the north-central part of the state only had plans available from one insurer. But there were also numerous counties where five or more insurers offer Marketplace plans.[efn_note]Plan Year 2025 Qualified Health Plan Choice and Premiums in HealthCare.gov Marketplaces. Centers for Medicare and Medicaid Services. Oct. 25, 2024[/efn_note] As of late 2025, neither CMS nor the Texas Department of Insurance had published a Marketplace coverage area map for 2026. But the HealthCare.gov plan comparison tool confirmed that there are still several counties in north-central Texas where Blue Cross Blue Shield of Texas is the only insurer offering plans for 2026.[efn_note]"See Plans & Prices" (zip codes 79252, 79248, 76384, 76380, 76310, 76308, 76305) HealthCare.gov. Accessed Dec. 28, 2025[/efn_note]
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healthinsurance.org
healthinsurance.org › home › health insurance marketplace › texas health insurance marketplace | 2026 aca guide
Texas ACA Health Insurance Marketplace | 2026 Guide
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Wellpoint
wellpoint.com › tx › individual-family › aca-marketplace
Shop for Affordable ACA Marketplace Plans in Texas | Wellpoint
Get affordable coverage for prescription drugs, doctor and hospital visits, and mental healthcare with a Wellpoint Affordable Care Act (ACA) insurance plan. Select plans include dental and/or vision benefits for adults and children, too. Whether you’re a member in Dallas–Fort Worth, Houston, San Antonio, or the Harlingen–Weslaco–Brownsville area, your Wellpoint plan offers convenient access to quality care. ... ACA Marketplace plans offer different levels of cost-sharing.
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Imperial Health Plan
exchange.imperialhealthplan.com › home › texas marketplace
Texas Marketplace - Imperial Health Plan
July 15, 2020 - Imperial Insurances Companies Texas EOC – SECTION 4 – MEDICAL NECESSITY, REFERRAL, AND PREAUTHORIZATION REQUIREMENTS, page 16 ... Imperial has made some changes for 2025 that we would like you to know about. ... If you are unable to locate a provider in Imperial’s network directory, you have the option to explore Multiplan’s directory by following the link below.
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HealthInsurance.org
healthinsurance.org › home › health insurance marketplace › texas health insurance marketplace | 2026 aca guide
Texas ACA Health Insurance Marketplace | 2026 Guide
2 days ago - Texas uses the federally facilitated health insurance exchange (Marketplace), HealthCare.gov, for residents to purchase its ACA Marketplace plans. The Marketplace provides access to health insurance products from 16 private insurers for 2026.
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Aetna
ambetterhealth.com › en › tx
Affordable Health Insurance in Texas | Ambetter from Superior HealthPlan
Provider · Broker · ¿Hablas Español?Affordable Health Insurance in Texas | Ambetter from Superior HealthPlan En Affordable Health Insurance in Texas | Ambetter from Superior HealthPlan · Search · Shop Plans · Need help? Call us now at: 855-206-4186 (TTY: 711) Renewal takes a little effort, but your health is worth it — and we’re here to help.
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HealthCare.gov
healthcare.gov
Welcome to the Health Insurance Marketplace® | HealthCare.gov
Save money on your Marketplace plan costs. ... Get tips to confirm info on your application. ... Know which changes to report and how to report them. Time's running out — Make sure you're covered for 2026 · Get help applying and picking a plan before Open Enrollment ends on January 15. ... More people now qualify for Catastrophic plans, and all Catastrophic & Bronze plans work with Health Savings Accounts.
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Blue Cross and Blue Shield of Texas
bcbstx.com
Health Insurance in Texas | Blue Cross and Blue Shield of Texas
When you choose Blue Cross and Blue Shield of Texas, you're not just getting health insurance.
Find elsewhere
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HealthSherpa
healthsherpa.com › states › texas-aca
HealthSherpa | Marketplace (ACA) Insurance Plans in Texas
Need help applying for ACA enrollment? Find, research, and compare ACA insurance plans in the Texas 2026 healthcare marketplace.
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Texas Department of Insurance
tdi.texas.gov › consumer › health-insurance.html
Health insurance - Texas Department of Insurance
Often, consumers didn’t know they were getting care from out-of-network providers. ... We offer a variety of ways to research health plans and the costs of services. TexasHealthcareCosts.org Get information on more than 200 of the most common surgeries, tests, and other procedures. Search by ZIP code to get the average amount billed for a medical service and the average insurance payment.
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Uwct
uwct.org › who-we-help › marketplace-insurance
Marketplace Insurance - United Way of Central Texas
Prosper Health (through Foundation Communities) has federally-certified Navigators to help clients enroll in affordable heath insurance. Here is the direct link Foundation Communities | Creating housing where families succeed in Austin and North Texas.Prosper Health Coverage - Foundation Communities · ********************************************************************************** Put your health and well-being first with Marketplace health insurance.
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Texas Health Resources
texashealth.org › Costs-and-Billing › Insurance-Plans-Accepted
Insurance Plans Accepted
The insurance or other coverage plan would work directly with Texas Health to complete the SCA prior to services performed. Looking for insurance accepted by a specific doctor or health care provider? Find your provider. Aetna Better Health STAR, STAR Kids, CHIP and CHIP Perinate · Aetna CHIP, HMO, POS, PPO, Medicaid STAR HMO (Tarrant County Only), STARKids, Aetna Signature Administrators, Behavioral Health · Ambetter from Superior Health Marketplace plans — Premier
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Centene
centene.com › home › products & services › browse by state
Health Insurance Texas | Medicaid, Medicare & Marketplace Plans | Centene
Find affordable health insurance in Texas with Centene. Explore Medicaid, CHIP, Medicare & Marketplace plans from Superior HealthPlan, Wellcare & Ambetter Health.
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UnitedHealthcare
uhc.com › home › individual & family insurance
Texas health insurance plans | UnitedHealthcare
... Health ProtectorGuard fixed indemnity insurance,4 underwritten by Golden Rule Insurance Company, can ease cost concerns by paying set benefits for covered medical services, like doctor visits, prescriptions and more. Applications are available to submit any time, plus you can keep your ...
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Southtexashealthsystemheart
southtexashealthsystemheart.com › patients-visitors › health-insurance-marketplace
Health Insurance Marketplace | South Texas Health System Heart
January 28, 2022 - The best place to get the latest, most accurate, information on the Marketplace is HealthCare.gov, There, you can learn what the Health Insurance marketplace is, who can apply for insurance, how to get insurance, how to lower your costs and more.
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Reddit
reddit.com › r/healthinsurance › healthcare marketplace options - are there any good ones? - texas
r/HealthInsurance on Reddit: Healthcare Marketplace Options - Are there ANY good ones? - Texas
October 16, 2022 -

I know next to nothing about the marketplace, I have been reading as much as I can, but every time I search a specific insurer/group by name, I get a litany of horror stories.

I qualify for a special sign up based on losing insurance when I moved, I'd rather pay a little more each month than have an unknown amount I owe at a later date, if that makes sense.

Is there a trick or rhyme or reason to whittling down what options are best? I mean, I have no idea what my usage of the services will be. So I can't really guesstimate there. I could be there every day, or I could go once a year or less, it all depends on what they find and how bad it is.

Any and all advice would be appreciated.

Thank you in advance.

Edit: To add if it makes a difference, I am Male/43 and I'm going to likely need a full work up to see where I am at health wise. I haven't been to a doctor in 7 years. I have zero doubt there isn't something going on with me health wise, covid did a # on me (even with the vaccine), and I have some lingering other issues that seem to effect my energy and feeling good any given day.

Top answer
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Depending on where you are in Texas you have a wide variety of insurance carriers to choose from including: Aetna CVS Health; Celtic/Ambetter (Ambetter from Superior Health Plan); Blue Cross Blue Shield of Texas; CHRISTUS; Friday Health Plan; Moda Health Plan; Molina; Oscar; Sendero; SHA/FirstCare; Community Health Choice; Scott & White Health Plan; UnitedHealthcare of Texas; Cigna; Ascension Personalized Care Some of these carriers have a national footprint like Cigna, Aetna, and United Healthcare, Molina, and Oscar. Others are local plans like BCBS of Texas, Scott & White Health Plan, Ascension, Sendero, FirstCare (owned by Baylor Scott & White), Community Health Choice, and CHRISTUS. The best thing you can do is check to see which plans are offered in your area, look up all of your preferred doctors on the plan's provider directory to see if they are in network, and check the formularies to see if your drugs are covered. Most of the plans are HMOs so it's important to know that you will have to go to your PCP and get a referral before you can see a specialist. Some plans might even limit when you can use urgent care instead of seeing your PCP. Also, be sure you understand how a deductible works and how much your will be. One of the biggest complaints I see is that people don't understand that they have to pay their entire deductible before the insurance will pay anything. I recommend only choosing a plan that you can afford to pay the entire deductible for (i.e. if you don't have $5000 in savings then don't choose a $5000 deductible).
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For Texas, your best bet would be BCBS TX as they are the only ones who operate state wide and have the largest provider network. Those other players are not state wide and have very small provider network so you will have a hard time finding care. I would stay away from Molina, Oscar and Ambetter as many complaints from people stating that the doctor tells them that they do not take that insurance even though they are on the provider list.
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Reddit
reddit.com › r/healthinsurance › do i have to buy insurance from the marketplace? (in texas)
r/HealthInsurance on Reddit: Do I Have to Buy Insurance From the Marketplace? (In Texas)
January 30, 2025 -

I'm in a bit of a frustrating situation with my Marketplace Plan.

In the past, I used to work for a large corporation that gave me health insurance for a great rate. Anytime I wanted to book an appointment, I never had any problems doing so. Basically, every doctor I needed to see would take the insurance.

Now, I have transitioned into being self-employed. One of the downsides of doing so is having to find and pay full price for your health insurance. I have been buying the insurance from Marketplace the past few years, which honestly is pretty expensive. When I was working for the large corporation, I was paying about $80 a month. Now that I am self employed, I am paying $480 a month.

The price is a hard pill to swallow, but honestly that is not even the main problem. The MAIN problem is that anytime I try to make an appointment with any doctor, they will say "Oh, we take your plan carrier (for example, BCBS, aetnta, UHC), but we don't take the 'Marketplace' Plan."

Honestly, aside from me being frustrated and feeling like I am spending 5x more money to not be able to be seen by any provider, I am also desperate to find an option that will not put me in this position ever again.

Basically, I never want to buy a plan from the Marketplace EVER again. Is this possible? Or do I have to be employed with a corporation again to get health insurance that will actually be accepted?

I realize it might be too late to get a health insurance plan for this year. However, for 2026, I would like to prepare and have a plan lined up so I can get adequate healthcare coverage.

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Superior HealthPlan
superiorhealthplan.com › get-insured.html
Get Health Insurance in Texas | Superior HealthPlan
Ambetter from Superior HealthPlan offers affordable Texas health-care coverage for individuals and families on the Health Insurance Marketplace. Depending on your family size and income, you may even qualify for help to pay your monthly premium. ... Health care for seniors and people with disabilities who are enrolled in Medicare Parts A, B, and D and receive full Medicaid benefits. Understand your benefits, access in-network providers and more with health insurance in Texas.
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Nwths
nwths.com › patients-visitors › health-insurance-marketplace
Health Insurance Marketplace | Northwest Texas Healthcare, Texas
June 8, 2022 - The best place to get the latest, most accurate, information on the Marketplace is HealthCare.gov, There, you can learn what the Health Insurance marketplace is, who can apply for insurance, how to get insurance, how to lower your costs and more.
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UHC Provider
uhcprovider.com › home › health plans by state › texas health plan resources for health care professionals
Texas health plan resources for health care professionals | UHCprovider.com
1 week ago - Provider resources for Commercial, Medicare Advantage and Medicaid / Community Plan products for individuals, employers, and groups available in Texas.