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Marketplace health plans in Fayette County, TX — 2026
What agents look up before working a county's individual market: plans by metal level, insurers, the benchmark silver premium, the lowest bronze premium, deductible and out-of-pocket floors, the population under 65, and what changed since last year.
In 2026, Fayette County, Texas has 49 Marketplace health plans from 4 insurers: 11 bronze, 19 silver, 18 gold, 1 catastrophic. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $624.97 per month; the lowest bronze premium is $432.65.
What changed vs 2025
- Benchmark silver premium up $93.08 a month (+17.5%) from 2025
- 2 more plans than 2025
- Lowest bronze premium up $57.50 a month
Market snapshot
- Residents under 65
- 18,308
- Insurers
- 4
- Plans by metal level
- 11 bronze, 19 silver, 18 gold, 1 catastrophic
- Benchmark silver premium, age 40, before subsidies
- $624.97/mo
- Lowest bronze premium, age 40, before subsidies
- $432.65/mo
- Lowest gold premium, age 40, before subsidies
- $577.31/mo
- Lowest silver deductible
- $0
- Lowest out-of-pocket maximum
- $7,250
Insurers in the county
- Blue Cross and Blue Shield of Texas — 16 plans (Catastrophic, Bronze, Silver, Gold)
- UnitedHealthcare — 14 plans (Bronze, Silver, Gold)
- Ambetter from Superior HealthPlan — 12 plans (Silver, Gold)
- Sendero Health Plans, Local Nonprofit — 7 plans (Bronze, Silver, Gold)
Lowest age-40 premium per metal level, before subsidies
| Metal level | Plan | Insurer | Plan type | Monthly premium, age 40 | Deductible | Out-of-pocket maximum | Plans at this level |
|---|
| Catastrophic | Blue Advantage Security HMO℠ 200 (33602TX0460656) | Blue Cross and Blue Shield of Texas | HMO | $629.62 | $10,600 | $10,600 | 1 |
|---|
| Bronze | Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist (71837TX0010020) | Sendero Health Plans, Local Nonprofit | HMO | $432.65 | $7,500 | $10,000 | 11 |
|---|
| Silver | Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs (71837TX0010017) | Sendero Health Plans, Local Nonprofit | HMO | $607.90 | $6,000 | $8,900 | 19 |
|---|
| Gold | Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs (71837TX0010018) | Sendero Health Plans, Local Nonprofit | HMO | $577.31 | $2,000 | $8,200 | 18 |
|---|
One plan per metal level shown, of 49 plans in the county.
Benchmark silver premium by age
The benchmark plan (Sendero Health Plans, Local Nonprofit) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $489.02 | $512.50 | $555.04 | $624.97 | $873.39 | $1,327.21 |
Nearby counties
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About this data
Premiums are individual, non-tobacco, age 40, before any premium tax credit, from the CMS QHP Landscape Individual Market Medical file for plan year 2026; population: U.S. Census Bureau ACS 5-year 2024.
This page summarizes publicly available CMS data. It does not recommend plans and is not an application. To check subsidy eligibility and enroll, use HealthCare.gov or talk to a licensed agent. HealthCare.gov plan preview.