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Marketplace health plans in Matagorda 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, Matagorda County, Texas has 69 Marketplace health plans from 5 insurers: 18 bronze, 25 silver, 24 gold, 2 catastrophic. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $715.45 per month; the lowest bronze premium is $465.24.
What changed vs 2025
- Benchmark silver premium up $209.96 a month (+41.5%) from 2025
- 1 fewer plan than 2025
- Lowest bronze premium up $63.32 a month
Market snapshot
- Residents under 65
- 29,722
- Insurers
- 5
- Plans by metal level
- 18 bronze, 25 silver, 24 gold, 2 catastrophic
- Benchmark silver premium, age 40, before subsidies
- $715.45/mo
- Lowest bronze premium, age 40, before subsidies
- $465.24/mo
- Lowest gold premium, age 40, before subsidies
- $617.49/mo
- Lowest silver deductible
- $0
- Lowest out-of-pocket maximum
- $5,000
Insurers in the county
- WellPoint — 21 plans (Catastrophic, Bronze, Silver, Gold)
- 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)
- Community Health Choice — 6 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 | Wellpoint Essential Catastrophic (+ Incentives) (47501TX0040006) | WellPoint | HMO | $451.99 | $10,600 | $10,600 | 2 |
|---|
| Bronze | UHC Bronze Essential ($0 Virtual Urgent Care) (40220TX0080045) | UnitedHealthcare | HMO | $465.24 | $10,600 | $10,600 | 18 |
|---|
| Silver | Standard Silver (29418TX0140108) | Ambetter from Superior HealthPlan | EPO | $711.80 | $6,000 | $8,900 | 25 |
|---|
| Gold | UHC Gold Standard (40220TX0080024) | UnitedHealthcare | HMO | $617.49 | $2,000 | $8,200 | 24 |
|---|
One plan per metal level shown, of 69 plans in the county.
Benchmark silver premium by age
The benchmark plan (Ambetter from Superior HealthPlan) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|
| $559.83 | $586.69 | $635.40 | $715.45 | $999.84 | $1,519.35 |
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.