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Marketplace health plans in Wharton County, TX — 2027
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 2027, Wharton County, Texas has 77 Marketplace health plans from 5 insurers: 23 bronze, 26 silver, 25 gold, 3 catastrophic. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $690.36 per month; the lowest bronze premium is $475.81.
What changed vs 2026
- Benchmark silver premium down $25.09 a month (−3.5%) from 2026
- 29 more plans than 2026
- Insurers entered: WellPoint
- Lowest bronze premium up $10.57 a month
Market snapshot
- Residents under 65
- 34,205
- Insurers
- 5
- Plans by metal level
- 23 bronze, 26 silver, 25 gold, 3 catastrophic
- Benchmark silver premium, age 40, before subsidies
- $690.36/mo
- Lowest bronze premium, age 40, before subsidies
- $475.81/mo
- Lowest gold premium, age 40, before subsidies
- $620.25/mo
- Lowest silver deductible
- $1,850
- Lowest out-of-pocket maximum
- $5,000
Insurers in the county
- WellPoint — 23 plans (Catastrophic, Bronze, Silver, Gold)
- Ambetter from Superior HealthPlan — 17 plans (Bronze, Silver, Gold)
- Blue Cross and Blue Shield of Texas — 16 plans (Catastrophic, Bronze, Silver, Gold)
- UnitedHealthcare — 15 plans (Bronze, 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 HSA (+ Incentives) (47501TX0040006) | WellPoint | HMO | $492.30 | $12,000 | $12,000 | 3 |
| Bronze | Signature Expanded Bronze (29418TX0140086) | Ambetter from Superior HealthPlan | EPO | $475.81 | $7,500 | $12,000 | 23 |
| Silver | Streamlined Silver (29418TX0140087) | Ambetter from Superior HealthPlan | EPO | $677.58 | $4,700 | $11,300 | 26 |
| Gold | Signature Gold (29418TX0140109) | Ambetter from Superior HealthPlan | EPO | $620.25 | $2,500 | $8,600 | 25 |
One plan per metal level shown, of 77 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 |
|---|---|---|---|---|---|
| $540.20 | $566.12 | $613.11 | $690.36 | $964.77 | $1,466.07 |
Nearby counties
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Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
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 2027; 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.