Texas · Bexar County

Health insurance plans in Bexar County, Texas (2026)

I pulled every 2026 marketplace plan sold in Bexar County, Texas out of the official CMS plan file. There are 123 plans from eight carriers, and a 40 year old in Bexar pays $637 a month at full price for the benchmark silver plan. That puts Bexar in the middle of the 15 Texas counties I track, with 4 cheaper and 10 pricier. Across all 79 counties and parishes I track in 24 states, 29 have a lower benchmark. Baylor Scott and White also sells in Bexar now and is leaving for 2027, so some of your neighbors have to switch plans this fall. Below are the carriers, the plan counts, the full prices before subsidy, and what I think the numbers mean if you live in San Antonio, Converse, Helotes or anywhere else in the county.

Who sells marketplace plans in Bexar County

Eight companies sell in Bexar, against nine in the busiest Texas county I track and four in the thinnest. No single company dominates Bexar County, where the largest lineup is 25 plans (UnitedHealthcare) and the smallest is 4 (Community First).

CarrierPlansBronzeSilverGoldNetwork types
UnitedHealthcare25799HMO 25
OscarOscar Insurance Company236107EPO 12, HMO 11
Blue Cross and Blue Shield of Texas22777HMO 13, POS 9
Wellpoint21776HMO 12, POS 9
Ambetter from Superior HealthPlan12066EPO 12
Baylor Scott and White Health Plan Leaving for 20279333HMO 9
Imperial Insurance CompaniesImperial Insurance Companies, Inc.7223HMO 7
Community First4022EPO 4

Bexar plan counts from the CMS 2026 landscape file (county FIPS 48029, Rating Area 18). Bronze includes expanded bronze, and companies CMS lists under more than one legal issuer are grouped with the legal names underneath.

Leaving Bexar County for 2027

Baylor Scott and White sells 9 of the 123 plans in Bexar County this year. Baylor Scott and White is leaving the Texas individual market for 2027. After that exit, seven carriers are left from the 2026 Bexar lineup: UnitedHealthcare, Oscar, Blue Cross and Blue Shield of Texas, Wellpoint, Ambetter from Superior HealthPlan, Imperial Insurance Companies and Community First. If you are enrolled with Baylor Scott and White in Bexar, you will get a notice this fall. If you do nothing you are moved to a replacement plan picked on price and metal level, and nothing in that process checks your doctors or prescriptions.

What it costs in Bexar County before any subsidy

These are the full monthly prices, before any premium tax credit, for the cheapest Bexar plan at each metal level. I show the sticker price because it is what your subsidy is subtracted from, and most people who enroll in Bexar pay less, often a lot less.

Monthly premium, full priceAge 21Age 40Age 60Couple, both 40Couple 40 + 2 kids
Lowest bronze$322$412$874$823$1,316
Lowest silver$498$636$1,351$1,272$2,033
Benchmark silver (second lowest)$498$637$1,353$1,274$2,037
Lowest gold$417$532$1,131$1,065$1,702

Benchmark silver is the second lowest of the 46 silver premiums listed for Bexar. The last column is two adults aged 40 plus two children.

What these numbers mean if you live in Bexar County

The gold row is the surprise in Bexar County. The cheapest gold plan for a 40 year old, $532 a month, is $104 cheaper than the cheapest silver plan at $636. That happens because Texas carriers load the cost of the extra silver discounts into silver premiums. If your income is too high for those discounts, silver is the worst value on the Bexar shelf, and a gold deductible here tops out at $3,300.

In Bexar County the benchmark is $225 above the cheapest bronze at age 40, and 17 of the other 78 counties and parishes I track have a wider one. That gap decides whether bronze can be free, because your subsidy is the $637 benchmark minus what the government expects you to pay from your income. A 40 year old in Bexar whose expected share is $225 a month or less would pay nothing for the cheapest bronze. At 60 the Bexar gap grows to $479 and at 21 it shrinks to $176, which is why older enrollees are the ones most likely to find a $0 plan.

Compared with nearby Travis County, the Bexar benchmark is $12 higher at 40 and the cheapest bronze is $21 lower. Community First and Wellpoint sell in Bexar and not in Travis County. Harbor Health, Moda Health Plan and Sendero Health Plans sell in Travis County and not in Bexar.

Bexar plans by metal level, network and deductible

Metal levelPlans$0 deductibleDeductible range
Catastrophic20
Bronze30$7,300 to $10,600
Expanded Bronze294$0 to $9,000
Silver464$0 to $7,500
Gold436$0 to $3,300
Total12314

There is not a single PPO on the 2026 marketplace in Bexar County. The 123 plans split into 77 HMO, 28 EPO and 18 POS. Outside emergencies, the 28 EPO and 77 HMO plans in Bexar generally pay nothing out of network, so the network list matters more than the premium. 14 plans in Bexar have a $0 medical deductible (6 gold, 4 expanded bronze and 4 silver). The 4 bronze ones among them still have out of pocket maximums of $10,150 to $10,600, so a $0 deductible does not mean a small bill.

Every Bexar price on this page is before subsidies, and most enrollees pay less. For a 40 year old in Bexar the premium tax credit is measured against the $637 benchmark. Estimate your own subsidy, or send me your ZIP and I will run the Bexar numbers for you.

2027 plans for Bexar County

These are the 2026 plans and prices for Bexar County. The 2027 plans and prices are published around November 1, 2026, and I will update this page with the new Bexar numbers then. Open enrollment for 2027 coverage in Texas runs from November 1, 2026 to January 15, 2027, and December 15 is the last day to pick a plan that starts January 1.

Questions about Bexar County coverage

How many health insurance companies sell marketplace plans in Bexar County, Texas?

For 2026, eight carriers sell individual marketplace plans in Bexar County: UnitedHealthcare, Oscar, Blue Cross and Blue Shield of Texas, Wellpoint, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Imperial Insurance Companies and Community First. Together they offer 123 plans across the metal levels, according to the CMS plan landscape file.

What is the cheapest health insurance in Bexar County?

At full price before any subsidy, the cheapest bronze plan in Bexar County is $322 a month for a 21 year old, $412 at 40 and $874 at 60. In Bexar a couple both aged 40 pays $823 for the cheapest bronze, and two 40 year olds with two children pay $1,316. Catastrophic plans in Bexar, open only to people under 30 or with a hardship exemption, start at $311 at age 21. Most people in Bexar who qualify for a premium tax credit pay less than these prices.

What is the benchmark silver plan premium in Bexar County for 2026?

The second lowest cost silver plan, the benchmark your subsidy is calculated from, is $637 a month for a 40 year old in Bexar County before subsidies. In Bexar it is $498 at age 21 and $1,353 at age 60, and the lowest silver plan is $636 at 40.

Which insurance companies are leaving Bexar County for 2027?

Baylor Scott and White is leaving the Texas individual market for 2027. In 2026 it sells 9 plans in Bexar County. Seven carriers from the 2026 Bexar lineup remain: UnitedHealthcare, Oscar, Blue Cross and Blue Shield of Texas, Wellpoint, Ambetter from Superior HealthPlan, Imperial Insurance Companies and Community First. The full 2027 lineup and prices are published around November 1, 2026.

Can I get a PPO plan in Bexar County?

Not on the 2026 marketplace. All 123 plans in Bexar County are HMO, EPO or POS plans. 14 of them have a $0 medical deductible, and the cheapest gold plan for a 40 year old in Bexar is $532 a month before subsidies.

More for Bexar County residents

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