- 9carriers selling 2027 marketplace plans in Bexar County
- 166plans on the Bexar shelf, from 48 bronze to 56 gold
- $726benchmark silver for a 40 year old in Bexar, full price per month
Who sells marketplace plans in Bexar County
No Texas county on my list has more carriers than Bexar County, with nine (tied with Williamson County). No single company dominates Bexar County, where the largest lineup is 28 plans (Oscar) and the smallest is 4 (Harbor Health).
| Carrier | Plans | Bronze | Silver | Gold | Network types |
|---|---|---|---|---|---|
| OscarOscar Insurance Company | 28 | 7 | 11 | 10 | EPO 14, HMO 14 |
| Antidote Health of TX New for 2027 | 27 | 9 | 9 | 9 | EPO 27 |
| UnitedHealthcare | 27 | 9 | 9 | 9 | HMO 27 |
| Blue Cross and Blue Shield of Texas | 23 | 6 | 7 | 7 | HMO 14, POS 9 |
| Wellpoint | 23 | 8 | 7 | 7 | HMO 14, POS 9 |
| Ambetter from Superior HealthPlan | 17 | 4 | 7 | 6 | EPO 17 |
| Community First | 9 | 3 | 3 | 3 | EPO 9 |
| Imperial Insurance CompaniesImperial Insurance Companies, Inc. | 8 | 2 | 2 | 3 | HMO 8 |
| Harbor Health New for 2027 | 4 | 0 | 2 | 2 | HMO 4 |
Bexar plan counts from the CMS 2027 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.
What changed in Bexar County for 2027
Baylor Scott and White Health Plan sold 9 of the 123 plans in Bexar County in 2026 and has no plans here in the 2027 CMS file. If you were enrolled with Baylor Scott and White Health Plan, you should have a notice by now. 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. New in Bexar for 2027: Antidote Health of TX and Harbor Health. Bexar now has nine carriers and 166 plans, against eight carriers and 123 plans in 2026.
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 price | Age 21 | Age 40 | Age 60 | Couple, both 40 | Couple 40 + 2 kids |
|---|---|---|---|---|---|
| Lowest bronze | $366 | $467 | $992 | $935 | $1,494 |
| Lowest silver | $566 | $723 | $1,536 | $1,447 | $2,313 |
| Benchmark silver (second lowest) | $568 | $726 | $1,541 | $1,451 | $2,320 |
| Lowest gold | $486 | $621 | $1,320 | $1,243 | $1,987 |
Benchmark silver is the second lowest of the 57 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, $621 a month, is $102 cheaper than the cheapest silver plan at $723. 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 $4,000.
In Bexar County the benchmark is $258 above the cheapest bronze at age 40, and only 13 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 $726 benchmark minus what the government expects you to pay from your income. A 40 year old in Bexar whose expected share is $258 a month or less would pay nothing for the cheapest bronze. At 60 the Bexar gap grows to $548 and at 21 it shrinks to $202, which is why older enrollees are the ones most likely to find a $0 plan.
Compared with nearby Travis County, the Bexar benchmark is $11 lower at 40 and the cheapest bronze is $41 lower. Antidote Health of TX and Community First sell in Bexar and not in Travis County. Sendero Health Plans sells in Travis County and not in Bexar.
Bexar plans by metal level, network and deductible
| Metal level | Plans | $0 deductible | Deductible range |
|---|---|---|---|
| Catastrophic | 5 | 0 | |
| Bronze | 8 | 0 | $8,700 to $11,750 |
| Expanded Bronze | 40 | 7 | $0 to $11,750 |
| Silver | 57 | 3 | $0 to $9,000 |
| Gold | 56 | 10 | $0 to $4,000 |
| Total | 166 | 20 |
There is not a single PPO on the 2027 marketplace in Bexar County. The 166 plans split into 81 HMO, 67 EPO and 18 POS. Outside emergencies, the 67 EPO and 81 HMO plans in Bexar generally pay nothing out of network, so the network list matters more than the premium. 20 plans in Bexar have a $0 medical deductible (10 gold, 7 expanded bronze and 3 silver). The 7 bronze ones among them still have out of pocket maximums of $10,600 to $12,000, 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 $726 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 2027 plans and prices for Bexar County, from the CMS plan file released at the end of October 2026. 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. If you already have a Bexar plan, compare before you let it renew, because your carrier and your benchmark may both have changed.
Questions about Bexar County coverage
How many health insurance companies sell marketplace plans in Bexar County, Texas?
For 2027, nine carriers sell individual marketplace plans in Bexar County: Oscar, Antidote Health of TX, UnitedHealthcare, Blue Cross and Blue Shield of Texas, Wellpoint, Ambetter from Superior HealthPlan, Community First, Imperial Insurance Companies and Harbor Health. Together they offer 166 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 $366 a month for a 21 year old, $467 at 40 and $992 at 60. In Bexar a couple both aged 40 pays $935 for the cheapest bronze, and two 40 year olds with two children pay $1,494. Catastrophic plans in Bexar, open only to people under 30 or with a hardship exemption, start at $351 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 2027?
The second lowest cost silver plan, the benchmark your subsidy is calculated from, is $726 a month for a 40 year old in Bexar County before subsidies. In Bexar it is $568 at age 21 and $1,541 at age 60, and the lowest silver plan is $723 at 40.
Which insurance companies left Bexar County for 2027?
Baylor Scott and White Health Plan sold 9 plans in Bexar County in 2026 and has no plans there in the 2027 CMS plan file. Carriers still selling from the 2026 lineup: Oscar, UnitedHealthcare, Blue Cross and Blue Shield of Texas, Wellpoint, Ambetter from Superior HealthPlan, Community First and Imperial Insurance Companies. New for 2027: Antidote Health of TX and Harbor Health.
Can I get a PPO plan in Bexar County?
Not on the 2027 marketplace. All 166 plans in Bexar County are HMO, EPO or POS plans. 20 of them have a $0 medical deductible, and the cheapest gold plan for a 40 year old in Bexar is $621 a month before subsidies.
More for Bexar County residents
- Health insurance brokers in Texas, how to choose one and what it costs
- Every 2027 carrier change in Texas
- How Bexar compares with the other 78 counties and parishes I track
- Estimate a Bexar subsidy
Get your Bexar County quote
Send me your ZIP and who needs coverage and I will compare every Bexar plan you qualify for with your subsidy applied, free and with no pressure.
Get my free quote → Or book a callSources
- Centers for Medicare & Medicaid Services, QHP Landscape Individual Market Medical, plan year 2027 (public use file), Bexar County rows
- HealthCare.gov, Health plan information for individuals and families
- healthinsurance.org, ACA open enrollment deadlines