Texas · El Paso County

Health insurance plans in El Paso County, Texas (2027)

I pulled every 2027 marketplace plan sold in El Paso County, Texas out of the official CMS plan file. There are 145 plans from eight carriers, and a 40 year old in El Paso pays $760 a month at full price for the benchmark silver plan. That puts El Paso in the middle of the 15 Texas counties I track, with 10 cheaper and 4 pricier. Across all 79 counties and parishes I track, 20 have a higher benchmark. That is $166 more than the 2026 benchmark of $594, a change of 28 percent. Cigna sold plans in El Paso in 2026 and has no plans here for 2027, so some of your neighbors have to switch 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 El Paso, Socorro, Horizon City or anywhere else in the county.

Who sells marketplace plans in El Paso County

Eight companies sell in El Paso, against nine in the busiest Texas county I track and three in the thinnest. No single company dominates El Paso County, where the largest lineup is 28 plans (Oscar) and the smallest is 4 (Harbor Health).

CarrierPlansBronzeSilverGoldNetwork types
OscarOscar Insurance Company2871110EPO 14, HMO 14
Antidote Health of TX New for 202727999EPO 27
Blue Cross and Blue Shield of Texas23677HMO 14, POS 9
Wellpoint23877HMO 14, POS 9
Ambetter from Superior HealthPlan17476EPO 17
UnitedHealthcare15555HMO 15
Imperial Insurance CompaniesImperial Insurance Companies, Inc.8223HMO 8
Harbor Health New for 20274022HMO 4

El Paso plan counts from the CMS 2027 landscape file (county FIPS 48141, Rating Area 9). Bronze includes expanded bronze, and companies CMS lists under more than one legal issuer are grouped with the legal names underneath.

What changed in El Paso County for 2027

Cigna sold 11 of the 110 plans in El Paso County in 2026 and has no plans here in the 2027 CMS file. If you were enrolled with Cigna, 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 El Paso for 2027: Antidote Health of TX and Harbor Health. El Paso now has eight carriers and 145 plans, against seven carriers and 110 plans in 2026.

What it costs in El Paso County before any subsidy

These are the full monthly prices, before any premium tax credit, for the cheapest El Paso 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 El Paso pay less, often a lot less.

Monthly premium, full priceAge 21Age 40Age 60Couple, both 40Couple 40 + 2 kids
Lowest bronze$359$459$975$918$1,467
Lowest silver$549$701$1,490$1,403$2,243
Benchmark silver (second lowest)$594$760$1,613$1,519$2,428
Lowest gold$484$619$1,314$1,238$1,978

Benchmark silver is the second lowest of the 50 silver premiums listed for El Paso. The last column is two adults aged 40 plus two children.

What these numbers mean if you live in El Paso County

The gold row is the surprise in El Paso County. The cheapest gold plan for a 40 year old, $619 a month, is $83 cheaper than the cheapest silver plan at $701. 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 El Paso shelf, and a gold deductible here tops out at $4,000.

In El Paso County the benchmark is $301 above the cheapest bronze at age 40, and only seven 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 $760 benchmark minus what the government expects you to pay from your income. A 40 year old in El Paso whose expected share is $301 a month or less would pay nothing for the cheapest bronze. At 60 the El Paso gap grows to $638 and at 21 it shrinks to $235, which is why older enrollees are the ones most likely to find a $0 plan.

No other county on my list is close enough to El Paso County to compare, so here is where it sits among the 15 Texas counties I track. Its benchmark is the 9th lowest of the 15 and its cheapest bronze is the 5th lowest. El Paso has eight carriers, where the busiest county has nine.

El Paso plans by metal level, network and deductible

Metal levelPlans$0 deductibleDeductible range
Catastrophic50
Bronze80$8,700 to $11,750
Expanded Bronze335$0 to $11,750
Silver500$1,850 to $9,000
Gold497$0 to $4,000
Total14512

There is not a single PPO on the 2027 marketplace in El Paso County. The 145 plans split into 69 HMO, 58 EPO and 18 POS. Outside emergencies, the 58 EPO and 69 HMO plans in El Paso generally pay nothing out of network, so the network list matters more than the premium. 12 plans in El Paso have a $0 medical deductible (7 gold and 5 expanded bronze). The 5 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 El Paso price on this page is before subsidies, and most enrollees pay less. For a 40 year old in El Paso the premium tax credit is measured against the $760 benchmark. Estimate your own subsidy, or send me your ZIP and I will run the El Paso numbers for you.

2027 plans for El Paso County

These are the 2027 plans and prices for El Paso 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 El Paso plan, compare before you let it renew, because your carrier and your benchmark may both have changed.

Questions about El Paso County coverage

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

For 2027, eight carriers sell individual marketplace plans in El Paso County: Oscar, Antidote Health of TX, Blue Cross and Blue Shield of Texas, Wellpoint, Ambetter from Superior HealthPlan, UnitedHealthcare, Imperial Insurance Companies and Harbor Health. Together they offer 145 plans across the metal levels, according to the CMS plan landscape file.

What is the cheapest health insurance in El Paso County?

At full price before any subsidy, the cheapest bronze plan in El Paso County is $359 a month for a 21 year old, $459 at 40 and $975 at 60. In El Paso a couple both aged 40 pays $918 for the cheapest bronze, and two 40 year olds with two children pay $1,467. Catastrophic plans in El Paso, open only to people under 30 or with a hardship exemption, start at $363 at age 21. Most people in El Paso who qualify for a premium tax credit pay less than these prices.

What is the benchmark silver plan premium in El Paso County for 2027?

The second lowest cost silver plan, the benchmark your subsidy is calculated from, is $760 a month for a 40 year old in El Paso County before subsidies. In El Paso it is $594 at age 21 and $1,613 at age 60, and the lowest silver plan is $701 at 40.

Which insurance companies left El Paso County for 2027?

Cigna sold 11 plans in El Paso County in 2026 and has no plans there in the 2027 CMS plan file. Carriers still selling from the 2026 lineup: Oscar, Blue Cross and Blue Shield of Texas, Wellpoint, Ambetter from Superior HealthPlan, UnitedHealthcare and Imperial Insurance Companies. New for 2027: Antidote Health of TX and Harbor Health.

Can I get a PPO plan in El Paso County?

Not on the 2027 marketplace. All 145 plans in El Paso County are HMO, EPO or POS plans. 12 of them have a $0 medical deductible, and the cheapest gold plan for a 40 year old in El Paso is $619 a month before subsidies.

More for El Paso County residents

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