Texas · Fort Bend County

Health insurance plans in Fort Bend County, Texas (2027)

I pulled every 2027 marketplace plan sold in Fort Bend County, Texas out of the official CMS plan file. There are 137 plans from seven carriers, and a 40 year old in Fort Bend pays $669 a month at full price for the benchmark silver plan. Only one of the other 14 Texas counties I track has a lower one. Across all 79 counties and parishes I track, 20 have a lower benchmark. That is $20 more than the 2026 benchmark of $649, a change of 3 percent. Below are the carriers, the plan counts, the full prices before subsidy, and what I think the numbers mean if you live in Sugar Land, Missouri City, Rosenberg, Richmond or anywhere else in the county.

Who sells marketplace plans in Fort Bend County

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

CarrierPlansBronzeSilverGoldNetwork types
OscarOscar Insurance Company2871110EPO 14, HMO 14
UnitedHealthcare27999HMO 27
Ambetter from Superior HealthPlan244128EPO 17, HMO 7
Blue Cross and Blue Shield of Texas23677HMO 14, POS 9
Wellpoint23877HMO 14, POS 9
Community Health Choice8233HMO 8
Harbor Health New for 20274022HMO 4

Fort Bend plan counts from the CMS 2027 landscape file (county FIPS 48157, Rating Area 26). Bronze includes expanded bronze, and companies CMS lists under more than one legal issuer are grouped with the legal names underneath.

What changed in Fort Bend County for 2027

New in Fort Bend for 2027: Harbor Health. Fort Bend now has seven carriers and 137 plans, against six carriers and 107 plans in 2026.

What it costs in Fort Bend County before any subsidy

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

Monthly premium, full priceAge 21Age 40Age 60Couple, both 40Couple 40 + 2 kids
Lowest bronze$372$476$1,010$952$1,521
Lowest silver$514$656$1,394$1,313$2,099
Benchmark silver (second lowest)$523$669$1,420$1,338$2,138
Lowest gold$470$600$1,274$1,200$1,918

Benchmark silver is the second lowest of the 51 silver premiums listed for Fort Bend. The last column is two adults aged 40 plus two children.

What these numbers mean if you live in Fort Bend County

The gold row is the surprise in Fort Bend County. The cheapest gold plan for a 40 year old, $600 a month, is $56 cheaper than the cheapest silver plan at $656. 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 Fort Bend shelf, and a gold deductible here tops out at $2,750.

In Fort Bend County the benchmark is $193 above the cheapest bronze at age 40, and 35 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 $669 benchmark minus what the government expects you to pay from your income. A 40 year old in Fort Bend whose expected share is $193 a month or less would pay nothing for the cheapest bronze. At 60 the Fort Bend gap grows to $410 and at 21 it shrinks to $151, which is why older enrollees are the ones most likely to find a $0 plan.

Prices barely differ between Fort Bend and nearby Harris County. The benchmark differs by $0 a month at 40 and the cheapest bronze by $27. Imperial Insurance Companies sells in Harris County and not in Fort Bend.

Fort Bend plans by metal level, network and deductible

Metal levelPlans$0 deductibleDeductible range
Catastrophic40
Bronze10$11,750 to $11,750
Expanded Bronze355$0 to $11,750
Silver514$0 to $9,000
Gold468$0 to $2,750
Total13717

There is not a single PPO on the 2027 marketplace in Fort Bend County. The 137 plans split into 88 HMO, 31 EPO and 18 POS. Outside emergencies, the 31 EPO and 88 HMO plans in Fort Bend generally pay nothing out of network, so the network list matters more than the premium. 17 plans in Fort Bend have a $0 medical deductible (8 gold, 5 expanded bronze and 4 silver). 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 Fort Bend price on this page is before subsidies, and most enrollees pay less. For a 40 year old in Fort Bend the premium tax credit is measured against the $669 benchmark. Estimate your own subsidy, or send me your ZIP and I will run the Fort Bend numbers for you.

2027 plans for Fort Bend County

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

Questions about Fort Bend County coverage

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

For 2027, seven carriers sell individual marketplace plans in Fort Bend County: Oscar, UnitedHealthcare, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Wellpoint, Community Health Choice and Harbor Health. Together they offer 137 plans across the metal levels, according to the CMS plan landscape file.

What is the cheapest health insurance in Fort Bend County?

At full price before any subsidy, the cheapest bronze plan in Fort Bend County is $372 a month for a 21 year old, $476 at 40 and $1,010 at 60. In Fort Bend a couple both aged 40 pays $952 for the cheapest bronze, and two 40 year olds with two children pay $1,521. Catastrophic plans in Fort Bend, open only to people under 30 or with a hardship exemption, start at $385 at age 21. Most people in Fort Bend who qualify for a premium tax credit pay less than these prices.

What is the benchmark silver plan premium in Fort Bend County for 2027?

The second lowest cost silver plan, the benchmark your subsidy is calculated from, is $669 a month for a 40 year old in Fort Bend County before subsidies. In Fort Bend it is $523 at age 21 and $1,420 at age 60, and the lowest silver plan is $656 at 40.

Did any insurance company leave Fort Bend County for 2027?

No. Every carrier that sold plans in Fort Bend County in 2026 also has plans there in the 2027 CMS plan file. New for 2027: Harbor Health. Plans and networks inside each company can still change, so read your renewal notice.

Can I get a PPO plan in Fort Bend County?

Not on the 2027 marketplace. All 137 plans in Fort Bend County are HMO, EPO or POS plans. 17 of them have a $0 medical deductible, and the cheapest gold plan for a 40 year old in Fort Bend is $600 a month before subsidies.

More for Fort Bend County residents

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