Texas · Hidalgo County

Health insurance plans in Hidalgo County, Texas (2027)

I pulled every 2027 marketplace plan sold in Hidalgo County, Texas out of the official CMS plan file. There are 119 plans from six carriers, and a 40 year old in Hidalgo pays $644 a month at full price for the benchmark silver plan. No other Texas county I track has a lower benchmark. Across all 79 counties and parishes I track, 17 have a lower benchmark. That is $5 less than the 2026 benchmark of $649, a change of 1 percent. Below are the carriers, the plan counts, the full prices before subsidy, and what I think the numbers mean if you live in McAllen, Edinburg, Mission, Pharr or anywhere else in the county.

Who sells marketplace plans in Hidalgo County

Six companies sell in Hidalgo, against nine in the busiest Texas county I track and three in the thinnest. No single company dominates Hidalgo County, where the largest lineup is 27 plans (Antidote Health of TX) and the smallest is 14 (Oscar).

CarrierPlansBronzeSilverGoldNetwork types
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
OscarOscar Insurance Company14734EPO 14

Hidalgo plan counts from the CMS 2027 landscape file (county FIPS 48215, Rating Area 15). Bronze includes expanded bronze, and companies CMS lists under more than one legal issuer are grouped with the legal names underneath.

What changed in Hidalgo County for 2027

New in Hidalgo for 2027: Antidote Health of TX. Hidalgo now has six carriers and 119 plans, against five carriers and 78 plans in 2026.

What it costs in Hidalgo County before any subsidy

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

Monthly premium, full priceAge 21Age 40Age 60Couple, both 40Couple 40 + 2 kids
Lowest bronze$321$410$871$821$1,312
Lowest silver$499$638$1,355$1,276$2,039
Benchmark silver (second lowest)$504$644$1,368$1,288$2,059
Lowest gold$446$570$1,211$1,141$1,824

Benchmark silver is the second lowest of the 38 silver premiums listed for Hidalgo. The last column is two adults aged 40 plus two children.

What these numbers mean if you live in Hidalgo County

The gold row is the surprise in Hidalgo County. The cheapest gold plan for a 40 year old, $570 a month, is $67 cheaper than the cheapest silver plan at $638. 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 Hidalgo shelf, and a gold deductible here tops out at $4,000.

In Hidalgo County the benchmark is $234 above the cheapest bronze at age 40, and 22 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 $644 benchmark minus what the government expects you to pay from your income. A 40 year old in Hidalgo whose expected share is $234 a month or less would pay nothing for the cheapest bronze. At 60 the Hidalgo gap grows to $496 and at 21 it shrinks to $183, which is why older enrollees are the ones most likely to find a $0 plan.

Compared with nearby Cameron County, the Hidalgo benchmark is $48 lower at 40 and the cheapest bronze is $21 higher. The same six carriers sell in Hidalgo and Cameron, so if you move or work across the line your choice of company does not change, only the price.

Hidalgo plans by metal level, network and deductible

Metal levelPlans$0 deductibleDeductible range
Catastrophic40
Bronze70$8,700 to $11,750
Expanded Bronze325$0 to $11,750
Silver380$1,850 to $9,000
Gold384$0 to $4,000
Total1199

There is not a single PPO on the 2027 marketplace in Hidalgo County. The 119 plans split into 58 EPO, 43 HMO and 18 POS. Outside emergencies, the 58 EPO and 43 HMO plans in Hidalgo generally pay nothing out of network, so the network list matters more than the premium. 9 plans in Hidalgo have a $0 medical deductible (5 expanded bronze and 4 gold). 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 Hidalgo price on this page is before subsidies, and most enrollees pay less. For a 40 year old in Hidalgo the premium tax credit is measured against the $644 benchmark. Estimate your own subsidy, or send me your ZIP and I will run the Hidalgo numbers for you.

2027 plans for Hidalgo County

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

Questions about Hidalgo County coverage

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

For 2027, six carriers sell individual marketplace plans in Hidalgo County: Antidote Health of TX, Blue Cross and Blue Shield of Texas, Wellpoint, Ambetter from Superior HealthPlan, UnitedHealthcare and Oscar. Together they offer 119 plans across the metal levels, according to the CMS plan landscape file.

What is the cheapest health insurance in Hidalgo County?

At full price before any subsidy, the cheapest bronze plan in Hidalgo County is $321 a month for a 21 year old, $410 at 40 and $871 at 60. In Hidalgo a couple both aged 40 pays $821 for the cheapest bronze, and two 40 year olds with two children pay $1,312. Catastrophic plans in Hidalgo, open only to people under 30 or with a hardship exemption, start at $351 at age 21. Most people in Hidalgo who qualify for a premium tax credit pay less than these prices.

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

The second lowest cost silver plan, the benchmark your subsidy is calculated from, is $644 a month for a 40 year old in Hidalgo County before subsidies. In Hidalgo it is $504 at age 21 and $1,368 at age 60, and the lowest silver plan is $638 at 40.

Did any insurance company leave Hidalgo County for 2027?

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

Can I get a PPO plan in Hidalgo County?

Not on the 2027 marketplace. All 119 plans in Hidalgo County are HMO, EPO or POS plans. 9 of them have a $0 medical deductible, and the cheapest gold plan for a 40 year old in Hidalgo is $570 a month before subsidies.

More for Hidalgo County residents

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