Texas · Plan year 2027 · Updated October 24, 2026

Texas health insurance for 2027

Texas residents buy marketplace coverage through HealthCare.gov (the federal marketplace). Open enrollment for 2027 runs November 1, 2026 to January 15, 2027, and a plan picked by December 15, 2026 starts January 1. Texas has not expanded Medicaid.

Texas marketplace facts for 2027
Where to enrollHealthCare.gov
2027 open enrollmentNovember 1, 2026 to January 15, 2027
Last day for Jan 1 coverageDecember 15, 2026
Medicaid expansionNo
State coverage mandateNo
Short-term plansAllowed. A 2024 federal rule limits them to 4 months in total, but federal agencies said in August 2025 they would not enforce it while they rewrite it, so state law sets the limits

What a plan costs in Texas

In Hill County, the median-priced county in Texas, the benchmark silver plan cost a 40-year-old $724 a month in 2026. Across 254 counties it ran from $564 (Cottle, Knox) to $963 (Callahan, Eastland and 8 other counties). 2027 prices will be different.

A single 40-year-old in Hill earning $39,900 (250% of the poverty line) would get about $436 a month in 2027 credit against that price. At 60 the same plan is priced near $1,538, and the credit grows to about $1,250, because the amount you're expected to pay depends on income, not age.

Medicaid and CHIP limits in Texas

Yearly income limits in 2026 dollars. Medicaid checks current monthly income, so divide by 12 for the monthly figure.

Group% of poverty line1 person234
Adults without children-----
Parents16%$2,554$3,462$4,371$5,280
Pregnancy203%$32,399$43,929$55,460$66,990
Children under 1203%$32,399$43,929$55,460$66,990
Children 1 to 5149%$23,780$32,244$40,707$49,170
Children 6 to 18138%$22,025$29,863$37,702$45,540
CHIP206%$32,878$44,578$56,279$67,980

Adults without children cannot get Medicaid on income alone here. An adult under 100% of the poverty line is in the coverage gap: no Medicaid and no marketplace credit. At 100% ($15,960 for one person) the credit starts.

Benchmark and lowest prices by county

Monthly premiums for one 40-year-old non-smoker, before any credit, plan year 2026. Your credit is figured from the benchmark (second-lowest-cost silver) column. Multiply by 2.12 for a 60-year-old and 0.78 for a 21-year-old.

CountyBenchmark silverLowest bronzeLowest silverLowest goldInsurers
Anderson$672$427$653$5613
Andrews$648$420$645$5874
Angelina$717$444$706$6042
Aransas$676$429$656$5644
Archer$922$556$913$7761
Armstrong$774$485$770$6774
Atascosa$711$455$700$6044
Austin$715$451$712$6175
Bailey$829$520$816$7042
Bandera$711$455$700$6044
Bastrop$625$433$608$5774
Baylor$922$556$913$7761
Bee$695$429$676$5643
Bell$734$487$731$6514
Bexar$637$412$636$5329
Blanco$704$450$692$5984
Borden$697$420$690$5873
Bosque$724$475$721$6343
Bowie$725$422$705$5893
Brazoria$664$451$649$6176
Brazos$699$447$688$5944
Brewster$753$479$741$6394
Briscoe$804$485$796$6773
Brooks$608$386$590$5074
Brown$898$581$894$8102
Burleson$699$447$688$5943
Burnet$625$433$608$5776
Caldwell$610$387$608$5097
Calhoun$790$525$786$6973
Callahan$963$581$953$8102
Cameron$710$355$540$4675
Camp$788$487$784$6803
Carson$774$485$770$6774
Cass$725$422$705$5893
Castro$774$485$770$6774
Chambers$728$468$720$6214
Cherokee$672$427$653$5614
Childress$804$485$796$6773
Clay$922$556$913$7761
Cochran$829$520$816$7042
Coke$925$580$920$8104
Coleman$898$581$894$8103
Collin$671$433$667$58810
Collingsworth$774$485$770$6774
Colorado$715$465$712$6173
Comal$635$379$616$5307
Comanche$898$581$894$8103
Concho$925$580$920$8103
Cooke$739$475$731$6285
Coryell$780$487$780$6513
Cottle$564$352$563$4702
Crane$697$420$690$5873
Crockett$962$580$953$8102
Crosby$779$487$779$6505
Culberson$753$479$741$6392
Dallam$774$485$770$6774
Dallas$671$433$667$58810
Dawson$697$420$690$5873
De Witt$790$525$786$6973
Deaf Smith$774$485$770$6774
Delta$788$487$784$6803
Denton$692$450$688$6258
Dickens$779$487$779$6503
Dimmit$711$455$700$6042
Donley$774$485$770$6774
Duval$897$574$883$7622
Eastland$963$581$953$8102
Ector$648$420$645$5874
Edwards$711$455$700$6043
El Paso$594$376$593$5147
Ellis$693$433$688$5888
Erath$826$528$813$7012
Falls$724$475$721$6343
Fannin$739$556$731$6284
Fayette$625$433$608$5774
Fisher$898$581$894$8103
Floyd$779$487$779$6503
Foard$922$556$913$7761
Fort Bend$649$430$647$5557
Franklin$725$422$705$5893
Freestone$724$475$721$6343
Frio$711$455$700$6043
Gaines$697$420$690$5873
Galveston$697$466$681$6375
Garza$779$487$779$6503
Gillespie$711$455$700$6043
Glasscock$697$420$690$5873
Goliad$790$525$786$6973
Gonzales$711$455$700$6044
Gray$774$485$770$6774
Grayson$739$556$731$6284
Gregg$629$404$617$5314
Grimes$699$447$688$5943
Guadalupe$648$403$635$5307
Hale$779$487$779$6503
Hall$804$485$796$6773
Hamilton$734$487$731$6514
Hansford$804$485$796$6773
Hardeman$922$556$913$7761
Hardin$644$409$625$5375
Harris$592$375$586$5029
Harrison$653$404$635$5313
Hartley$774$485$770$6774
Haskell$963$581$953$8102
Hays *$610$387$608$5099
Hemphill$804$485$796$6773
Henderson$684$496$680$6223
Hidalgo$649$380$579$5015
Hill$724$475$721$6343
Hockley$779$487$779$6503
Hood$794$528$785$6744
Hopkins$725$422$705$5893
Houston$648$444$645$5903
Howard$697$420$690$5873
Hudspeth$741$464$740$6343
Hunt$711$433$705$5885
Hutchinson$804$485$796$6773
Irion$925$580$920$8103
Jack$695$459$692$6094
Jackson$790$525$786$6973
Jasper$662$409$644$5374
Jeff Davis$753$479$741$6392
Jefferson$644$385$625$5376
Jim Hogg$897$574$883$7622
Jim Wells$695$429$676$5643
Johnson$756$460$749$6256
Jones$963$581$953$8102
Karnes$725$448$706$5893
Kaufman$711$433$705$5883
Kendall$659$455$652$5734
Kenedy$687$432$667$5734
Kent$963$581$953$8102
Kerr$711$455$700$6043
Kimble$925$580$920$8103
King$779$487$779$6503
Kinney$711$455$700$6043
Kleberg$695$429$676$5643
Knox$564$352$563$4702
La Salle$711$455$700$6043
Lamar$807$487$799$6802
Lamb$779$487$779$6503
Lampasas$734$487$731$6514
Lavaca$790$525$786$6973
Lee$625$433$608$5775
Leon$699$447$688$5943
Liberty$728$468$720$6215
Limestone$724$475$721$6343
Lipscomb$804$485$796$6773
Live Oak$695$429$676$5643
Llano$699$437$692$5845
Loving$697$420$690$5873
Lubbock$779$487$779$6505
Lynn$779$487$779$6504
Madison$699$447$688$5943
Marion$653$404$635$5313
Martin$697$420$690$5873
Mason$925$580$920$8103
Matagorda$715$465$712$6175
Maverick$711$455$700$6043
McCulloch$925$580$920$8104
McLennan$724$470$721$6343
McMullen$735$458$730$6263
Medina$687$418$680$5685
Menard$925$580$920$8103
Midland$648$420$645$5874
Milam$665$414$660$5665
Mills$734$487$731$6514
Mitchell$898$581$894$8103
Montague$695$459$692$6093
Montgomery$668$443$653$6058
Moore$804$485$796$6773
Morris$725$422$705$5893
Motley$779$487$779$6503
Nacogdoches$648$444$645$5903
Navarro$707$442$707$5904
Newton$662$409$644$5374
Nolan$963$581$953$8102
Nueces$676$404$656$5644
Ochiltree$804$485$796$6773
Oldham$774$485$770$6774
Orange$644$409$625$5376
Palo Pinto$826$528$813$7013
Panola$632$458$629$5753
Parker$794$517$785$6745
Parmer$774$485$770$6774
Pecos$697$420$690$5873
Polk$695$443$695$5873
Potter$774$485$770$6774
Presidio$753$479$741$6392
Rains$672$427$653$5614
Randall$774$485$770$6774
Reagan$962$580$953$8103
Real$711$455$700$6043
Red River$725$422$705$5893
Reeves$697$420$690$5873
Refugio$676$429$656$5644
Roberts$804$485$796$6773
Robertson$699$447$688$5943
Rockwall$671$433$667$5889
Runnels$898$581$894$8103
Rusk$632$458$629$5753
Sabine$717$444$706$6042
San Augustine$717$444$706$6042
San Jacinto$648$443$645$5875
San Patricio$695$429$676$5643
San Saba$734$487$731$6514
Schleicher$925$580$920$8103
Scurry$898$581$894$8103
Shackelford$963$581$953$8102
Shelby$717$444$706$6042
Sherman$774$485$770$6774
Smith$672$427$653$5614
Somervell$745$466$745$6224
Starr$652$445$649$5933
Stephens$963$581$953$8102
Sterling$925$580$920$8103
Stonewall$898$581$894$8103
Sutton$925$580$920$8103
Swisher$804$485$796$6773
Tarrant$692$450$688$6259
Taylor$963$581$953$8102
Terrell$697$420$690$5872
Terry$779$487$779$6504
Throckmorton$963$581$953$8102
Titus$725$422$705$5893
Tom Green$925$580$920$8103
Travis$625$433$608$57110
Trinity$648$444$645$5903
Tyler$644$409$625$5375
Upshur$653$404$635$5313
Upton$697$420$690$5873
Uvalde$711$455$700$6042
Val Verde$711$455$700$6043
Van Zandt$672$427$653$5614
Victoria$790$525$786$6973
Walker$728$455$720$6186
Waller$715$451$712$6175
Ward$697$420$690$5873
Washington$792$495$792$6612
Webb$652$574$649$5933
Wharton$715$465$712$6174
Wheeler$774$485$770$6774
Wichita$922$556$913$7761
Wilbarger$922$556$913$7761
Willacy$718$432$710$5984
Williamson$625$433$608$57110
Wilson$687$418$680$5684
Winkler$697$420$690$5873
Wise$794$517$785$6745
Wood$672$427$653$5614
Yoakum$779$487$779$6503
Young$717$459$706$6092
Zapata$652$574$649$5933
Zavala$711$455$700$6042

* Some plans in this county cover only part of it, so the benchmark depends on your ZIP code.

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Sources: HealthCare.gov and CMS state marketplace list (exchange and dates); MACPAC MACStats, February 2026, and state Medicaid agencies (limits); HHS 2026 poverty guidelines; CMS individual market plan file on data.healthcare.gov, plan year 2026; IRS Rev. Proc. 2026-26. All checked October 24, 2026. Methods.

Questions people ask

When is open enrollment in Texas for 2027?

HealthCare.gov opens November 1, 2026 and closes January 15, 2027. Pick a plan by December 15, 2026 for coverage that starts January 1.

What is the Medicaid income limit in Texas?

Texas has not expanded Medicaid. Adults without children generally cannot qualify on income alone. Parents qualify up to 16% of the poverty line ($4,371 a year for a family of three).