Smith County, TX · Plan year 2027 at 2026 prices · Updated October 24, 2026

Smith County, Texas: what you'll pay in 2027

A 45-year-old in Smith County earning $35,000 would pay about $0 a month for the cheapest bronze plan or $219 for the benchmark silver plan in 2027, after a premium tax credit of about $541 a month. Those figures use 2026 prices, because CMS had not published 2027 county prices as of this update.

Monthly cost after the 2027 credit

What each household would pay per month for the cheapest plan at each level, and for the benchmark silver plan, after the premium tax credit. Credit percentages are the 2027 IRS figures; premiums are Smith County's 2026 prices.

HouseholdIncome% of poverty lineCreditBronzeSilverBenchmarkGold
Single, 27 $25,000 157% $455 about $0 $81 $96 $5
Single, 27 $45,000 282% $189 $161 $346 $362 $271
Single, 45 $35,000 219% $541 about $0 $197 $219 $94
Single, 45 $60,000 376% $248 $234 $489 $511 $386
Single, 45 $70,000 439% $0 $482 $738 $759 $634
Single, 60 $35,000 219% $1,208 about $0 $178 $219 about $0
Single, 60 $60,000 376% $916 about $0 $470 $511 $275
Single, 60 $70,000 439% $0 $907 $1,386 $1,427 $1,192
Couple, 62 and 60 $50,000 231% $2,607 about $0 $247 $331 about $0
Couple, 62 and 60 $85,000 393% $2,214 about $0 $640 $724 $239
Couple, 62 and 60 $95,000 439% $0 $1,866 $2,854 $2,938 $2,453
Family: 40, 38, kids 10 and 7
children likely on CHIP
$50,000 152% $1,145 about $0 $144 $182 about $0
Family: 40, 38, kids 10 and 7 $90,000 273% $1,429 about $0 $642 $703 $351
Family: 40, 38, kids 10 and 7 $140,000 424% $0 $1,354 $2,071 $2,132 $1,780

Cheapest plan at each level and the benchmark (second-lowest-cost silver) for the people who'd be on a marketplace plan; children who'd likely qualify for CHIP are left out of the price. Non-smokers. Estimates, not quotes.

The math for one household

The 45-year-old earning $35,000, step by step:

  1. The 2026 poverty guideline for one person, used for 2027 coverage, is $15,960. $35,000 is 219% of it.
  2. At 219%, the 2027 IRS table expects 7.51% of income toward the benchmark plan: $219 a month.
  3. The benchmark silver plan in Smith County costs a 45-year-old $759 a month at 2026 prices.
  4. The credit is the difference: $759 minus $219, or $541 a month.
  5. Applied to the cheapest bronze plan, it leaves about $0; to the cheapest gold, $94.

The 400% line matters most at 60. A 60-year-old earning $70,000 is $6,160 over the $63,840 limit and gets no credit. Under the line, the credit here would be worth about $10,604 a year.

Prices in Smith County

Smith County premiums before the credit
Benchmark silver, age 40$672 a month
Cheapest bronze, age 40$427 a month
Cheapest silver, age 40$653 a month
Cheapest gold, age 40$561 a month
Insurers and plans4 insurers, 61 plans
Benchmark rank in Texas51 of 254 counties, cheapest first

4 other counties have exactly the same 2026 prices: Van Zandt County, Cherokee County, Wood County, Rains County. The figures on this page apply there too.

If your income is low

Texas has not expanded Medicaid. Adults without children under 100% of the poverty line usually get neither Medicaid nor a credit. Children qualify for CHIP at higher incomes. Full limits are on the Texas page.

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Sources: CMS individual market plan file on data.healthcare.gov, plan year 2026; IRS Rev. Proc. 2026-26; HHS 2026 poverty guidelines; CMS default age curve; U.S. Census Bureau county population estimates, Vintage 2025 (to choose which counties get a page). Methods.

Questions people ask

How much is health insurance in Smith County for 2027?

It depends mostly on income. At 2026 prices, a 45-year-old earning $35,000 would pay about $0 a month for the cheapest bronze plan and $219 for the benchmark silver plan after the 2027 premium tax credit of about $541 a month. Before any credit, the benchmark silver plan costs a 40-year-old $672 a month.

How many insurers sell marketplace plans in Smith County?

4 insurers offered 61 individual-market plans in 2026, according to CMS plan data.