Logo
ACA Marketplace Plans

Gold Plans in Texas

Gold

Compare 79 Gold ACA marketplace plans from 15 issuers.

How we get our data

Our insurance data is sourced directly from the CMS ACA Marketplace (HIOS), the federal database that insurers are required to report to. We process that data to surface standardized out-of-pocket cost estimates based on three SBC scenarios defined by CMS: having a baby, managing diabetes, and treating a fracture. We update our data annually with each new plan year and link to the original SBC documents so you can verify costs directly with the insurer.

Learn more about our data

Total Plans

79

Issuers

15

HSA-Eligible

0

Avg Baby Cost

$4,342

Gold health insurance plans in Texas offer comprehensive coverage with an actuarial value of approximately 80%, meaning the insurance company pays about 80% of covered healthcare costs for a typical population, while you pay the remaining 20% through deductibles, copays, and coinsurance.

With 79 Gold plans available from 15 different insurers in Texas, you have substantial options for higher-level coverage. Gold plans sit above Bronze and Silver tiers in terms of coverage generosity, offering lower out-of-pocket costs than those metal levels but higher monthly premiums. They provide more cost protection than Bronze (60% actuarial value) and Silver (70% actuarial value) plans, while being more affordable than Platinum plans (90% actuarial value).

These CMS marketplace Gold plans are ideal for Texans who use healthcare services regularly or want predictable, lower costs when they need medical care. The higher monthly premiums are often offset by significantly reduced expenses when you actually receive healthcare services.

Cost Scenarios

Normal delivery

Having a Baby

$4,460
Median Out-of-Pocket
Min $1,900Max $6,060
P25 $4,050P75 $4,730

Type 2, routine care

Managing Diabetes

$1,620
Median Out-of-Pocket
Min $400Max $4,000
P25 $1,360P75 $1,820

Emergency room treatment

Simple Fracture

$2,040
Median Out-of-Pocket
Min $700Max $2,600
P25 $1,750P75 $2,310

Plan Comparison

Showing 50 of 79 plans
Plan Name Issuer Type HSABaby OOP Diabetes OOP Fracture OOP SBC
University Community Care Plan by Community First - Gold PlanCommunity FirstEPONo$1,900$1,500$1,600PDF
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)UnitedHealthcareHMONo$2,560$400$2,320PDF
UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)UnitedHealthcareHMONo$2,560$400$2,320PDF
UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)UnitedHealthcareHMONo$2,560$400$2,320PDF
UHC Kelsey-Seybold Gold Copay Focus+ $0 Indiv Med Ded ($8 Tier 2 Rx, Dental + Vision)UnitedHealthcareHMONo$2,560$400$2,320PDF
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)UnitedHealthcareHMONo$2,560$400$2,320PDF
UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx)UnitedHealthcareHMONo$2,560$400$2,320PDF
CHRISTUS Gold + Dental & Vision + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care)CHRISTUS Health PlanHMONo$2,660$1,420$1,400PDF
CHRISTUS Gold + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care)CHRISTUS Health PlanHMONo$2,660$1,420$1,400PDF
Imperial Preferred GoldImperial Insurance Companies, Inc.HMONo$3,140$2,270$1,630PDF
Complete GoldAmbetter from Superior HealthPlanEPONo$3,310$1,620$1,750PDF
Complete Gold + Vision + Adult DentalAmbetter from Superior HealthPlanEPONo$3,310$1,620$1,750PDF
Complete VALUE GoldAmbetter from Superior HealthPlanHMONo$3,310$1,620$1,750PDF
Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)WellPointPOSNo$3,370$1,420$1,600PDF
Sendero Health Real Gold / $350 DeductibleSendero Health Plans, Local NonprofitHMONo$3,490$1,150$1,050PDF
Gold Simple Diabetes Guided CareOscar Insurance CompanyHMONo$3,800$1,800$2,180PDF
Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic DrugsSendero Health Plans, Local NonprofitHMONo$3,810$1,000$1,850PDF
Harbor Health G1S $30 PCP $30 Mental Health Office Visit $30 Express CareHarbor HealthHMONo$3,870$1,230$2,210PDF
BSW Elite Gold HMO 012Baylor Scott and White Health PlanHMONo$3,960$920$700PDF
Gold EliteOscar Insurance CompanyEPONo$4,000$1,900$1,900PDF
Standard Gold VALUEAmbetter from Superior HealthPlanHMONo$4,100$1,820$2,320PDF
Standard Gold + Vision + Adult DentalAmbetter from Superior HealthPlanEPONo$4,100$1,820$2,320PDF
Standard GoldAmbetter from Superior HealthPlanEPONo$4,100$1,820$2,320PDF
University Community Care Plan by Community First - Gold Plan StandardCommunity FirstEPONo$4,100$1,400$2,000PDF
Imperial Standard GoldImperial Insurance Companies, Inc.HMONo$4,100$1,820$2,320PDF
Everyday Gold + Vision + Adult DentalAmbetter from Superior HealthPlanEPONo$4,160$2,220$1,600PDF
Everyday GoldAmbetter from Superior HealthPlanEPONo$4,160$2,220$1,600PDF
Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)Community Health ChoiceHMONo$4,230$2,820$2,320PDF
Community Ultra Select Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)Community Health ChoiceHMONo$4,230$2,820$2,320PDF
Gold Classic Standard Guided CareOscar Insurance CompanyHMONo$4,320$1,200$2,260PDF
Gold Classic StandardOscar Insurance CompanyEPONo$4,320$1,200$2,260PDF
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)Baylor Scott and White Health PlanHMONo$4,360$1,720$2,040PDF
UHC Sanitas Gold StandardUnitedHealthcareHMONo$4,360$500$2,260PDF
UHC Gold StandardUnitedHealthcareHMONo$4,360$500$2,260PDF
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)WellPointHMONo$4,370$1,620$1,400PDF
Molina Gold Core 1640 Plus with Adult VisionMolina HealthcareHMONo$4,400$2,700$1,920PDF
Molina Gold Core 1640Molina HealthcareHMONo$4,400$2,700$1,920PDF
Molina Gold Core 1640 Plus with Adult Dental and VisionMolina HealthcareHMONo$4,400$2,700$1,920PDF
Connect myDiabetesCare GoldCigna HealthcareHMONo$4,420$1,520$2,200PDF
UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)UnitedHealthcareHMONo$4,460$500$2,010PDF
Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)Community Health ChoiceHMONo$4,460$2,620$2,210PDF
UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)UnitedHealthcareHMONo$4,460$500$2,010PDF
Community Ultra Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)Community Health ChoiceHMONo$4,460$2,620$2,210PDF
UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)UnitedHealthcareHMONo$4,460$500$2,010PDF
BSW Elite Gold HMO 004Baylor Scott and White Health PlanHMONo$4,510$1,720$1,880PDF
BSW Diabetes Care Gold HMO 014Baylor Scott and White Health PlanHMONo$4,560$1,420$1,830PDF
Harbor Health G0 $0 Deductible $0 PCP $0 Mental Health Office Visit $0 Express CareHarbor HealthHMONo$4,570$1,000$1,410PDF
Connect myDiabetesCare Gold DFWCigna HealthcareHMONo$4,570$1,520$2,200PDF
Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)Community Health ChoiceHMONo$4,660$3,120$2,600PDF
Moda Select Texas Standard GoldModa Health Plan, Inc.EPONo$4,660$1,620$2,290PDF

Issuers Offering Gold Plans

IssuerPlansAvg Baby CostAvg Diabetes CostAvg Fracture Cost
UnitedHealthcare11$3,405$445$2,225
Ambetter from Superior HealthPlan8$3,819$1,845$1,926
Blue Cross and Blue Shield of Texas8$5,169$1,489$2,114
Cigna Healthcare8$5,034$1,620$2,025
Molina Healthcare7$5,094$2,229$1,709
Oscar Insurance Company7$4,506$1,871$2,157
WellPoint6$4,602$1,670$1,875
CHRISTUS Health Plan5$4,082$1,660$1,944
Community Health Choice5$4,408$2,800$2,332
Baylor Scott and White Health Plan4$4,348$1,445$1,613
Imperial Insurance Companies, Inc.3$4,107$1,837$1,717
Community First2$3,000$1,450$1,800
Harbor Health2$4,220$1,115$1,810
Sendero Health Plans, Local Nonprofit2$3,650$1,075$1,450
Moda Health Plan, Inc.1$4,660$1,620$2,290

Frequently Asked Questions

How many Gold health insurance plans are available in Texas?

There are 79 Gold health insurance plans available in Texas from 15 different insurance companies through the CMS marketplace.

What does the Gold metal level mean for my healthcare costs?

Gold plans have an 80% actuarial value, meaning the insurance company pays approximately 80% of covered healthcare costs for a typical population, while you pay about 20% through deductibles, copays, and coinsurance.

Can I use a Health Savings Account with Gold plans in Texas?

No, none of the 79 Gold plans in Texas are HSA-eligible. Gold plans' comprehensive coverage typically doesn't meet the high-deductible requirements for HSA compatibility.

How much variation is there in costs between Gold plans in Texas?

Costs vary significantly even within Gold plans. For example, having a baby costs range from $1,900 to $6,060, and managing diabetes ranges from $400 to $4,000 annually depending on which Gold plan you choose.

What types of Gold plans are available in Texas?

Texas offers 61 HMO Gold plans, 12 EPO Gold plans, and 6 POS Gold plans, giving you options between coordinated care approaches and network flexibility while maintaining the same 80% actuarial value.

Find the Right Gold Plan in Texas

Compare out-of-pocket costs across 79 Gold plans. Our AI navigator can help you understand which plan fits your healthcare needs and budget.

Talk to Our AI Navigator

Disclaimer: Our AI navigator provides information collected from trusted sources only and does not constitute licensed insurance advice.

Written by Jayant Panwar | Last reviewed: Q1 2026 | Last updated: January 2026

Insurance Disclaimer: This information is for educational purposes only and does not constitute insurance advice or a recommendation to enroll in any plan. SBC scenarios show standardized cost estimates — your actual costs will vary. Plans shown are CMS marketplace Gold plans in Texas only. Consult your insurance company for accurate cost estimates.

Data source: CMS ACA Marketplace (HIOS), 2026 plan year. See our data methodology and editorial policy. Found an error? Report an inaccuracy.