Affordable Health Insurance in Texas: Know Your Options

By: Astoria
Updated: September 27, 2022
Health Insurance in Texas

A person’s health is a basic human right to which they must always have access. For the simple reason, that one cannot take pride in one’s life if one is in poor health. Because of the high expense of health care, most people find it difficult to accomplish this. In a place like Texas, where health care costs are high because of the increased fees paid for hospitals, doctors, and prescriptions, it is more difficult unless you have health insurance. According to the data, the average Texan spends approximately 4% more on health care than the national average, or $6,110. Think about the impact this number would have if everyone had health insurance. This guide explains how to get the most affordable health insurance in Texas and find the best health insurance plan in Texas for you or your family’s health care needs.

Health Insurance In Texas: How Does It Work

There are different kinds of health insurance options available in Texas. Each has its own set of advantages and disadvantages. There is short-term health insurance in Texas that covers temporary medical insurance in Texas. Also, health care coverage and low monthly premiums go in hand in Texas.

Furthermore, short term health insurance covers preventative care, office visits, and medications, such as TriTerm Medical insurance from Gold Rule Insurance Company.

How it works:

Applicants are limited to one application every three years. A $2 million lifetime reward is yours if you apply.

Moreover, health insurance in Texas is available via the Health Insurance Marketplace. Per the Affordable Care Act, these are government-approved insurance plans.

Purchasing Health Insurance in Texas Before the Age of 65

Under 65 and not eligible for Medicare, an Obamacare plan may be your best option for inexpensive health coverage. Also, if you’re under 30, you might want to look at a catastrophic health plan rather than an ACA-subsidised comprehensive low-cost plan. In addition, for low-income families, Medicaid may be an alternative.

Low-cost health insurance in Texas for those who are unemployed or between jobs is available.

Obamacare, short-term, and catastrophic plans offer free or low cost health insurance in Texas. Moreover, CHIP and Medicaid are government-sponsored health insurance programs.

Health Insurance in Texas If You Have Disability or a Long-Term Illness

Disability or chronic illness may necessitate frequent doctor visits and/or greater medical expenses. Consequently, a government-funded program or a specific form of private Medicare plan may be your most cost-effective alternative for Texas disability health insurance.

Health Insurance in Texas: The Facts

  • In 2021, the average monthly premium for Texans with an unsubsidized ACA benchmark plan was $436.
  • There will be 14 companies on the federal health insurance exchange in 2022 that will offer individual and family plans to consumers.
  • In 2021, 1.3 million Texans had signed up for an ACA plan.
  • There will be 4.3 million Medicare beneficiaries in 2020.

Why Is Health Insurance in Texas So Crucial?

For those new to Texas health insurance for individuals, this may be a difficult question to answer. Let’s discuss the importance of a good policy and what it may offer. Texans should know how to use their health insurance. Individuals in Texas should also know their health insurance policy and how to utilize it best.

The necessity of a decent health insurance plan cannot be overstated. It keeps you, your loved ones, and your finances safe. Even in decent health, it’s easy to fall into poverty due to health difficulties and inadequate insurance. Additionally, mishaps will always occur, and even a health worry that doesn’t lead to anything can be costly. Individual health insurance in Texas can cost more than a few months’ worths of premium payments.

Health Insurance in Texas

What Is the Cost of Health Insurance in Texas?

Bronze, Silver, Gold, and Platinum are the four tiers of plans available in the Texas health insurance exchange. It is important to note that each tier offers coverage that complies with the Affordable Care Act (ACA). Still, the coinsurance and deductible percentages vary from one tier to the next. Also, different insurance policies have different prices and deductibles. An inexpensive monthly premium can offset your out-of-pocket costs when seeing the doctor or experiencing a catastrophic incident.

The average health insurance cost in Texas is shown in the table below.

Average premiums in Texas 2018   2019 2020 2021 2022
Most affordable Bronze plan $309   $313 $295 $301 $306
Most affordable Silver plan $419   $422 $418 $420 $415
Most affordable Gold plan $461   $496 $471 $429 $403

Private Health Insurance in Texas

Texans and businesses may count on us as a top health insurance broker. Without charging you a dime, we must find you the greatest health insurance plan for the best price.

Health care decisions are often made depending on the current state of one’s health. Medical care may be expensive, whether for routine checks or unanticipated emergencies. NewHealthInsurance also offers family and individual health insurance plans. Contact us to find private health insurance in Texas. EPO review may also help you find the best health insurance plan.

Family & Individuals Health Insurance Plans in Texas 2022

There are two types of private health insurance policies: individual and family. Insurance companies, networks, and levels of coverage can all be tailored to your needs.

  • ACA-compliant policies are offered regardless of pre-existing conditions.
  • Those with pre-existing health insurance plans can shift jobs without losing coverage.
  • It is possible to renew or change health insurance plans, alternatives, and companies at any time during an enrollment term.
  • Trusted doctors and hospitals are included.
  • Plans are ACA-compliant.
  • Health insurance is not always available through one’s work, even for those Americans who do. Individual health insurance is an option if you’re not eligible for an employer-sponsored plan or if the plan offered by your company is either too expensive or too limited for your needs.
  • Individual or family health insurance is more common for people in particular circumstances. Adults under the age of forty-five
  • Unemployed people, part-time workers, and self-employed people
  • Retirees
  • Enroll in an individual health insurance plan as soon as possible if you are in one of the above situations and do not have health insurance coverage. Without insurance, getting medical treatment can be extremely expensive.

Is It Possible to Find Cheap Health Insurance in Texas?

You can easily get cheap health insurance in Texas because the state offers Medicaid and CHIP for low-income people and families.

Texas has a Medicaid program.

Medicaid eligibility in Texas is based on a combination of financial and demographic factors. Assess your eligibility for Medicaid in Texas to see if you qualify. Also, Medicaid in Texas requires that you meet a few conditions:

  • You must be from Texas.
  • You have to be a U.S. citizen.
  • Any legal resident or legal alien with health care needs who can be classified as being on a low income is eligible to apply.

To be eligible, you must fall into one of the following groups:

  • Pregnant woman
  • Responsible for one or more children younger than 18 years of age
  • Blind
  • Disabled or have a disabled family member.
  • At least 65 years of age

Individuals must earn no more than $25,503 per year, couples $34,492 per year, and a family of three must earn no more than $43,481 per year.

Medicaid and CHIP for children

CHIP can cover your children even if you do not qualify for Medicaid. There are a variety of preventative and curative services provided under the plan. These include routine physical exams, dental care, vaccines, hospital stays, X-rays, and other diagnostic procedures.

The maximum monthly income for a single person is $2,158. For a couple, it’s $2,918; and for a family of three, it’s $3,679.

Cheap Health Insurance in Texas

When looking for cheap medical insurance in Texas, the best way to ensure you get a cheap one is to compare policies from multiple providers.

Which organizations place greater importance on your location and age might be determined by comparing rules. Ultimately, you can select the policy that best meets your needs and criteria.

Cheapest Health Insurance in Texas by Plan Tier

The average cost of health insurance in Texas for a Silver plan is $575, an increase of 13% over the previous year for a 40 year old.

This information can help you find the best health insurance plan for your needs. Moreover, we analyzed policies according to their plan tier. We opted for the most affordable health insurance in Texas.

Plan Tier Cheapest Plan Monthly Cost Deductible Out-of-pocket Maximum
Catastrophic Christus CHP TX $260 $8700 $8700
Bronze Blue Advantage HMO, 301 $323 $8700 $8700
Bronze Expanded My Blue Health, 402 $316 $7400 $8700
Silver My Blue Health, 405 $400 $3550 $8700
Gold My Blue Health, 403 $380 $1100 $8700

Not all counties provide all of the above insurance companies and health plans. Compare monthly premiums, benefits, and out-of-pocket expenditures with these tables.

Affordable Health Insurance in Texas by County

It might be difficult to find affordable health insurance in TX because the cost depends on where you live in the state.

Also, Texas health insurance companies charge varying rates in each state’s rating area. The state of Texas is divided into 26 rating zones, each with 254 counties. Additionally, the most affordable Silver plan in Texas’ most populated county, MyBlue Health Silver 405, costs $381 monthly in Harris County from Blue Cross and Blue Shield of Texas.

Parting Thoughts!

Selecting the right insurance plan for you and your loved ones is critical. There are many choices for health insurance plans in Texas. Individuals, small businesses, and families can benefit from health insurance options tailored to their specific needs.

Newhealthinsurance Can Help You Find The Best Health Insurance Plan in Texas!

You’ve come to the right place if you want to find the best health insurance in Texas at the best price. With NewHealthInsurance, it’s easier and less expensive to locate the correct health insurance plan. Only three simple steps are involved in finding the best insurance policy for you. Also, we offer free insurance quotes so you can compare prices and buy good health insurance in Texas! Individual, family, and short-term health insurance are all available from us.

Reach out Today at NewHealthInsurance and get affordable health insurance quotes in Texas now!

FAQS About Health Insurance in Texas

How much is health insurance in Texas per month?

Regarding monthly medical insurance in Texas, factors such as where you live and how old you are all playing a role (workplace or individual). The average monthly cost of an employer-sponsored plan is $622.50, with employees contributing an average of $105 to that cost. On average, monthly premiums for individual healthcare exchange plans range from $648 to $273.

What is the average cost of health insurance in the state of Texas?

The average cost of health insurance in Texas depends on your coverage choice, household income, and family size. If you add a family member to your health insurance plan, their age will determine how much you’ll have to pay each month.

As an illustration, adding children to a Silver plan costs $344, while a 40-year-old adult’s premium is $575. Also, a family of five pays $689 more than a family of three for health insurance.

The average cost of health insurance in Texas is shown in the following table:

Family Size

Avg. Cost
Child & Adult $920
Couple (2 Adults) $1151
Three-member family (2 Adults & Child) $1495
Four-member family (2 Children & 2 Adults) $1839
Five-member family (3 Children & 2 Adults)


Is healthcare in Texas free?

Obamacare, short-term and catastrophic policies offer free or low cost health insurance in Texas. CHIP and Medicaid are government health insurance options.

Does Texas have good health insurance?

People in Texas have difficulty getting and affording the health care they need because of the state’s high cost of living.

What is free insurance in Texas?

MEDICAID and CHIP provide free health insurance in Texas for low-income and uninsured people. The state of Texas and the federal government contribute to the program.

How much is Blue Cross Blue Shield per month in Texas?

Blue Cross Blue Shield per month in Texas costs $390 every month (MyBlue Health Silver 405).

Is healthcare in Texas expensive?

Texas family coverage averages $6,950 per year. Almost $1,000 more than the national average of $5,978. Also, this is the ninth most expensive state in the US. According to Collins, healthcare providers and pharma firms are charging more than they have in the past, which is driving up costs.

How much does health insurance cost in Texas for a family of 4?

The average cost of health insurance in Texas is $6,324 per person. With four people, this works out to a total of $25,294. Additionally, health insurance costs $658 less per person here than the national average.

Can adults qualify for Medicaid in Texas?

In Texas, a citizen or permanent resident who needs health care or insurance and has “very low income” or “low income” is eligible for Medicaid.

Moreover, other requirements include:

  • Pregnant woman
  • Responsible for one or more children younger than 18 years of age
  • Blind
  • Disabled or have a disabled family member.
  • At least 65 years of age

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