What’s the best health insurance plan in Texas?

Are you looking for the best health insurance plan in Texas? Are you a native Texan who’s wondering how to get health insurance that’s cheap and provides good coverage? This article will show you what’s the best health insurance plan in Texas?

What’s the best health insurance plan in Texas?

That would depend on your specific needs. What’s best for one person is not what’s best for another. In Texas you have two major medical options for individual insurance so first you should consider which one is in your best interest: ACA/Obamacare or short term health insurance.

ACA/Obamacare is comprehensive major medical insurance but it can be pricey. Short term health insurance is major medical that is good for protecting people in case of accidents and injuries and it is much more affordable.

If you have chronic health conditions or like to play extreme sports, the ACA/Obamacare plan is going to be in your best interests. However, if you are healthy and don’t play extreme sports (most short term plans do not cover extreme sports), a short term health insurance plan can be an affordable option.

If you decide an ACA/Obamacare plan is what you require, go to the federal health insurance exchange at Healthcare.gov to get enrolled. For a 30 year old female in Austin who does not qualify for a subsidy, there are 31 plan options. The lowest priced plan will have a $7,900 deductible and cost around $300.

For selecting a plan it’s important that you consider the next year and project what you think you will need in the form of healthcare. Then consider what each plan would mean to you financially and select the one that will cost you the least. This is called a total cost assessment.

Unless you have very specific doctors or other healthcare providers you want to use, the least cost option is the criteria to use as all health insurance companies are highly regulated and therefore legitimate (the Texas Department of Insurance would bar them from doing business otherwise).

What's the best health insurance plan in Texas
Best health insurance plan in Texas

What kind of health insurance is available in Texas?

There are two major medical options for individual insurance in Texas. First one is ACA/Obamacare. Second one is short term health insurance.

There are 4 plan type: PPO, HMO, EPO or POS

Depending on whether the plan is a PPO, HMO, EPO or POS plan, consumers will have access to the health care providers managed in different ways.

HMOs tend to be the most restrictive about which doctors you can see and what you must do to see them. This usually means that the insurers save on your cost of care and thereby provide lower premiums.

Tips to choose the best health insurance plan in Texas

Finding an affordable health insurance can be very stressful. Also, there is just so much information presented that it can be very confusing as well. There are lots of policies for every given scenario. Some will cost more depending on the range of health concerns.

There are insurance plans that focus on prescriptions and visits to doctors. There are those that cover only limited visits to the specialist but will cost less. These are just some of the things one needs to weigh seriously.

1. Check different providers

When conducting your search, it is possible that you will immediately find an insurance provider that will seem perfect for your needs. If this happens, do not give in easily. You need to be more patient in searching for the best provider. You must always compare premium rates.

Also, do well to clarify if there are any hidden fees involved. If you fail to ask this question, you will be surprised that there is additional cash charged or hidden fees like not having your payments made through your bank account.

2. Exercise Shrewdness with your deductible

Understandably, it might come off as counterproductive to go for the higher deductible. You’ll have to pay up more but in the long run, it will save you a small fortune. It is particularly wise to choose this option if you already have a history of severe illness and are used to hefty medical bills; if you are generally always healthy, it may be unnecessary.

3. Stay healthy for as long as possible

What is the average cost for a health insurance plan in Texas?

One of the primary factors in your individual health insurance costs is your location, as prices will vary depending on the state and county where you live. In this first table we look at health insurance premiums and how they differ based upon the state you reside in.
Look at table below for the average cost of a health insurance plan in Texas

Monthly and Annual Health Insurance Rates by State

StateMonthly CostAnnual Cost% Change vs Avg.
New Hampshire$378.48$4,541.76-6.17%
New Jersey$405.45$4,865.400.52%
New Mexico$322.35$3,868.20-20.08%
New York$662.87$7,954.4464.34%
North Carolina$449.90$5,398.8011.54%
North Dakota$291.49$3,497.88-27.73%
Rhode Island$285.51$3,426.12-29.22%
South Carolina$383.40$4,600.80-4.95%
South Dakota$407.13$4,885.560.93%
West Virginia$443.00$5,316.009.83%
National Average$403.36$4,840.330.00%

Policy premiums are for a 21-year-old applicant.

Average health insurance premiums by metal tier

Health insurance plans are separated into different metal tiers based on the proportion of health care costs the insurance plan is expected to cover.

Catastrophic and Bronze plans cover the smallest proportion, having the highest deductibles, copays and coinsurance. On the other end of the spectrum, Platinum plans offer the greatest amount coverage, expected to cover 90% of all costs.

The average rates paid for health insurance plans are inversely related to the amount of coverage they provide, with Platinum plans being the most expensive and Bronze / Catastrophic plans being the cheapest. The following table shows the average rates a 40-year-old would pay for individual health insurance based on plans in the different tiers. Older consumers would see their plans increase according to the age scale set by the federal guidelines.

Monthly and annual health insurance rates by metal tier

TypeMonthly premiumAnnual premium
Expanded Bronze$428$5,141

Average health insurance rate by plan type

Monthly and annual health insurance rates by plan type

TypeMonthly rateAnnual rate

With the above knowledge, hope you have found out what’s best health insurance plan in Texas.

What's the best health insurance plan in Texas?
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