The question, “How much does Obamacare cost in Texas?” does not have a simple answer, as the cost of healthcare insurance purchased through the Affordable Care Act (ACA) depends on personal factors. ACA applicants should ask, “How much will Obamacare insurance cost me?” since the applicant’s household data creates the determining factors. Texas ACA insurance price estimates the household income, size and geographical location when determining subsidiaries. Healthcare costs consist of several components including a monthly premium and out-of-pocket costs. To find out more about Obamacare health insurance plans costs and credits, review the following helpful topics:

  • How much will Obamacare insurance cost me in Texas?
  • Obamacare health insurance plans costs by category in Texas
  • Obamacare premium tax credit in Texas
  • Obamacare cost-sharing reductions in Texas

How much will Obamacare insurance cost me in Texas?

Those who qualify for savings on Obamacare health insurance plans costs in Texas can expect a subsidiary between $50-100 per month. These Texas ACA insurance price estimates depend on the size and estimated income of the applicant’s household. For example, a household of four in Texas with an income between $60,751 and $97,200 will qualify for lower monthly premiums. A Texas household of four will have to have an annual estimated income that is between $24,300 and $60,750 in order to qualify for both a lower monthly premium and extra savings.  In either case, the ultimate cost of health insurance depends on the annual household income, size of household with respect to income earners and children and the plan the applicant chooses.

Obamacare Health Insurance Plans Costs by Category in Texas

Determining how much Obamacare costs also means determining the category the insurance plan belongs. After a healthcare petitioner applies for Obamacare in TX, he or she will be able to choose plans that fall into one of the four  plan categories. The Marketplace lists these categories from lowest monthly premium cost to highest monthly premium cost by the intuitive names bronze, silver, gold and platinum.

Although bronze and silver plans have a low monthly premium, the insurance company will cover less  healthcare costs. With a bronze insurance plan, a healthcare recipient will cover 40 percent of healthcare costs while the insurance company covers the other 60 percent. Even though a platinum plan has the highest monthly premium of any category, the health insurance company will cover 90 percent of healthcare costs. 

Although these categories do not answer the question how much does Obamacare cost in Texas? Applicants can use the category descriptions to consider their coverage needs before enrolling in a plan. For instance, a bronze plan may be a good plan for an applicant who has little to no routine medical expenses. He or she can pay a low monthly premium and have some coverage in the event of an emergency. Someone with an illness or condition, who has many prescriptions and regularly visits the doctor, would most likely benefit the most from a platinum plan. Even though the monthly insurance premium is higher, the recipient will benefit from lower costs on care.

Obamacare Premium Tax Credit in Texas

Most applicant households will save on Obamacare health insurance plans costs by qualifying for a premium tax credit, which can lower the monthly premium amount. If the applicant’s household has an annual income within the qualifying range, he or she can choose to apply this credit toward lowering the monthly premium. In this case, the government pays this tax credit to the insurance company directly. However, if the beneficiary’s household income or size changes during the coverage year, the premium tax credit amount may change.

Obamacare Cost-sharing Reductions in Texas

Eligible applicants can qualify for additional savings, known as “cost-sharing reductions,” on Obamacare health insurance plans costs by enrolling in a certain plan category. For those who qualify for cost-sharing reductions, choosing a silver plan will provide increased subsidiaries. These eligible applicants can save hundreds or thousands of dollars through these cost-sharing reductions 

Eligible health care beneficiaries who enroll in a qualified silver plan will have a lower deductible, the amount of money a health insurance beneficiary must pay for out-of-pocket costs before the insurance company covers any costs. In some cases, the deductible can be hundreds or thousands of dollars less than the deductible in a bronze plan. Generally, this low deductible will make up for the higher premium cost of a silver plan.

With silver plan cost-sharing reductions, the applicant will also have lower copayments for healthcare like doctor visits. For example, a normal silver plan might require a $30 copayment, but a qualified silver savings plan might only require a $15 or $20 copayment for doctor visits and other care appointments. Finally, cost-sharing reductions mean a lower “out-of-pocket maximum,” which refers to the absolute total amount a healthcare beneficiary can pay in a year. For instance, a qualified silver plan might limit the maximum to $3,000 from $5,000.


What are benefits for Texas residents?

The State of Texas offers a wide array of benefits and services to the residents of Texas at home and abroad. These benefits include health care, housing assistance, unemployment assistance and a variety of programs for families to assist with food and health expense. Many individuals and families qualify for several of these programs. Complete the survey and download our guide to find helpful information on all of Texas Benefits along with details about eligibility and instructions for how to apply here.


Who is eligible for Texas benefits?

The State of Texas extends benefits to those who qualify. Families, individuals who have lost their job, persons with disabilities and elderly residents are usually those who will benefit the most from Texas's social welfare programs. For a comprehensive list of the requirements for each of Texas' programs please complete the survey and download our guide.

Affordable Care Act Resources


Take The First Step in Getting Assistance!