ACA Health Insurance Plans in Texas (2026)
4,183 ACA medical marketplace plans from 18 insurers are listed in Texas for the 2026 plan year, alongside 94 standalone dental plans — per the CMS ACA Plan Attributes Public Use File.
Last updated: June 24, 2026 · Source: CMS ACA Plan Attributes PUF (2026 plan year)
How many ACA plans are available in Texas?
The CMS ACA Plan Attributes Public Use File lists 4,183 medical plan variants from 18 issuers in Texas for 2026, plus 94 standalone dental plans from 15 issuers. Counts are plan variants (each cost-sharing variation is a row in the source file).
| Segment | Plans | Issuers |
|---|---|---|
| Medical (qualified health plans) | 4,183 | 18 |
| Standalone dental (SADP) | 94 | 15 |
Source: CMS ACA Plan Attributes PUF (2026 plan year).
What metal tiers are offered in Texas?
Texas medical plans span Silver, Gold, Expanded Bronze, Bronze, Catastrophic. The most common tier is Silver (2,119 plans).
| Metal tier | Plans | Share of medical |
|---|---|---|
| Silver | 2,119 | 51% |
| Gold | 1,106 | 26% |
| Expanded Bronze | 728 | 17% |
| Bronze | 172 | 4% |
| Catastrophic | 58 | 1% |
Source: CMS ACA Plan Attributes PUF (2026 plan year).
HMO, PPO, EPO or POS — what plan types are available in Texas?
HMO is the most common plan type in Texas (2,755 plans).
| Plan type | Plans | Share of medical |
|---|---|---|
| HMO | 2,755 | 66% |
| POS | 1,260 | 30% |
| EPO | 168 | 4% |
Source: CMS ACA Plan Attributes PUF (2026 plan year).
Plan features in Texas
- 958 HSA-eligible plans (23% of medical plans).
- 678 plans do not require a referral to see a specialist (16% of medical plans).
Source: CMS ACA Plan Attributes PUF (2026 plan year).
Which insurers offer ACA plans in Texas?
32 distinct issuer IDs appear in Texas across medical and standalone dental plans (18 offer medical, 15 offer standalone dental; some offer both):
27 issuer names are listed below. Some CMS rows carry issuer IDs without a display name in this projection, so the named list can be smaller than the distinct issuer-ID count.
- Ambetter from Superior HealthPlan
- BEST Life
- Baylor Scott and White Health Plan
- Blue Cross and Blue Shield of Texas
- CHRISTUS Health Plan
- Cigna Healthcare
- Community First
- Community Health Choice
- Delta Dental PPO
- DeltaCare USA
- DentaQuest USA Insurance Company, Inc.
- Dominion National
- EMI Health
- Guardian
- Harbor Health
- Humana
- Imperial Insurance Companies, Inc.
- MetLife
- Moda Health Plan, Inc.
- Molina Healthcare
- Oscar Insurance Company
- Renaissance Dental
- Sendero Health Plans, Local Nonprofit
- Solstice Healthplans of Texas, Inc.
- TRUASSURE INSURANCE COMPANY
- UnitedHealthcare
- WellPoint
Source: CMS ACA Plan Attributes PUF (2026 plan year).
Sources & provenance
Every figure on this page comes from the CMS ACA Plan Attributes PUF (2026 plan year)
(source id src:cms:aca-plan-attributes-puf:2026),
published by the Centers for Medicare & Medicaid Services:
https://www.cms.gov/marketplace/resources/data/public-use-files.
Medical plans are metal tiers Silver, Gold, Bronze, Expanded Bronze, Platinum and Catastrophic; standalone dental plans (SADPs) use the Low/High tiers and are counted separately. Premiums are not in this file and are not shown here.
Data exported June 24, 2026 · content hash
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machine-readable brief: /coverage/states/tx.context.md