Best Texas Health Insurance (2023 Plans)

According to our research, Ambetter from Superior Health Plan is the best overall health insurance company in Texas, earning a 73 out of 100 MoneyGeek score. The company was rated high for its affordable rates and claims management. It also approves most claims.

To choose the winner in this category, MoneyGeek collected data from 31 Silver EPO plans and 56 HMO plans in Texas.

Moda is the best health insurance provider in Texas for low out-of-pocket expenses, with a MoneyGeek rating of 84 out of 100. The company also obtained good ratings for affordability and claims denial, as well as affordable rates and a low MOOP.

MoneyGeek examined 40 Gold HMO plans and 15 Gold EPO Plans in order to rank the best in this category.

According to MoneyGeek, Ambetter from Superior Health Plan offers the best low-cost health insurance in Texas, earning a MoneyGeek score of 76 out of a possible 100.

We scored this area differently, giving greater weight to premium affordability. Keep in mind that out-of-pocket expenses are typically higher for plans with lower monthly premiums. If you don't think you'll need much care, this trade-off can be worthwhile.

We examined 31 Silver EPO plans and 56 Silver HMO plans to identify the category's winning company and recommended plans.

If you're focused soley on cost, MoneyGeek also determined the cheapest health insurance in Texas.

The best affordable health insurance in Texas for individuals with low income, according to MoneyGeek, is from Moda, which received a score of 75 out of 100.

MoneyGeek’s study exclusively rated providers offering plans with cost-sharing reductions (CSRs) and low monthly prices. In Texas, this included 31 Silver EPO and 56 Silver HMO plans.

Earning below 250% of the federal poverty level (FPL) can qualify you for CSR discounts that reduce MOOPs and deductibles, letting you avoid the trade-off between higher out-of-pocket costs and cheaper premiums. CSR policies have more cost-sharing than basic Silver plans, which cover around 70% of medical expenses. For Texas residents:

• Earning between $27,180 and $33,975 yearly (201% to 250% of the FPL) qualifies them for a plan that covers around 73% of medical expenses.
• Earning between $20,385 and $27,180 (151% to 200% of the FPL) qualifies for a plan covering roughly 87% of medical expenses.
• Plans covering around 94% of medical expenses are available to those with annual incomes below $20,385 (up to 150% of the FPL).

These brackets change based on the number of people living in your home.

Moda offers the best health insurance for young adults in Texas, as determined by a MoneyGeek score of 88 out of 100.

We identified the best insurers for young adults by evaluating providers offering Bronze or Catastrophic policies, which have the lowest premiums but the most out-of-pocket expenses. Only individuals under 30 years of age can purchase Catastrophic plans.

For this analysis, we evaluated the following numbers of plan types and tiers in Texas:

• Bronze: Five EPO and 14 HMO plans
• Expanded Bronze: 18 EPO plans and 33 HMO plans
• Catastrophic: Two HMO plans

Health insurance companies typically offer various plan types. Here are the best providers in Texas for all available plan types:

• HMO: Ambetter from Superior Health Plan (MoneyGeek score: 95 out of 100)
• EPO: Moda (MoneyGeek score: 72 out of 100)

Our recommendations are limited to Silver plans. In terms of cost and coverage, this metal tier strikes the ideal balance, making it the best option for the average individual looking for affordable health insurance premiums.

There are 56 Silver HMO plans and 31 Silver EPO plans in Texas.

According to MoneyGeek's ratings, National General Accident & Health is the best provider of short-term health insurance in Texas, with a score of 95 out of 100. Since short-term health insurance doesn't provide all the necessary health benefits that are available with Affordable Care Act (ACA) compliant plans, it is ideal for temporarily addressing coverage gaps.

In Texas, the best health insurance for you will depend on your medical needs and how much you are willing to spend on monthly payments. You may choose to pay more each month in premiums to avoid paying as much when you need treatment or the opposite.

You may find the following tips helpful if you are shopping for health insurance in Texas.

Medicare is a federal health insurance program for people 65 and older, people with disabilities or those with certain medical conditions. Its monthly payments depend on the policyholder’s income and plan type. It comprises three parts:

• Part A (hospital insurance): Free and provides coverage for hospital stays, hospice care, a few home health care services and nursing facilities.
• Part B (medical insurance): Covers services like outpatient care, doctor visits and preventive services.
• Part D (prescription drug coverage): Covers prescription drugs and vaccines.

MoneyGeek also offers details about the best Medicare Advantage and best Medicare Supplement plans in Texas.

Medicaid, a free federal program, provides health coverage to Texans whose income falls below a state-mandated limit. This coverage is only available to those who meet the state-specific requirements. To be eligible, you must typically come from a household with a very low income, have children with a low income, be pregnant or have a disability.

When looking for health insurance plans, availability and price can be concerns. We answered some questions about health insurance in Texas.