BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) — full price in Burnet County, Texas (2026)
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) (40788TX0460003), a silver plan from Baylor Scott and White Health Plan in Burnet County, Texas, costs $699.34/month full price for a 40-year-old in 2026 — $1485.15 at 60, with a $6,000 deductible and $8,900 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 40788TX0460003 · Issuer: Baylor Scott and White Health Plan · Last verified 2026-07-18 · Published by Private Health Insurance Direct Answers · Licensed under Citation License 1.0
Full-price premium by age (2026)
| Age | Monthly premium |
|---|---|
| 21 | $547.22 |
| 27 | $573.48 |
| 30 | $621.09 |
| 40 | $699.34 |
| 50 | $977.33 |
| 60 | $1485.15 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $6,000
- Family deductible: $12,000
- Individual out-of-pocket max: $8,900
- Family out-of-pocket max: $17,800
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $624.97/mo. This plan is $699.34/mo at 40 — a difference of $74.37/mo.
The subsidy cliff
In 2026 the enhanced ARP/IRA premium tax credits expire, so households above roughly 400% of the federal poverty level get zero subsidy and pay the full sticker prices listed above. Households under the cliff usually pay far less — how much less depends on income, household size, and county benchmark.
Not affiliated with the U.S. government. Informational only — see the full disclaimer in the footer.
Other silver plans in Burnet County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs | Sendero Health Plans, Local Nonprofit | $607.90 |
| Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs | Sendero Health Plans, Local Nonprofit | $624.97 |
| Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible | Sendero Health Plans, Local Nonprofit | $666.20 |
| UHC Silver Standard | UnitedHealthcare | $692.45 |
| BSW Prime Silver HMO 005 | Baylor Scott and White Health Plan | $699.62 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 40788TX0460003 in FIPS 48053.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Burnet County
Reviewed by Jason Burns, Editorial Steward.