BSW Prime Silver HMO 005 — full price in Coke County, Texas (2026)
BSW Prime Silver HMO 005 (40788TX0460005), a silver plan from Baylor Scott and White Health Plan in Coke County, Texas, costs $974.21/month full price for a 40-year-old in 2026 — $2068.87 at 60, with a $3,000 deductible and $9,000 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 40788TX0460005 · 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 | $762.29 |
| 27 | $798.88 |
| 30 | $865.20 |
| 40 | $974.21 |
| 50 | $1361.46 |
| 60 | $2068.87 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $3,000
- Family deductible: $6,000
- Individual out-of-pocket max: $9,000
- Family out-of-pocket max: $18,000
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $924.74/mo. This plan is $974.21/mo at 40 — a difference of $49.47/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 Coke County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Superior HealthPlan | $920.02 |
| Focused Silver | Ambetter from Superior HealthPlan | $924.74 |
| Enhanced Diabetes Care Silver with $0 Drug Options | Ambetter from Superior HealthPlan | $933.42 |
| Blue Advantage Silver HMO℠ 801 | Blue Cross and Blue Shield of Texas | $952.79 |
| Standard Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $954.59 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 40788TX0460005 in FIPS 48081.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Coke County
Reviewed by Jason Burns, Editorial Steward.