Gold Simple Guided Care — full price in Fort Bend County, Texas (2026)
Gold Simple Guided Care (20069TX0510072), a gold plan from Oscar Insurance Company in Fort Bend County, Texas, costs $568.08/month full price for a 40-year-old in 2026 — $1206.40 at 60, with a $3,300 deductible and $9,950 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 20069TX0510072 · Issuer: Oscar Insurance Company · 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 | $444.52 |
| 27 | $465.85 |
| 30 | $504.52 |
| 40 | $568.08 |
| 50 | $793.90 |
| 60 | $1206.40 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $3,300
- Family deductible: $6,600
- Individual out-of-pocket max: $9,950
- Family out-of-pocket max: $19,900
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $648.75/mo. This plan is $568.08/mo at 40 — a difference of $-80.67/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 gold plans in Fort Bend County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | Community Health Choice | $554.92 |
| Gold Classic Standard Guided Care | Oscar Insurance Company | $571.02 |
| Gold Simple Diabetes Guided Care | Oscar Insurance Company | $573.63 |
| Gold Classic Guided Care | Oscar Insurance Company | $579.87 |
| MyBlue Health Gold℠ 403 | Blue Cross and Blue Shield of Texas | $587.83 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20069TX0510072 in FIPS 48157.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Fort Bend County
Reviewed by Jason Burns, Editorial Steward.