BSW Elite Gold HMO 004 — full price in Hartley County, Texas (2026)
BSW Elite Gold HMO 004 (40788TX0460004), a gold plan from Baylor Scott and White Health Plan in Hartley County, Texas, costs $871.15/month full price for a 40-year-old in 2026 — $1850.01 at 60, with a $1,550 deductible and $8,100 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 40788TX0460004 · 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 | $681.65 |
| 27 | $714.37 |
| 30 | $773.68 |
| 40 | $871.15 |
| 50 | $1217.43 |
| 60 | $1850.01 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $1,550
- Family deductible: $3,100
- Individual out-of-pocket max: $8,100
- Family out-of-pocket max: $16,200
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $773.82/mo. This plan is $871.15/mo at 40 — a difference of $97.33/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 Hartley County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Blue Advantage Gold HMO℠ 206 | Blue Cross and Blue Shield of Texas | $677.03 |
| Blue Advantage Gold HMO℠ 603 | Blue Cross and Blue Shield of Texas | $684.47 |
| Blue Advantage Plus Gold℠ 803 | Blue Cross and Blue Shield of Texas | $686.08 |
| Blue Advantage Gold HMO℠ Standard | Blue Cross and Blue Shield of Texas | $691.04 |
| Blue Advantage Plus Gold℠ 203 | Blue Cross and Blue Shield of Texas | $694.17 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 40788TX0460004 in FIPS 48205.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Hartley County
Reviewed by Jason Burns, Editorial Steward.