BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) — full price in Lampasas 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 Lampasas County, Texas, costs $779.53/month full price for a 40-year-old in 2026 — $1655.43 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 | $609.96 |
| 27 | $639.24 |
| 30 | $692.30 |
| 40 | $779.53 |
| 50 | $1089.39 |
| 60 | $1655.43 |
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 $734.48/mo. This plan is $779.53/mo at 40 — a difference of $45.05/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.
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Other silver plans in Lampasas County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Standard Silver | Ambetter from Superior HealthPlan | $730.73 |
| Focused Silver | Ambetter from Superior HealthPlan | $734.48 |
| Enhanced Diabetes Care Silver with $0 Drug Options | Ambetter from Superior HealthPlan | $741.38 |
| Standard Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $758.20 |
| Focused Silver + Vision + Adult Dental | Ambetter from Superior HealthPlan | $762.09 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 40788TX0460003 in FIPS 48281.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Lampasas County
Reviewed by Jason Burns, Editorial Steward.