BSW Diabetes Care Gold HMO 014 — full price in Milam County, Texas (2026)
BSW Diabetes Care Gold HMO 014 (40788TX0460014), a gold plan from Baylor Scott and White Health Plan in Milam County, Texas, costs $694.45/month full price for a 40-year-old in 2026 — $1474.75 at 60, with a $1,700 deductible and $10,150 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 40788TX0460014 · 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 | $543.39 |
| 27 | $569.47 |
| 30 | $616.75 |
| 40 | $694.45 |
| 50 | $970.49 |
| 60 | $1474.75 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $1,700
- Family deductible: $3,400
- Individual out-of-pocket max: $10,150
- Family out-of-pocket max: $20,300
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $664.84/mo. This plan is $694.45/mo at 40 — a difference of $29.61/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 gold plans in Milam County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Gold Classic Standard | Oscar Insurance Company | $565.69 |
| Gold Classic | Oscar Insurance Company | $574.52 |
| Gold Elite | Oscar Insurance Company | $586.42 |
| UHC Gold Standard | UnitedHealthcare | $593.92 |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) | UnitedHealthcare | $607.77 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 40788TX0460014 in FIPS 48331.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in Milam County
Reviewed by Jason Burns, Editorial Steward.