Gold Elite — full price in San Jacinto County, Texas (2026)
Gold Elite (20069TX0100056), a gold plan from Oscar Insurance Company in San Jacinto County, Texas, costs $774.97/month full price for a 40-year-old in 2026 — $1645.74 at 60, with a $1,200 deductible and $7,800 out-of-pocket max, per the CMS PY2026 QHP Landscape.
HIOS plan ID: 20069TX0100056 · 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 | $606.40 |
| 27 | $635.50 |
| 30 | $688.25 |
| 40 | $774.97 |
| 50 | $1083.01 |
| 60 | $1645.74 |
Deductibles & out-of-pocket max (2026)
- Individual deductible: $1,200
- Family deductible: $2,400
- Individual out-of-pocket max: $7,800
- Family out-of-pocket max: $15,600
Vs. county benchmark
The county benchmark silver premium for a 40-year-old is $648.23/mo. This plan is $774.97/mo at 40 — a difference of $126.74/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 San Jacinto County
| Plan | Issuer | Premium @ 40 |
|---|---|---|
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | Community Health Choice | $587.04 |
| Standard Gold | Ambetter from Superior HealthPlan | $589.65 |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | Community Health Choice | $591.50 |
| Everyday Gold | Ambetter from Superior HealthPlan | $592.37 |
| Complete Gold | Ambetter from Superior HealthPlan | $603.07 |
Sources
- CMS PY2026 QHP Landscape — Individual Market Medical — the plan record for HIOS ID 20069TX0100056 in FIPS 48407.
- Summary of Benefits & Coverage (SBC)
- Provider network directory
- Drug formulary
- Methodology
← All plans and costs in San Jacinto County
Reviewed by Jason Burns, Editorial Steward.