When shopping for health insurance, you want your choices to be from only the best of the best. You desire to find an insurance company that will not leave you and your family hanging when you need coverage for a doctor’s office check-up, an emergency room visit, and everything in between. This is the goal of our compilation, to do the hard work for you. Our researchers have narrowed it down to the top five health insurance companies in Texas that will offer you plans with the best coverage at prices you can afford. By the end of this review, you should have the information you need to make an informed decision as to your next health insurance provider.
The Affordable Care Act Health Insurance in Texas
To save time and space, let’s begin with what each of our choices has in common. All our top five health insurance in Texas choices offer the 10 Essential Health benefits. These include:
- Outpatient healthcare
- Emergency services
- Pregnancy, maternity, and newborn care
- Mental health and substance abuse disorder services
- Prescription drugs
- Rehab and habilitative services
- Laboratory services
- Preventative and wellness services
- Pediatric, including oral and vision care
Remember, to be regarded as an Affordable Care Act policy, a Texas health insurance provider must offer these services as part of their basic health plan. This cannot be an added service or included at a premium.
Top Five Health Insurance Companies in Texas for 2023
These are the top five health insurance companies in Texas based on what they offer customers, their cost, and their rating. They are not written in any particular order. .
Best Plan Summary
- Best Network Coverage: Blue Cross Blue Shield
- Most Affordable: Aetna
- Best Value with Lower Deductibles: Oscar
The Five Best Health Insurance Companies in Texas for 2023
Blue Cross Blue Shield
One of the primary benefits of Blue Cross Blue Shield of Texas (BCBSTX) is that they are available statewide. Out of all the insurance companies in our review, they are the most available option.
United Healthcare is also available statewide. They have many bells and whistles. For instance, like BCBSTX, they offer Medicare Medigap plans that assist policyholders with co-insurance, co-pays, and deductibles. Some of the others do not provide ancillary products.
Oscar has been making changes to the insurance types it offers. It has grown as a health insurance company in Texas in 2023. While this has little effect on the individual market, it will impact those who run small businesses or want a Medicare policy. For those shopping for a health insurance policy, the company’s growth proves people are looking to Oscar for their health insurance needs.
Some health insurance companies work with you to provide coverage and reward you for having healthy lifestyles. Ambetter health insurance has created a program for those who desire both benefits.
Having the smallest network of all our selections, they offer many options to visit a doctor away from the office from Urgent Care, MinuteClinics, and even, where available, home visits through DispatchHealth.
The Best of the Best
If you are looking for coverage options, Blue Cross Blue Shield is your best bet. They have your back from Dallas to Corpus Christi and El Paso to Houston. They even go beyond health coverage to include Medicare Advantage, which includes both Part A and B, as well as Part D prescription coverage or the alternative Medigap plans you can pair with your Original Medicare.
Oscar had its benefits with the lower deductibles. So, if you are looking for insurance for value, then Oscar is worth looking at. Just remember that they are an EPO, and you must remain within their network. However, they are limited to five areas: El Paso, Dallas, San Antonio, Houston, and Austin.
Frequently Asked Questions
How Much is Health Insurance?
Health insurance in Texas will depend on if you are enrolling as a single individual, are filing married, and if you include children. It can also depend on how much you make because if you are low-income, you may qualify for subsidies that can help you save on your health insurance premiums.
When Can I Enroll in Health Insurance in Texas?
Open Enrollment for the Affordable Care Act is from November 1 through December 31st of each year for insurance to begin on January 1st. You can still enroll until January 15th as a late enrollee, but your insurance will not start until February 1st.
Can I Get Health Insurance if I Missed Open Enrollment?
If you missed both the January 1st and the January 15th Open Enrollment deadlines, you would need to wait until the following November 1st Open Enrollment period for ACA. However, if you have a qualifying event, you will trigger a Special Event Open Enrollment period. These events include:
- Getting married or divorced
- Having a baby or adoption
- Death of a covered family member
- Moved out of the zip code
- Loss of coverage through a sponsored health plan
How Can I Save Money on My Health Insurance in Texas?
The best way to save money is to know your options. If you are low-income, you may qualify for the Premium Tax Credit. This will help reduce your monthly premium on your Affordable Care Act insurance Marketplace plan. It is based on your current year’s income estimate and household size. Another way is to keep your insurance plan up-to-date. If there are any changes in the middle of the year, like a covered family member moves out of your home and will no longer need coverage or you move, update your information. Your new status could see a lower rate.