Health Insurance Plans in Stonewall County, Texas 2024

The name of this Texas county should bring immediate memories of High School history classes. And, rightly so, it is named after Stonewall Jackson, the famous leader of the Confederate Army during the Civil War. While the County has undergone many changes since the revolutionary days, much exploration has occurred, from agriculture to gold to oil. Today, health insurance is essential to Stonewall County residents. Whether in the big city of Austin or the tiny town of Aspermont, CoverMile can help you find health insurance that isn’t a stone wall to your finances.

We at CoverMile are here to help you find the best health insurance plans in Stonewall County at the lowest prices. Coverage exists for as low as $0 per month with subsidies. Continue below, and we can show you how.

2023 Health Insurance Facts in Stonewall County, Texas

Texas has one of the country’s highest exchange enrollments, with 2.4 million for 2023. Only Florida ranks higher. Texas also holds the highest uninsured rate in the country at 22.1 percent. It has held that position since the exchange system was implemented.

Here are additional facts about health insurance in Texas.

• According to a US Census estimate, Stonewall County has a population of 1182 residents. Of that total, 23.1 percent are uninsured.  
• By gender, those insured, 51.3 percent were female, and 48.7 percent were men.
• Eighty-seven percent of consumers have access to three or more insurers in 2023. Through the ACA, Stonewall County has access to four insurance providers.
• Fifty-nine percent of consumers have access to a plan from a national insurer; companies like Blue Cross Blue Shield of Texas are available to more than just a local area.
• 79.7 percent of Stonewall County has health coverage. 40.9 percent obtain it with their employer, while 6.73 percent have it through non-group plans. 15.8 percent have Medicare insurance, 14.9 percent have insurance through Medicaid, and 1.32 percent obtain health care through the VA or the military.
• The national median average of those who smoke is 20.0 percent. Stonewall County’s average is 19.8 percent.
• The average cost of a Silver health insurance plan in Texas is $454

Here are a few fun facts about the square County itself:

• Stonewall County was named after Thomas J. “Stonewall” Jackson. He was a Confederate General during the American Civil War.
• The Double Mountain was used as a landmark for Spanish explorers for navigation.
• The Brazos River begins in Stonewall County. It is the longest river in Texas, flowing from the Double Mountain through Waco to the Gulf of Mexico.
• Rath City, in southern Stonewall County, was one area where buffalo hunters and plains tribe Indians clashed.

• Stonewall County only has four towns besides its county seat of Aspermont: Flat Top, Old Glory, Peacock, and Swenson.
• However, Stonewall County does have three ghost towns: Antioch, Oriana, and Swenson.

Do I Need Health Insurance in Stonewall County, TX?

Health insurance for all is no longer a federal mandate. Only a handful of states still require an individual to carry health insurance. However, if you remain uninsured, it opens the door to many issues you may not consider.

1. Healthcare costs.When you don’t carry health insurance, you pay full price. Think of health insurance as having a membership to your favorite chain store. When you present your card, you receive a discount. Health insurance acts the same way. Insurance companies contract with medical facilities to provide care to individuals at a negotiated rate.
2. Healthcare networks.You may need to see a specialist after you see your regular doctor or provider. Having insurance provides you with a network of doctors and facilities. This helps ease the concern of searching on your own. Especially since seeking advanced medical care may burden an already stressful situation.
3. Healthcare maintenance. Having health insurance provides you with free preventive care. This is due to the Affordable Care Act mandates. When you do not have health insurance, you will have to pay for these services out of pocket.

What are My Health Insurance Options in Stonewall County, Texas?

There are several options to find affordable health insurance for Individuals and families who need health care in Stonewall County. You can purchase through the ACA Marketplace or directly from the health insurance company.

Affordable Care Act/Marketplace – When insurance shopping through the Marketplace, you can search for a plan based on where you live, family size, and how much money you make annually. Based on that information, you can see if you qualify for premium tax credits and subsidies like cost-sharing reductions.

Direct Purchase – Before shopping for a direct purchase from a health insurance company website, verify you do not qualify for ACA tax credits and subsidies. You can save money if you are eligible. If not, continue with your direct purchase from a health insurance provider. In some cases, like with Blue Cross Blue Shield of Texas, you may have additional plan options only available on the insurance company’s website.

Short-term Health Insurance – Short-term Health Insurance can assist those seeking insurance, but: it may be too early in the year for Open Enrollment, you’ve just started a job, and a benefits package has a waiting period, or you are waiting for your Medicare benefits to begin. Short-term Health Insurance covers an initial period of 364 days and can be renewed for an additional 24 months. Keep in mind Short-term Health Insurance has limits. It does not cover preexisting conditions, maternity care, or prescription medication.

Types of Insurance – HMOs, EPOs, and PPOs are the most common health insurance network types. Some insurance companies offer multiple network options through the Marketplace or a direct purchase. When you enroll, keep your primary doctor in mind. They must be within the plan’s network for them to be covered. If they are not, you can incur out-of-network fees. Or, as with an EPO network, you may not have coverage at all.

Top Three Health Insurance Companies with the Highest Star Ratings in Stonewall County, TX

What a customer is willing to pay for their policy over time is one of the main details top insurance ratings evaluate. Health insurance shoppers then use reviews to consider which insurance companies are best and purchase based on their research.

To address this concern, we’ve rated the top companies available in Stonewall County based on their 2023 rates compared to their 2022 rates.

• Baylor, Scott, and White – 1.7% rate increase – Although experiencing a rise in 2023, Baylor, Scott, and White had one of the lowest price increases in the market. However, they don’t have as wide of a coverage area as other insurance carriers. They cover major cities such as Austin, Dallas, San Antonio, and surrounding areas.
• Blue Cross Blue Shield of Texas – 3.42% rate increase – Although BCBS of Texas has had an increase in 2023, they have proven to be a strong and reliable insurance provider through the years. They have more plans available than other insurers; they also cover the entire state of Texas.
• ·      Ambetter – 10.7% rate increase – One primary benefit of Ambetter is that they offer Adult Dental and Vision options with some of their EPO network plans. Most insurance companies only provide the Children’s dental mandated by the ACA 10 Essential benefits. The one thing Ambetter lacks, however, is they do not offer a Bronze metal plan.

Top Six Health Insurance Plans for Stonewall County, TX

Below, we’ve selected the best Silver metal policies for Stonewall County, TX, from each of the above companies. They are in order as they reflect the cost of a standard policy without Cost Sharing reductions.

Insurance company	Insurance Plan	Co-insurance	Deductible	Out-of-Pocket Max	Copay PCP/ Specialist	$0 Virtual Care PCP	Adult Dental/ Vision
Baylor Scott and White	Prime Silver 008 HMO	40%	$3400/ $6800	$7250/ $14500	$30*/$70	Fee Applies	No
Ambetter	Complete Silver EPO	40%	$5000/ $10000	$7250/ $14500	$20/$50	Yes	No
Baylor Scott and White	Prime Silver HMO 005 HMO	10%	$0/$0	$7250/ $14500	$45**/$85	Fee Applies	No
Ambetter	Focused Silver +Vision +Adult Dental EPO	50%	$5100 /$10200	$6300 /12600	$35/$85	Yes	Yes
BCBS of Texas	Blue Advantage Silver 205 HMO	50%	$1500/ $4500	$7250/ $14500	$15/50%	Fee Applies	Dental/ Vision as separate policies
BCBS of Texas	Blue Advantage Silver 705 HMO	40%	$5700/ $11400	$7200/ $14400	$30/$60	Fee Applies	Dental/Vision as separate policies

*No charge for the first two sick visits. No charge for pediatric visits.

**No charge for the first sick visit.

How to Enroll in Health Insurance in Stonewall County, TX?

There isn’t much difference to the enrollment process whether you live in Orange, El Paso, Corpus Christi, or Stonewall County. Each must adhere to Affordable Care Act standards.

When – The Affordable Care Act Open Enrollment period begins on November 1^st and ends on December 31^st. Your insurance begins on January 1^st. You also have a second opportunity deadline of January 15^th, but your start date will be February 1^st.

There are also Special Enrollment Periods (SEP) where one can enroll anytime during the year. You qualify for a SEP when:

• There is a change in your household. – This can include getting married or divorced; a birth or adoption in your family; or a death in the family.
• You have a change in your residence. – If you move out of your zip code, this may require an insurance rate adjustment.
• You have a change to your health coverage. – When you or your spouse lose health coverage provided through an employer or an alternative source, you can apply for health insurance.

How – The simplest way to apply for Texas health insurance is through the ACA Marketplace. It is quick, and the website guides you through the process. You fill out your application, select your plan, and through the process, you will be able to see if you qualify for tax subsidies. 

If you have any questions when shopping for health insurance in Stonewall County, TX, contact CoverMile. We can help you find the best coverage that will fit your family’s current situation.

How to Find Doctors Near Me in Stonewall County, TX?

One of your concerns may be whether you will be able to keep your current doctor or if you will have to switch to someone new. You can find this information easily by visiting the insurer’s website and searching for your doctor’s or the facility’s name. This search will tell you if they are in-network or out-of-network.

The links below will take you to each provider’s website and directory. You can find out if your doctor or the facility you frequent is covered. You can search by location, doctor’s name, and facility type. Each website is different, and some offer more information than others.

Blue Cross Blue Shield of TX

After entering your location, you can search Medical Care, Urgent Care, Behavior Health, and Cost Estimates. You can also search for pharmacy information, as well as for dental and Vision care.

Ambetter

Enter your plan information and location, and you can find doctors and facilities in your area. You are also allowed to connect with Telehealth or talk with a nurse directly.

Baylor, Scott, and White

You begin by selecting your plan type. Then, you can choose the type of specialty you are searching for and your zip code. The search engine will show you all available doctors and facilities in that area based on the parameters you set up.