Before subsidies, the benchmark silver plan for a 40-year-old in Bexar County cost about $637 a month for 2026, and the Texas average for 2027 is $737 a month. Premium tax credits bring that down for many households, depending on income and family size. 8 insurers offered marketplace plans in Bexar County for 2026. Keep reading for what's sold in Bexar County, which local agencies have the best reviews, and how to get a quote.
Top-rated health insurance agencies near San Antonio
Licensed agents can compare plans available in Bexar County, check your doctors and estimate your premium tax credit. Free to you.
Call 866-645-8540Health insurance at a glance: San Antonio, TX
| Where to enroll | HealthCare.gov |
|---|---|
| Average benchmark silver, age 40 (2027) | $737/mo before subsidies |
| Bexar County benchmark (2026) | $637/mo |
| Plans offered in Bexar County (2026) | 123 |
| Plan types | HMO, EPO, POS |
| Marketplace insurers in Texas (2027) | 14 |
| Medicaid expansion | No |
| Short-term plans | Sold (not ACA-compliant) |
Sources: CMS plan data, KFF, state marketplace and insurance department pages.
Local health care in San Antonio
- University Health, the Bexar County Hospital District and the region's only academic health system (staffed by UT Health San Antonio physicians, with University Hospital as the area's Level I trauma center), is a network worth checking before you pick a San Antonio plan. Source
- San Antonio Metropolitan Health District (Metro Health), a joint city-county agency run as a City department, provides public health programs for San Antonio and unincorporated Bexar County. Source
Before you choose a plan, check that the hospitals and doctors you use are in its network. An agent can look that up for each plan you compare.
How to get ready
- Ask each agent which carriers they can quote in your county.
- Write down the enrollment deadline and confirm your first premium payment.
- Have a realistic estimate of next year's household income; subsidies are based on it.
- Make a list of your doctors, hospitals and prescriptions before you call anyone.
Free enrollment help in Texas
HealthCare.gov Marketplace assisters: CMS-funded Navigator organizations plus Certified Application Counselors, who give free, impartial help applying and enrolling; consumers search for nearby help with the HealthCare.gov Find Local Help tool. You can search for in-person help on the official find-help page. If you'd rather have someone compare plans and recommend one, a licensed agent can do that at no cost to you.
Frequently asked questions
Which insurers sell marketplace plans in Texas?
For 2027, marketplace plans in Texas come from 14 insurers: Blue Cross and Blue Shield of Texas, Ambetter (Superior HealthPlan / Celtic), CHRISTUS Health Plan, Community First Health Plans, Community Health Choice, Harbor Health, Imperial Insurance, Moda Health, Molina Healthcare, Oscar Health, Sendero Health Plans, UnitedHealthcare, Wellpoint and Antidote Health. Not every insurer sells in every county.
Where can I buy health insurance in San Antonio?
Through the HealthCare.gov, directly from an insurer, or with a licensed agent or broker who can do either.
Can I get coverage outside open enrollment?
Only with a qualifying life event, unless you qualify for Texas Medicaid. Some people also look at short-term or fixed-indemnity plans, which are not ACA-compliant coverage.
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