Which San Antonio hospital systems list which marketplace plans?
Baptist Health System, Methodist Hospital and University Health each publish a list, and the lists differ. A plan a system does not name is not named, which is different from out of network, so ask before you enroll.
| Plan company | Baptist Health System | Methodist Hospital | University Health |
|---|---|---|---|
| Ambetter (Superior HealthPlan) | Listed, marked as affected by the Centene notice | Marked Health Insurance Exchange | Marked Call |
| Blue Cross and Blue Shield of Texas | Blue Advantage | Marked Health Insurance Exchange | Blue Advantage, Blue Essentials and Blue Premier HMO listed Yes, not marked as marketplace |
| Community First | Listed | Not marked for the exchange | Community First Insurance Plan, Yes |
| Imperial | Listed | Not named | Yes |
| Molina | Not named for the exchange | Marked Health Insurance Exchange | Not named for the exchange |
| Oscar | Listed | Not named | Marked See Note |
| Wellpoint | Listed | Not marked for the exchange | Yes |
| UnitedHealthcare | Listed | Not marked for the exchange | Marked No |
| Baylor Scott & White Health Plan | Listed | Not named | Scott & White Health Plan, Yes |
University Health tells you to verify network participation with your health plan or employer, and says you can call University Health CareLink at (210) 358-3350. Methodist Hospital says the plans it accepts change frequently and asks you to confirm that each hospital and doctor accepts your plan before your visit.
Baylor Scott & White Health Plan is leaving the marketplace after December 31, 2026, so a plan from it will not be available for 2027 even where a hospital still lists it.
What is Baptist Health System saying about the Centene notice?
Baptist Health System says Centene sent a notice to end in network access effective January 1, 2027, and that it affects Centene's marketplace, Medicare Advantage and managed Medicaid plans.
| Topic | What Baptist says |
|---|---|
| Marketplace plan affected | Ambetter from Superior HealthPlan |
| Other plans affected | Superior HealthPlan (managed Medicaid), and Wellcare, Wellcare by Allwell and Wellcare by Superior HealthPlan (Medicare Advantage) |
| Date | Not in network as of January 1, 2027 |
| Where to ask | Baptist Health System at (210) 202-5849 |
This is one side of a larger contract dispute between Centene and Tenet Healthcare, which names Baptist Health System among its Texas hospitals. We found no announced agreement as of November 2, 2026, and we did not find a statement from Centene's corporate office. Read our guide to the Centene and Tenet dispute for each side's statements and what to do before the dates pass.
A settlement is possible, and so is a lapse. Pick a plan that works for you under either outcome, and look up your hospital in the exact plan's 2027 directory.
How many people in Bexar County use the marketplace?
| Measure | Bexar County | Texas |
|---|---|---|
| People who picked a plan | 299,950 | 4,172,233 |
| Received a premium tax credit | 90.8% | 92.9% |
| Paid $10 a month or less after credits | 48.8% | 49.5% |
| Picked a bronze plan | 21.7% | 29.8% |
| Picked a silver plan | 22.6% | 26.6% |
| Picked a gold plan | 55.6% | 41.3% |
- Before credits
- After credits
- Bexar CountyBefore credits: $660After credits: $95
- TexasBefore credits: $709After credits: $89
Source: CMS 2026 Marketplace Open Enrollment Period public use files
More than half of Bexar County enrollees picked gold plans. Texas requires insurers to load silver plan prices, which is explained in our Austin guide, and it makes gold plans cheap for many people. A gold plan can still change your hospital choices, so compare a full year of cost with our health plan comparison calculator.
These are 2026 numbers. Open enrollment runs November 1, 2026 to January 15, 2027. Pick a plan by December 15, 2026 for coverage that starts January 1.
Who lives in San Antonio and how many are uninsured?
| Measure | San Antonio | Bexar County |
|---|---|---|
| Residents | 1,548,422 | 2,160,088 |
| Age 65 or older | 13.4% | 14.3% |
| Age 5 and older who speak a language other than English at home | 40.4% | 37.0% |
| People under 65 with no health insurance | 20.1% | 18.1% |
Healthinsurance.org reports that Texas has 15 marketplace insurers for 2027, down from 16, because Cigna and Baylor Scott & White Health Plan are leaving. Antidote Health Plan is joining.
What can I do before I choose a plan?
These steps work whatever happens with the Centene and Tenet contract.
- Look up your hospital, your doctors and any children's hospital in the exact 2027 directory of each plan you are considering, not only under the company name.
- Ask your hospital whether each plan will be in network on January 1, 2027. Baptist (210) 202-5849 and University Health CareLink (210) 358-3350 can tell you what they say today.
- Compare the yearly cost of two plans with our health plan comparison calculator.
- If you have Ambetter from Superior HealthPlan or Baylor Scott & White Health Plan, compare other insurers during open enrollment.
- Use HealthCare.gov's find local help page for free help from a navigator.
How can a San Antonio agent help while the contract is unresolved?
An agent can look up your hospital and doctors in each plan's directory, compare plans from more than one company, check your prescriptions and explain which dates apply to you. Have your doctors' names, your hospital and your current plan card ready.
Health Insurance Solutions agents are licensed in 22 states and help by phone and online. Marketplace plans cost the same with or without an agent, so the comparison does not add to your premium.
Insurers and hospitals mentioned
Explore the organizations or brands discussed in this article. A mention does not mean every plan or location is covered.
- Hospital · TexasLeaves,The
- Hospital · TexasMethodist Hospital
- Hospital · TexasMethodist Hospital
- Insurer · TexasAmbetter from Superior HealthPlan
- Insurer · TexasAmbetter from Superior HealthPlan
- Insurer · TexasBlue Cross and Blue Shield of Texas
- Insurer · TexasCommunity First
- Insurer · TexasUnitedHealthcare
- Insurer · TexasUnitedHealthcare
- Insurer · TexasWellPoint
- Medicare Advantage · TexasBaylor Scott & White Health Plan
- Medicare Advantage · TexasCommunity First
- Medicare Advantage · TexasUnitedHealthcare
- Medicare Advantage · TexasWellcare
- Medicare Advantage · TexasWellpoint
- Small-group insurer · TexasUnitedHealthcare Insurance Company
- Small-group insurer · TexasUnitedHealthcare of Texas, Inc.
See our Individual & Family plans
Major medical coverage for you and your household, with subsidies applied where you qualify.Health plan comparison calculator: yearly cost of two plans
Enter two plans' premiums, deductibles and out of pocket maximums to see which costs less for the care you expect.Health insurance in Texas
Marketplace, Medicaid and Medicare rules for the whole state.We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
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