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Licensed in Texas

Health insurance and Medicare in Texas

Health Insurance Solutions is an independent agency licensed in Texas. Our agents compare ACA marketplace, Medicare and other health plans for people in Texas at no cost to you. Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027 on HealthCare.gov.

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Facts reviewed

Texas at a glance for 2027

Marketplace
HealthCare.govFederal marketplace
Open enrollment for 2027
November 1, 2026 to January 15, 2027
For coverage on January 1
Pick a plan by December 15, 2026
Medicaid
Not expandedTexas Medicaid
Medicare plan changes
October 15 to December 7, 2026
Medicare counseling
HICAP (Health Information, Counseling and Advocacy Program)Free and unbiased

What changes in Texas for 2027?

Smaller marketplace savings

The extra savings that started in 2021 ended after 2025. For 2027, people who qualify pay between 2.15% and 10.22% of household income for the benchmark silver plan, and households above 400% of the federal poverty level get no premium tax credit.

No Medicaid expansion

Texas has not expanded Medicaid. Most adults without children or a disability do not qualify for Texas Medicaid, and adults earning less than the poverty line usually cannot get marketplace savings either.

Medicare plan changes

Medicare's annual enrollment period runs October 15 to December 7, 2026. If you have a Medicare Advantage plan, you can switch again from January 1 to March 31, 2027.

How much help can I get with health insurance in Texas for 2027?

Enter your household size and expected income to see your estimated 2027 premium and whether Texas Medicaid may apply.

You expect to pay about $289 a month

That is 8.68% of your income for the benchmark silver plan, at 251% of the poverty level. Add the benchmark plan price above to see your tax credit.

Poverty level used: $15,960 for 1 person (2026 guidelines).

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This is an estimate, not a quote. Open the full calculator.

How do I get health insurance in Texas?

  1. Mark your dates

    Open enrollment for 2027 coverage runs November 1, 2026 to January 15, 2027 on HealthCare.gov.

  2. Check Medicaid and savings

    Texas Medicaid mainly covers children, pregnant women, people with disabilities, seniors with low income and some parents with very low income. Most other adults shop on HealthCare.gov, where savings start at 100% of the federal poverty level.

  3. Compare plans with a licensed agent

    A Health Insurance Solutions agent licensed in Texas compares the plans available in your ZIP code, explains the tradeoffs and helps you enroll. Our help costs you nothing.

  4. Enroll before the deadline

    Pick a plan by December 15, 2026 for coverage that starts January 1, 2027. After open enrollment ends, you usually need a qualifying life event, like losing other coverage or moving, to enroll.

Talk to an agent licensed in Texas

We compare plans, explain the tradeoffs and help you enroll. It costs you nothing.

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What should people with Medicare in Texas know?

Medicare dates are the same in every state. Each state sets its own Medigap rules, so that is where Texas differs.

How Medicare coverage works
Annual enrollment period
October 15 to December 7, 2026. Join, switch or drop a Medicare Advantage or Part D plan for 2027.
Medicare Advantage open enrollment
January 1 to March 31, 2027. If you have a Medicare Advantage plan, you can switch to another one or return to Original Medicare.
Medigap if you are under 65
Yes, and since June 1, 2025 Texas adds protections for people with ALS or end-stage renal disease.
Switching Medigap plans
Texas has no birthday or anniversary rule. After your Medigap open enrollment period, insurers can usually ask health questions before selling you a new policy, except in federal guaranteed issue situations.
Free, unbiased counseling
HICAP (Health Information, Counseling and Advocacy Program). Find a local counselor at shiphelp.org.

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.

Plans we help with in Texas

Local guides for Texas cities

Find insurers and hospitals in Texas

Browse state-specific insurer and hospital listings, see the sources, and learn what to confirm before you choose a plan.

Explore Texas insurers and hospitals

Health insurance for Texas business owners

Small business

How do I get health insurance for my small business in Texas?

Group plans, the tax credit and the state rules for employers.

Texas health insurance questions

When is open enrollment for 2027 health insurance in Texas?

Open enrollment for 2027 coverage in Texas runs from November 1, 2026 to January 15, 2027 on HealthCare.gov. Pick a plan by December 15, 2026 for coverage that starts January 1, 2027.

Can I get health insurance in Texas after open enrollment ends?

Yes, if you have a qualifying life event. Losing other coverage, moving, getting married or having a baby usually opens a 60-day special enrollment period on HealthCare.gov. Medicaid and CHIP accept applications all year.

Can I still get help paying for a marketplace plan in Texas in 2027?

Yes, if your household income is between 100% and 400% of the federal poverty level. The extra savings that started in 2021 ended after 2025. For 2027, people who qualify pay between 2.15% and 10.22% of household income for the benchmark silver plan, and households above 400% of the federal poverty level get no premium tax credit.

Has Texas expanded Medicaid?

No. Texas has not expanded Medicaid. Most adults without children or a disability do not qualify for Texas Medicaid, and adults earning less than the poverty line usually cannot get marketplace savings either.

Do Medicaid work requirements apply in Texas?

Not for most people. The federal work requirement that starts by January 1, 2027 applies to adults covered through Medicaid expansion, and Texas has not expanded Medicaid.

Can I switch Medigap plans in Texas without health questions?

Usually only in limited cases. Texas has no birthday or anniversary rule. After your Medigap open enrollment period, insurers can usually ask health questions before selling you a new policy, except in federal guaranteed issue situations.

Where can I get free Medicare counseling in Texas?

In Texas, free and unbiased Medicare counseling comes from the State Health Insurance Assistance Program, called HICAP (Health Information, Counseling and Advocacy Program). You can find a local counselor at shiphelp.org.

Is Health Insurance Solutions licensed in Texas?

Yes. Health Insurance Solutions is an independent insurance agency licensed in Texas and 21 other states. Our agents compare plans from multiple insurers and help you enroll, at no cost to you.

Other states we serve

Compare all 22 states