Molina Gold Saver 750 Plus with Adult Vision

Molina Healthcare · 2026 plan year

Gold
Ind. deductible
$750
Family deductible
$1,500
Ind. OOP max
$9,400
Family OOP max
$18,800

Compare with other Gold plans in TX

Side by side: deductibles, out-of-pocket limits and copays.

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Monthly premiums by age

Rating Area 8 — the lowest-priced of the 3 areas this plan covers. Premiums differ by area.

AgeIndividual
Under 15$356
21$465
30$528
40$595
50$831
60$1,263
64 and over$1,396

Live premium estimate

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Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness$25.00

Specialist

BenefitIn-network
Specialist Visit$75.00

Hospital

BenefitIn-network
Emergency Room Services35.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)35.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services45.00% Coinsurance after deductible
Urgent Care Centers or Facilities$50.00

Pharmacy

BenefitIn-network
Generic Drugs$5.00
Non-Preferred Brand Drugs50.00% Coinsurance after deductible
Preferred Brand Drugs$55.00 Copay after deductible
Specialty Drugs50.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services35.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services$25.00

Other

BenefitIn-network
Accidental Dental45.00% Coinsurance after deductible
AcupunctureNot covered
Allergy Testing$25.00
Autism Spectrum Disorders$25.00
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Brain Injury45.00% Coinsurance after deductible
Chemotherapy50.00% Coinsurance after deductible
Chiropractic Care45.00% Coinsurance after deductible
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care35.00% Coinsurance after deductible
Dental Check-Up for ChildrenNot covered
Diabetes EducationNo charge
Dialysis$75.00
Durable Medical Equipment45.00% Coinsurance after deductible
Emergency Transportation/Ambulance35.00% Coinsurance after deductible
Eye Glasses for ChildrenNo charge
Habilitation - Autism45.00% Coinsurance after deductible
Habilitation Services45.00% Coinsurance after deductible
Hearing Aids45.00% Coinsurance after deductible
Home Health Care Services45.00% Coinsurance after deductible
Hospice ServicesNo charge
Imaging (CT/PET Scans, MRIs)30.00% Coinsurance after deductible
Infertility TreatmentNot covered
Infusion Therapy45.00% Coinsurance after deductible
Inpatient Physician and Surgical Services35.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services45.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Abortion for Which Public Funding is ProhibitedNot covered
Nutritional CounselingNot covered
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Other Practitioner Office Visit (Nurse, Physician Assistant)$25.00
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)45.00% Coinsurance after deductible
Outpatient Rehabilitation Services45.00% Coinsurance after deductible
Prenatal and Postnatal CareNo charge
Private-Duty Nursing45.00% Coinsurance after deductible
Prosthetic Devices45.00% Coinsurance after deductible
Radiation45.00% Coinsurance after deductible
Reconstructive Surgery45.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy45.00% Coinsurance after deductible
Rehabilitative Speech Therapy45.00% Coinsurance after deductible
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)No charge
Routine Eye Exam for ChildrenNo charge
Routine Foot CareNot covered
Skilled Nursing Facility45.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services35.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services$25.00
Transplant45.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders45.00% Coinsurance after deductible
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge
X-rays and Diagnostic Imaging45.00% Coinsurance after deductible

Plan rules

Service area

This plan covers 13 geographic areas.

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