Sold outside the marketplace. This plan is bought directly from the insurer, so it is not eligible for a premium tax credit. If your income qualifies you for savings, a marketplace plan at the same price will usually cost you less.
BSW Elite Gold HMO 012
Baylor Scott and White Health Plan · 2026 plan year
Gold
- Ind. deductible
- $500
- Family deductible
- $1,000
- Ind. OOP max
- $10,600
- Family OOP max
- $21,200
Other cost-sharing reduction variants for this plan:
More Baylor Scott and White Health Plan plans in TX
Monthly premiums by age
Rating Area 24 — the lowest-priced of the 14 areas this plan covers. Premiums differ by area.
| Age | Individual | Individual + tobacco |
|---|---|---|
| Under 15 | $294 | $294 |
| 21 | $384 | $576 |
| 30 | $436 | $654 |
| 40 | $491 | $736 |
| 50 | $686 | $1,029 |
| 60 | $1,043 | $1,563 |
| 64 and over | $1,153 | $1,728 |
Live premium estimate
Benefits & cost sharing
Primary Care
| Benefit | In-network |
|---|---|
| Preventive Care/Screening/Immunization | No charge |
| Primary Care Visit to Treat an Injury or Illness | $10.00 |
Specialist
| Benefit | In-network |
|---|---|
| Specialist Visit | $60.00 |
Hospital
| Benefit | In-network |
|---|---|
| Emergency Room Services | 25.00% Coinsurance after deductible |
| Inpatient Hospital Services (e.g., Hospital Stay) | 25.00% Coinsurance after deductible |
| Outpatient Surgery Physician/Surgical Services | 25.00% Coinsurance after deductible |
| Urgent Care Centers or Facilities | $60.00 |
Pharmacy
| Benefit | In-network |
|---|---|
| Generic Drugs | $10.00 |
| Non-Preferred Brand Drugs | $150.00 |
| Off Label Prescription Drugs | $150.00 |
| Preferred Brand Drugs | $55.00 |
| Prescription Drugs Other | $150.00 |
| Specialty Drugs | $500.00 |
Mental Health
| Benefit | In-network |
|---|---|
| Mental/Behavioral Health Inpatient Services | 25.00% Coinsurance after deductible |
| Mental/Behavioral Health Outpatient Services | $10.00 |
Other
| Benefit | In-network |
|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered |
| Accidental Dental | 25.00% Coinsurance after deductible |
| Acupuncture | Not covered |
| Allergy Testing | 25.00% Coinsurance after deductible |
| Major Dental Care - Child | Not covered |
| Autism Spectrum Disorders | $10.00 |
| Bariatric Surgery | Not covered |
| Basic Dental Care - Adult | Not covered |
| Basic Dental Care - Child | Not covered |
| Brain Injury | 25.00% Coinsurance after deductible |
| Chemotherapy | 25.00% Coinsurance after deductible |
| Chiropractic Care | $10.00 |
| Cosmetic Surgery | Not covered |
| Delivery and All Inpatient Services for Maternity Care | 25.00% Coinsurance after deductible |
| Dental Check-Up for Children | Not covered |
| Diabetes Care Management | $10.00 |
| Diabetes Education | $10.00 |
| Dialysis | 25.00% Coinsurance after deductible |
| Durable Medical Equipment | 25.00% Coinsurance after deductible |
| Emergency Transportation/Ambulance | 25.00% Coinsurance after deductible |
| Eye Glasses for Children | $60.00 |
| Habilitation Services | $10.00 |
| Hearing Aids | 25.00% Coinsurance after deductible |
| Home Health Care Services | 25.00% Coinsurance after deductible |
| Hospice Services | 25.00% Coinsurance after deductible |
| Imaging (CT/PET Scans, MRIs) | 25.00% Coinsurance after deductible |
| Infertility Treatment | Not covered |
| Infusion Therapy | 25.00% Coinsurance after deductible |
| Inherited Metabolic Disorder - PKU | 25.00% Coinsurance after deductible |
| Inpatient Physician and Surgical Services | 25.00% Coinsurance after deductible |
| Laboratory Outpatient and Professional Services | 25.00% Coinsurance after deductible |
| Long-Term/Custodial Nursing Home Care | Not covered |
| Major Dental Care - Adult | Not covered |
| Nutritional Counseling | $10.00 |
| Orthodontia - Adult | Not covered |
| Orthodontia - Child | Not covered |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $10.00 |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 25.00% Coinsurance after deductible |
| Outpatient Rehabilitation Services | $10.00 |
| Pediatric Services Other | 25.00% Coinsurance after deductible |
| Post-Mastectomy Care | 25.00% Coinsurance after deductible |
| Prenatal and Postnatal Care | $10.00 |
| Private-Duty Nursing | 25.00% Coinsurance after deductible |
| Prosthetic Devices | 25.00% Coinsurance after deductible |
| Radiation | 25.00% Coinsurance after deductible |
| Reconstructive Surgery | 25.00% Coinsurance after deductible |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $10.00 |
| Rehabilitative Speech Therapy | $10.00 |
| Routine Dental Services (Adult) | Not covered |
| Routine Eye Exam (Adult) | Not covered |
| Routine Eye Exam for Children | $60.00 |
| Routine Foot Care | Not covered |
| Skilled Nursing Facility | 25.00% Coinsurance after deductible |
| Substance Abuse Disorder Inpatient Services | 25.00% Coinsurance after deductible |
| Substance Abuse Disorder Outpatient Services | $10.00 |
| Transplant | 25.00% Coinsurance after deductible |
| Transplant Donor Coverage | 25.00% Coinsurance after deductible |
| Treatment for Temporomandibular Joint Disorders | 25.00% Coinsurance after deductible |
| Weight Loss Programs | Not covered |
| Well Baby Visits and Care | No charge |
| X-rays and Diagnostic Imaging | 25.00% Coinsurance after deductible |
Service area
This plan covers 104 geographic areas.
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