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Open Enrollment starts November 1.

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RedHealth Advisors

Coverage for you and your family.

Most Texas and Oklahoma families buy through HealthCare.gov. The plan you pick, and the income you report, decide what you pay all year. We make both decisions with you.

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Who do you need coverage for?

What we look at before we recommend anything.

Your doctors

Are they in the network?

HMO, EPO and PPO plans work differently in Texas and Oklahoma. We check your doctors, hospitals and clinics before you choose.

Your prescriptions

Are they on the drug list, and at what tier?

A cheaper plan that covers your medication poorly usually costs more by spring.

Your income

What will you qualify for?

Premium tax credits and cost-sharing reductions are both based on your estimated household income for the year.

How you use care

Which metal level fits?

Bronze keeps premiums low and pairs with an HSA from 2026. Silver can carry extra savings at lower incomes. Gold and platinum cost more each month and less when you need care.

Savings for 2027, in dollars.

Cost-sharing reductions only come on silver plans, and only up to 250% of the poverty level. Premium tax credits generally stop above 400% now that the enhanced credits have expired.

HouseholdExtra silver savings up toTax credits generally end above
1 person$39,900$63,840
2 people$54,100$86,560
3 people$68,300$109,280
4 people$82,500$132,000
5 people$96,700$154,720
Fig. 1 Income thresholds for 2027 coverage. 250% and 400% of the 2026 HHS poverty guidelines (48 states). Out-of-pocket maximum for 2027 is $12,000 per person without cost-sharing reductions. Reviewed September 22, 2026.

When you can enroll.

Open Enrollment

November 1, 2026 to January 15, 2027

Pick a plan by December 15, 2026 for coverage on January 1.

Special Enrollment

Within 60 days of a life change

Losing other coverage, moving, marriage, a new baby and some income changes can open a window outside Open Enrollment.

Medicaid and CHIP

Any time of year

If your income is low enough, you can apply for Medicaid or CHIP whenever you need it.

Tribal members

Once a month, all year

Enrolled members of federally recognized tribes can enroll or switch monthly.

Tribal member? See EnrollNative →

Go deeper on 2027.

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Common questions.

All questions →
What is a premium tax credit, and who qualifies for 2027?

A premium tax credit is a federal tax credit that lowers your monthly Marketplace premium. For 2027 coverage, it is generally available to households with income between 100% and 400% of the federal poverty level who buy a plan through HealthCare.gov and do not have access to affordable job-based coverage, Medicaid, or Medicare. Eligible households are expected to pay between 2.15% and 10.22% of income for the benchmark silver plan, and the credit covers the rest of that plan's cost.

Sources. irs.gov, irs.gov, healthcare.gov

What are cost-sharing reductions?

Cost-sharing reductions are extra savings that lower your deductible, copays, and out-of-pocket maximum, and you only get them on a silver plan. For 2027, they apply to household income from 100% to 250% of the poverty level (up to $39,900 for one person or $82,500 for a family of four). Depending on income, a silver plan is upgraded to cover about 94%, 87%, or 73% of typical costs, with out-of-pocket maximums as low as $4,000 for one person.

Sources. healthcare.gov, ecfr.gov, cms.gov

What happens if my income changes during the year?

Report it to the Marketplace as soon as you can so your advance credit can be adjusted. The credit is reconciled on your federal tax return, and starting with 2026 tax years there is no longer any cap on paying back excess advance credits: if you received more than you qualified for, you repay the full difference. If your income drops, reporting it may raise your credit or make you eligible for Medicaid or cost-sharing reductions.

Sources. healthcare.gov, congress.gov

How do I make sure my doctors and prescriptions are covered?

Check each plan's provider directory and drug list (formulary) before you enroll, and confirm with your doctor's office that they take that specific plan, not just the insurance company. Networks can differ between plans from the same insurer, and they can change from one year to the next. Bring us a list of your doctors, hospitals, and medications, and we will check every plan you are considering against it.

Sources. healthcare.gov, healthcare.gov

What is the difference between an HMO, EPO, and PPO?

An HMO usually covers care only from its network, except emergencies, and often requires a primary care doctor's referral to see a specialist. An EPO also covers only in-network care, except emergencies, but typically does not require referrals. A PPO covers out-of-network care too, at a higher cost. In short, an HMO generally costs less in exchange for a tighter network and referrals, and a PPO costs more for the flexibility. In Texas and Oklahoma, the plan types available vary by county and insurer, so we show you exactly which networks are offered in your ZIP code.

Sources. healthcare.gov, healthcare.gov, healthcare.gov, healthcare.gov

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