Public Texas runPlan-year review2026 to 2027
Where are costs moving across plans?
Plan years 2026 to 2027, 2 plans, run texas-2026-2027. Each field of each plan is counted once.
Fields by category and direction
| Category | Up | Down | No change | Added | Removed | Not comparable | Needs review |
|---|---|---|---|---|---|---|---|
| Premium | 0 | 0 | 2 | 0 | 0 | 0 | 0 |
| Deductible | 0 | 0 | 2 | 0 | 0 | 0 | 0 |
| Maximum out-of-pocket | 1 | 0 | 1 | 0 | 0 | 0 | 0 |
| Copays | 3 | 0 | 8 | 0 | 0 | 0 | 0 |
| Drugs | 1 | 0 | 0 | 0 | 0 | 0 | 3 |
| Allowances | 0 | 1 | 3 | 0 | 0 | 0 | 0 |
Changes and values needing review (9 fields)
| Plan | Field | 2026 | 2027 | Direction |
|---|---|---|---|---|
| H0028-030 | Maximum out-of-pocket (in network) | $3,400.00 a year | $3,900.00 a year | Up |
| H0028-030 | Specialist visit | $15.00 copay a visit | $20.00 copay a visit | Up |
| H0028-030 | Inpatient hospital stay | $95.00 copay a day | $150.00 copay a day | Up |
| H0028-030 | Outpatient surgery | $100.00 copay a visit | $300.00 copay a visit | Up |
| H0028-030 | Drug deductible | $615.00 a year | $700.00 a year | Up |
| H0028-030 | Drug tier 1 | $0.00 copay a prescription | $0.00 copay a prescription | Needs review |
| H0028-030 | Drug tier 2 | $0.00 copay a prescription | $0.00 copay a prescription | Needs review |
| H0028-030 | Drug tier 3 | $45.00 copay a prescription | 17% coinsurance a prescription | Needs review |
| H0028-030 | Over-the-counter allowance | $75.00 a quarter | $60.00 a quarter | Down |