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ACA individual plans: Texas

 

Plans for American Indians and Alaskan Natives (AI/AN)

 

If you’re an American Indian or Alaska Native, there are two types of ACA plans available to you: zero-cost sharing plans and limited cost-sharing plans. Your cost-sharing eligibility is based on the federal poverty level (FPL) and your household income.

 

Note: You can find a guide to the federal poverty level on Healthcare.gov.

 

 

Check out our brochure

Discover the value, care and access included with all ACA plans.

 

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2024 Benefits at a glance (PDF)

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2024 Benefits at a glance (PDF)

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Zero cost-sharing plans

 

If your household income is between 100% and 300% of the federal poverty level, you can enroll in a zero-cost sharing plan. You won’t have to pay out-of-pocket costs like copays, coinsurance or deductibles when you get care.

Use our menu below to see different plan types.

 

Limited cost-sharing plans

 

If your household income is over 300% of the federal poverty level, you can enroll in a limited cost-sharing plan. You won’t have to pay out-of-pocket costs like deductibles, copays and coinsurance for care received from participating Tribal Health providers. If you receive care from participating providers who are not Tribal Health providers, you will have to pay out-of-pocket costs.

Use our menu below to see different plan types.

 

Note: If you're shopping for plans, review the plan’s Evidence of Coverage to find cost estimate information on medical benefits for physician-administered drugs. If you’re a member, log in to your member website.

 

*These plans are available only on-exchange (may qualify for subsidies).

 

**Keep in mind that the cost shown on our find covered drugs tool may not accurately reflect what you will pay at the pharmacy. Your actual cost may vary depending on your benefit plan design, deductible status, pharmacy-specific pricing or prior authorizations.

Legal notices

Health plans are offered or underwritten or administered by Aetna Health Inc. (Texas) (Aetna). Aetna is part of the CVS Health® family of companies.

Health benefits and health insurance plans contain exclusions and limitations.

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