Wellpoint Marketplace Insurance in Texas
Wellpoint offers ACA Marketplace plans for individuals and families in selected Texas areas, including coverage for essential medical, prescription, and mental-health services.
ACA Marketplace coverageIndividual and family plans for eligible Texans
Selected Texas regionsAvailability depends on county and ZIP code
Some dental and visionSelect plans include added adult benefits
Texas plan features
What Wellpoint Marketplace plans may include
Wellpoint offers different plan designs and cost-sharing levels in Texas. Exact benefits and network access depend on the plan and service area.
01
Essential health benefits
Plans cover doctor and hospital care, emergency services, prescriptions, mental-health care, preventive services, and other ACA-required benefits.
02
Dental and vision options
Select Texas Marketplace plans include adult dental and vision benefits, along with pediatric vision coverage.
03
Metal-level choices
Wellpoint offers Bronze, Silver, and Gold Marketplace designs, though available levels and networks vary by location.
Details and availability can change. View the official Wellpoint Texas individual and family plan information for current information.
Plans vary by area
What to compare in a Wellpoint plan
The same carrier can offer several networks and benefit designs. Review the exact plan rather than relying on the logo or premium alone.
Doctors and hospitals
Confirm all preferred providers in the exact Wellpoint network available for your ZIP code.
Prescription formulary
Check the current drug list for your plan year, medication tiers, specialty pharmacy rules, and preferred pharmacies.
Dental and vision details
For plans that include these benefits, review covered services, provider networks, limits, and cost sharing.
Total cost
Compare premium, deductible, copayments, coinsurance, and the annual out-of-pocket maximum.
Using your plan
Wellpoint member tools and service areas
Wellpoint advertises Texas Individual and Family plans in selected metropolitan and South Texas service areas. Availability still depends on the exact address.
- Texas service areas include Dallas–Fort Worth, Houston, San Antonio, and the Harlingen–Weslaco–Brownsville area.
- The Sydney Health app can provide digital access to benefits and plan information.
- Members can search for participating medical, dental, vision, and pharmacy providers.
- The 2026 Texas individual drug list identifies covered medications and pharmacy requirements.
Important: Plan availability, $0 premium eligibility, dental and vision benefits, and provider networks vary by location and applicant eligibility.
Common Wellpoint questions
Wellpoint phone numbers, the Amerigroup name change, and who accepts Wellpoint
In Texas, the Wellpoint name covers several different kinds of coverage: ACA Marketplace plans, Medicaid and CHIP, and Medicare plans. Knowing which one you have (or are shopping for) is the key to finding the right phone number and the right doctors.
Is Wellpoint the same as Amerigroup?
Yes. In Texas, Amerigroup was renamed Wellpoint on January 1, 2024. Wellpoint is part of Elevance Health. The name change itself did not change members’ benefits or provider networks.
Wellpoint phone numbers
Marketplace members: call the Member Services number on the back of your Wellpoint ID card or use the Sydney Health app.
Texas Medicaid and CHIP members: 833-731-2160 (TTY 711), Monday–Friday, 7 a.m.–6 p.m. Central. STAR Kids: 844-756-4600 (TTY 711).
Shopping for a Marketplace plan? A licensed Precise Insurance agent can compare Wellpoint with other carriers at no cost to you.
Who accepts Wellpoint insurance?
It depends on the specific Wellpoint plan. A doctor who takes Wellpoint Medicaid may not be in a Wellpoint Marketplace network, and the reverse is also true. Use Wellpoint’s Find Care tool with your exact plan selected, then call the office and ask whether they accept your plan by name, not just “Wellpoint.”
Marketplace, Medicaid, or Medicare?
Marketplace: coverage you buy yourself, often with a premium tax credit. Medicaid/CHIP: eligibility is set by Texas HHSC. Medicare: generally for people 65+ or with certain disabilities. Each has its own rules, networks, and phone numbers.
Planning to switch or enroll for next year? See our 2027 open enrollment guide for key dates and what to review before you choose a plan.
Frequently asked questions
Questions about Wellpoint Marketplace Insurance in Texas
Does Wellpoint offer Marketplace plans in Texas?
Yes. Wellpoint offers Individual and Family ACA Marketplace coverage in selected Texas service areas.
Which Texas areas have Wellpoint plans?
Wellpoint advertises availability in Dallas–Fort Worth, Houston, San Antonio, and the Harlingen–Weslaco–Brownsville area. Check your ZIP code.
Do Wellpoint plans include dental and vision?
Select Texas plans include adult dental and vision benefits, and pediatric vision benefits. Details vary by plan.
Can a Wellpoint plan have a $0 monthly premium?
Some eligible applicants may find plans with a $0 premium after financial assistance. Availability and eligibility vary.
How do I check covered prescriptions?
Review the current Texas individual drug list for the exact plan and verify medication tiers and pharmacy requirements.
What is the Wellpoint phone number?
For Wellpoint Marketplace plans, use the Member Services number on the back of your ID card. For Wellpoint Texas Medicaid and CHIP, Member Services is 833-731-2160 (TTY 711); STAR Kids is 844-756-4600 (TTY 711). If you are shopping for a new Marketplace plan, a licensed Precise Insurance agent can help you compare options.
Is Wellpoint the same as Amerigroup in Texas?
Yes. Amerigroup became Wellpoint in Texas on January 1, 2024. The change was to the company name; it did not by itself change benefits or provider networks.
Who accepts Wellpoint insurance near me?
Provider participation depends on your exact Wellpoint plan and network. Search Wellpoint’s Find Care tool with your plan selected, then confirm directly with the doctor’s office before your visit.
Does Wellpoint offer Marketplace plans in Fort Worth and Dallas?
Wellpoint lists Dallas–Fort Worth among its Texas Individual and Family service areas, but availability depends on your county and ZIP code. A licensed agent can check which Wellpoint plans are offered at your address.
For general information, visit our Marketplace FAQ, Medicare FAQ, or enrollment guide.
Need help understanding a Wellpoint plan?
A licensed Precise Insurance agent can help you compare Wellpoint networks, prescriptions, dental and vision options, and total costs.
Already a member? Visit the Wellpoint member website.