ACA health insurance in Texas
ACA health insurance in San Antonio, TX: open enrollment for 2027
Open enrollment for 2027 begins November 1. Where San Antonio residents shop for a plan, what the county and state lines mean for you, and how to get help choosing.
Get help choosing a plan in San Antonio
Call 855-367-1095. A licensed agent will go through your household, your income and your doctors with you.
Health insurance in San Antonio
Texas uses the federal HealthCare.gov marketplace, so San Antonio residents shop there.
If you are leaving military service or a military-family job, your options for coverage can change quickly and are worth reviewing early.
San Antonio is in Bexar County, Texas. Where you live decides which plans and prices you can get, because plan availability is set by county and ZIP code.
Texas has not adopted the standard Medicaid expansion, and some adults with low incomes can fall into a coverage gap.
County and state lines near San Antonio
Bexar County borders Comal, Guadalupe and Medina counties, and many San Antonio households live in one and work in another.
Check the networks
Marketplace plans have their own networks, and they differ from one plan to the next. These are among the largest systems serving the area. Naming them here is not a statement that any plan includes them.
- University Health
- Methodist Healthcare System
- Baptist Health System
- CHRISTUS Santa Rosa Health System
- Brooke Army Medical Center
The dates
Open enrollment for 2027 coverage begins November 1, 2026. Plans and prices for 2027 can differ from this year, and after open enrollment you can usually enroll only with a qualifying life event.
ACA questions in San Antonio
Where do I shop for an ACA plan in San Antonio?
Texas uses the federal HealthCare.gov marketplace, so San Antonio residents shop there.
Do county or state lines near San Antonio change my options?
Bexar County borders Comal, Guadalupe and Medina counties, and many San Antonio households live in one and work in another.
I'm leaving military service. What happens to my coverage?
Coverage you have through service or a military program can change when service ends. Leaving a plan may open a special enrollment period, usually for a limited time, so it is worth checking dates before your coverage ends.
More for San Antonio
Ready to look at your options?
Call 855-367-1095 before open enrollment gets busy. There is no charge to review your options.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
Information on this site is educational and does not guarantee eligibility, enrollment, pricing, or availability. It is not a recommendation to buy any specific plan or policy.