City guide
San Antonio
Last updated
July 24, 2026

Best Health Insurance in 2025 for San Antonio, Texas

  • Check out health plan recommendations based on your needs
  • Find out the cost of health plans in San Antonio, Texas
  • Discover how San Antonio small business owners are giving tax-free dollars to employees for marketplace health plan premiums. (Hint: It's called ICHRA.)

How to find affordable health insurance (for you and your small business employees)

The marketplace, also known as a health insurance exchange, allows individuals and families to shop for health insurance. Established by the federal government, it mandates that listed health plans provide comprehensive benefits.

In 2019, the government introduced ICHRA (Individual Health Reimbursement Arrangement), a unique way for small businesses to offer health benefits. Through ICHRA, business owners can give pre-tax money to employees for purchasing their own health plans from the marketplace. More employees than ever before are shopping the marketplace. Let's explore the options.

Best health plans in San Antonio — StretchDollar’s picks

The availability of health insurance is greatly influenced by where you live. Fortunately for residents of San Antonio, Texas, there's plenty of options to select from! We've curated a list of our top choices, emphasizing affordability and comprehensive network coverage.

Best if you like telemedicine + $0 deductibles

Oscar’s Bronze Elite + PCP Saver Plu

Best plan for the young and healthy.

UnitedHealthcare - UHC Bronze Copay Focus

Best general all-around option for the price and network.

MyBlue Health Gold 808

Lowest-cost plans (worth the money) in San Antonio

For those mindful of budget, explore some of these affordable health insurance plans available in San Antonio, Texas.

Plan Name
Monthly Premium*
Carrier
UHC Bronze Copay Focus
UnitedHealthcare
$339
MyBlue Health Gold 403
$347
Blue Cross Blue Shield of Texas
MyBlue Health Gold 808
$361
Blue Cross Blue Shield of Texas

*Based on 30-year-old male

Best mental health coverage in San Antonio

Mental health coverage differs from one health plan to another. If getting this kind of support matters to you, it's worth taking a closer look at these plans.

Plan Name
Monthly Premium*
Carrier
Gold 3
$15 copay
Aetna CVSHealth
MyBlue Health Gold 808
$30 copay
Blue Cross Blue Shield of Texas
MyBlue Health Gold 806
$50 copay
Blue Cross Blue Shield of Texas

Note: If you have a particular therapist you love (and we hope you do), we recommend double checking with them that they accept these plans before purchasing one.

Carriers in San Antonio that take credit cards

If you're looking to rack up those credit card reward points by paying for health insurance premiums, you're in luck. Check out these health insurance carriers in San Antonio, Texas, where you can pay with a credit card:

  • Aetna CVS Health
  • Ambetter from Superior HealthPlan
  • Blue Cross and Blue Shield of Texas
  • Molina Marketplace
  • UnitedHealthcare

Favorite perks — StretchDollar’s picks

Some health plans throw in some cool extras along with the usual coverage. Here are a few that stand out.

Perk
Carrier
Oscar

An app you’ll actually use with integrated telemedicine

BlueCross Blue Shield of Texa

Super low cost fitness access

Insurance carriers in San Antonio, Texas

Shopping on the marketplace offers you the advantage of choice. The marketplace in San Antonio has 100+ plans from eight different health insurance carriers.

  • Aetna CVSHealth
  • Ambetter from Superior Health Plan
  • Blue Cross and Blue Shield of Texas
  • Imperial Insurance Companies, Inc.
  • Molina Marketplace
  • Oscar
  • UnitedHealthcare

Understanding health insurance

Health insurance has a lot of terms and jargon that are important to know. Here’s some of the main ones you’ll come across. You can find more here.

EPO

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A type of health insurance plan that requires you to choose a primary care physician, but allows you to see specialists without a referral. These types of plans tend to be higher in cost than HMOs and lower in cost than PPOs.

POS

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A type of health plan that allows members to select in-network and out-of-network providers, with higher costs for providers outside the network. These plans tend to cost higher than HMOs and EPOs.

Deductible

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A deductible is the amount you have to pay out of pocket before your insurance coverage kicks in. For example, if you have a $1,000 deductible, you'll have to pay the first $1,000 of your medical expenses before your insurance will start covering your costs. Usually, the higher your deductible, the lower your premium.

Out-of-pocket max

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Your out-of-pocket maximum is the most you'll ever have to pay for covered medical expenses in a year. Once you hit this limit, your insurance will take care of any extra eligible medical costs.

When to get help finding a health plan

Seeing out-of-network doctors or taking medicines that aren’t covered by your health plan can become quite costly. If you have complicated health needs or take specialty medicines, you should consult a broker to make sure your doctors and prescriptions are covered.

Why more small businesses are choosing ICHRAs

Health insurance is complicated and costly, especially for small businesses. High participation rates and contribution requirements make it out of reach for many. Not to mention, traditional group health insurance plans often require 60+ hours of administrative work. That’s where ICHRA comes in. Small business owners finally can control their benefits budget and setup takes just ten minutes. Learn more.

StretchDollar’s guide to the best small business health insurance in Texas. Learn more about employee health coverage options for SMBs and startups with this guide.

Learn more
Learn more

Health insurance guides in other Texas cities

FAQ

What is the cheapest health plan in Tampa, Florida?

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One of the cheapest plans in Tampa, Florida is the Ambetter Standard Expanded Bronze - HMO plan which is $332/month for a 30-year-old male.

What types of health plans are available in Tampa, Florida?

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Florida offers four types of plans: HMO, EPO, PPO and POS.

Are there any PPO health plans in Tampa, Florida?

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Yes, there are PPO plans available in the marketplace in Tampa, Florida.

How do premium tax credits work?

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Premium tax credits, also known as premium subsidies, are financial assistance provided by the government to help individuals and families afford health insurance coverage. The premium tax credits are available to those who purchase their health insurance through the marketplace.

The amount of premium tax credit a person may receive is based on their household income, the total number of dependents, and the cost of health insurance premiums in their area. This means that those with lower incomes may be eligible for a larger tax credit, while those with higher incomes may receive a smaller amount or may not be eligible at all.

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