GoldHMO

Imperial Preferred Gold Zero

Imperial Insurance Companies, Inc.

Starting at

$556

/month before subsidy

Key facts

Imperial Preferred Gold Zero is a 2026 Gold HMO health insurance plan from Imperial Insurance Companies, Inc., sold on the ACA Marketplace in Texas under plan ID 34826TX0010001. The monthly premium starts at $556 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $9,200 ($18,400 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is not HSA-eligible.

Plan ID
34826TX0010001
Plan year
2026
State
Texas
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$9,200

Family: $18,400

Coinsurance

50%

You pay after deductible

Network Type

HMO

TXN001

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$10.00
Specialist Visit$40.00
Urgent Care$75.00
Emergency Room50.00%

Prescription Drugs

Generic Drugs$10.00
Brand Name Drugs50.00%
Specialty Drugs50.00%
What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$5,080

your estimated cost

Deductible
$0
Copays
$20
Coinsurance
$5,000

Managing type 2 diabetes

A year of routine care

$1,420

your estimated cost

Deductible
$0
Copays
$300
Coinsurance
$1,100

A simple fracture

ER visit + follow-up

$1,200

your estimated cost

Deductible
$0
Copays
$200
Coinsurance
$1,000
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Official Plan Documents
Published by Imperial Insurance Companies, Inc.. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,323/month

Annual Premium

$6,672

OOP Maximum

$9,200

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $9,200 total. Then insurance covers everything else for the year.

More plans from Imperial Insurance Companies, Inc. in Texas

View all Marketplace plans in Texas

Frequently asked questions about Imperial Preferred Gold Zero

How much does Imperial Preferred Gold Zero cost per month?

Imperial Preferred Gold Zero from Imperial Insurance Companies, Inc. starts at $556 per month before any subsidy in Texas. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Imperial Preferred Gold Zero?

The individual medical deductible is $0. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Imperial Preferred Gold Zero?

The most you would pay in a year for covered in-network care is $9,200 for an individual and $18,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Imperial Preferred Gold Zero HSA-eligible?

No. Imperial Preferred Gold Zero is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.

What type of network does Imperial Preferred Gold Zero use?

Imperial Preferred Gold Zero is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.