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GoldHMO

Connect myDiabetesCare Gold DFW

Cigna Healthcare

Starting at

$787

/month before subsidy

Key facts

Connect myDiabetesCare Gold DFW is a 2026 Gold HMO health insurance plan from Cigna Healthcare, sold on the ACA Marketplace in Texas under plan ID 76589TX0010026. The monthly premium starts at $787 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $2,500 ($5,000 for a family), and the individual out-of-pocket maximum is $8,250 ($16,500 for a family). After the deductible, coinsurance is 20% for covered in-network care. The plan is not HSA-eligible.

Plan ID
76589TX0010026
Plan year
2026
State
Texas
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$2,500

Family: $5,000

Out-of-Pocket Max

$8,250

Family: $16,500

Coinsurance

20%

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$30.00
Emergency Room$400.00 Copay with deductible

Prescription Drugs

Generic DrugsNo Charge
Brand Name Drugs49.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
2.0overall
Medical care

How well doctors manage and coordinate care

Member experience
Not rated

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

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

$4,570

your estimated cost

Deductible
$2,500
Copays
$10
Coinsurance
$2,000

Managing type 2 diabetes

A year of routine care

$1,520

your estimated cost

Deductible
$900
Copays
$600
Coinsurance
$0

A simple fracture

ER visit + follow-up

$2,200

your estimated cost

Deductible
$2,100
Copays
$100
Coinsurance
$0
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 Cigna Healthcare. These are the authoritative source for coverage details.
Summary of Benefits & Coverage (SBC)Standardized cost & coverage summaryPlan BrochureFull plan details from the insurerDrug FormularyCovered prescriptions & drug tiers
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

$1,475/month

Annual Premium

$9,444

OOP Maximum

$8,250

💡 What this means:

With a $2,500 deductible, you pay 100% of costs until you've spent that much. After that, you pay 20% (coinsurance) until you hit $8,250 total. Then insurance covers everything else for the year.

More plans from Cigna Healthcare in Texas

View all Marketplace plans in Texas

Frequently asked questions about Connect myDiabetesCare Gold DFW

How much does Connect myDiabetesCare Gold DFW cost per month?

Connect myDiabetesCare Gold DFW from Cigna Healthcare starts at $787 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 Connect myDiabetesCare Gold DFW?

The individual medical deductible is $2,500, and the family deductible is $5,000. 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 Connect myDiabetesCare Gold DFW?

The most you would pay in a year for covered in-network care is $8,250 for an individual and $16,500 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Connect myDiabetesCare Gold DFW HSA-eligible?

No. Connect myDiabetesCare Gold DFW 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 Connect myDiabetesCare Gold DFW use?

Connect myDiabetesCare Gold DFW 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

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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.