Health Insurance in San Marcos, Texas

I’m Christopher Horne, a licensed health insurance broker. I help individuals and families in San Marcos (Hays County, population about 67,553) shop the Marketplace, stack supplemental coverage where it fits, and actually understand what they bought.

How the Marketplace Works in Texas

Texas has not expanded Medicaid, so there is a coverage gap below 100% of the poverty level — but tax credits are available at 100% and above, which is where I do most of my Texas quoting. If you’re not sure which side of that line you’re on, that’s the first thing we check together.

Texas uses the federal Marketplace at HealthCare.gov. During Open Enrollment (November 1, 2026 – January 15, 2027) you can shop, compare, and enroll — enroll by December 15 for coverage starting January 1. Depending on household income, advance premium tax credits can lower your monthly premium, and cost-sharing reductions can lower what you pay for care on Silver plans. Outside Open Enrollment, a qualifying life event — losing coverage, moving, marriage, a new baby — triggers a Special Enrollment Period, usually 60 days.

Who I Help in San Marcos

Most of my San Marcos clients fall into a few groups:

• Families — Households putting kids and parents on one workable budget — usually the toughest math, and the most important to get right.
• Self-employed & 1099 workers — Income that changes month to month needs a careful estimate — too low or too high both cause tax-time surprises. I help you set it honestly.
• Retired before 65 — Left work before 65 and bridging the years until later coverage kicks in? Marketplace plans are built for exactly that gap.
• New to the area — Just moved to San Marcos? A move can open a Special Enrollment window, and your old plan’s doctors don’t always follow you. We rebuild the network around your new address.

A Local Note on Choosing Well

San Marcos is the largest incorporated community in Hays County, and a lot of the county’s daily life runs through here — work, school, and doctor visits alike. The 2020 census counted about 67,553 residents here. Whatever plan you’re looking at, I check the network against the doctors, clinics, and pharmacy you actually use — not just the premium on the first screen. I work with San Marcos clients by phone and text, so the whole conversation happens wherever you are — kitchen table counts as my office.

Why Work With a Broker Instead of Going It Alone

Anyone can click through HealthCare.gov. The hard part is knowing what the plans don’t advertise: which networks are thin, which drug lists changed, and what a deductible means for a family that actually uses care. That’s the part I do for a living.

As a licensed health insurance broker, I compare your options side by side — network, drug coverage, deductible, total cost — in plain English, at no fee to you (the insurance company pays me). Many clients also layer in Golden Rule (UnitedHealthcare) supplemental policies — AccidentWise, HospitalWise, or DentalWise Max dental; benefit amounts and limits vary by the policy you choose, and we review the real schedule before anything is signed. And my phone number doesn’t change after enrollment: 954-787-9118, before and after you buy.

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