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TXInsurance · Texas Marketplace assistance

Scott and White Health Plan Marketplace transition

Baylor Scott & White Health Plan has announced plans to discontinue Individual & Family Marketplace coverage after December 31, 2026. Review your 2027 replacement options with a Texas insurance agent.

Independent of Baylor Scott & White Health Plan. A call requests assistance—it does not enroll you or cancel coverage.

December 31, 2026

Announced Marketplace coverage end

Select by December 15

For January 1, 2027 coverage

Select by January 15

For February 1, 2027 coverage

What is ending—and what is not

The carrier's main notice says it notified regulators of its intent to discontinue Individual Marketplace plans after December 31, 2026 and will contact affected members following regulatory approval. Its member FAQ describes the planned discontinuation. Read your official notice for the status and instructions that apply to your policy; do not assume coverage has already ended.

This announcement is about Individual & Family ACA Marketplace coverage—not all Scott and White insurance. The carrier says it will continue serving employer groups and Medicare Advantage customers. Baylor Scott & White hospitals, doctors and facilities are not closing because of this announcement.

Choose coverage for January 1 or February 1

HealthCare.gov currently lists Open Enrollment from November 1 through January 15. Select or change a plan by December 15, 2026 for coverage beginning January 1, 2027. Selections from December 16 through January 15 generally begin February 1, 2027. Eligibility, enrollment acceptance and payment of the first premium are required.

The carrier's FAQ emphasizes November 1–December 15 for members arranging replacement coverage. Waiting for February coverage can leave January without the replacement plan. Read both your insurer and Marketplace letters: HealthCare.gov may match some members to another plan automatically, but that does not guarantee your preferred network or benefits. Review the match rather than assume it is appropriate.

Check current HealthCare.gov deadlines

Can I keep Baylor Scott & White doctors and facilities?

Baylor Scott & White states it will continue to accept Marketplace insurance plans. Other carriers may offer access, but participation depends on the exact 2027 plan, network, doctor, facility and practice location. A carrier name, an HMO or PPO label, or an accepted-insurance list is not a guarantee that every facility or clinician participates.

  1. Verify each doctor and facility with both the replacement carrier and the provider.
  2. Check the plan's prescription list, pharmacies, referrals and prior-authorization rules.
  3. Ask the new carrier about any applicable transition-of-care process.
  4. Confirm enrollment acceptance, first-premium payment and the effective date before changing existing coverage.
Baylor Scott & White accepted-insurance information

Dallas, Central Texas and the Marketplace service area

Replacement Marketplace options depend on your residential county and address—not only your mailing city or preferred hospital. Dallas-area and Central Texas residents should verify the exact county used in their application. A city can cross county lines, and one person's available plans may differ from another's.

Use the carrier's notice to confirm that your policy is affected. Its service-map page contains separate Marketplace, Medicare and employer maps; do not use one product's map to establish another product's eligibility.

Official sources

Reviewed October 30, 2026. Current official notices and plan documents control individual coverage.

Dallas and Central Texas transition guides

Start with your home county, especially for cities that cross county boundaries. These guides separate enrollment geography from provider locations and replacement-plan networks.

Verified 2026 Marketplace counties

CMS's 2026 individual-market Service Area file identifies 104 counties for Baylor Scott and White Health Plan (issuer 40788). These are the former plan's enrollment area, not a guarantee of replacement-plan availability or a provider-network list. This inventory uses both TXS001 and TXS002; the older map alone is not the source.

Dallas and Central Texas are included alongside counties in West Texas and the Panhandle. Locality guides cover 558 incorporated places and Census-designated communities intersecting these counties, using the 2020 Census place–county reference. This does not enumerate every informal neighborhood or unincorporated settlement.

Geography verified October 30, 2026 against CMS PY2026 Service Area data and Census place–county relationships. Census geography is dated 2020; newer incorporations may not be included. Carrier documents and Marketplace eligibility determine individual coverage.

Important information

TXInsurance is an independent insurance business, not Baylor Scott & White Health Plan or HealthCare.gov. Carrier names identify the subject of this information and do not imply endorsement. We discuss plans we represent; availability, subsidy eligibility and network participation must be verified.

Do not send medical records, member IDs or coverage documents through this website. Use an appropriate secure carrier or Marketplace enrollment process. Calling does not guarantee coverage or enroll you.