How much is a specialist visit?

The listed specialist copay is $65.

How much is urgent care?

The listed urgent-care copay is $60.

How much is inpatient facility care?

The listed inpatient facility cost sharing is 45% coinsurance after the deductible. Professional fees may apply separately.

Molina Silver Core 70 Texas Health Insurance 2026

Q: How much is a primary-care visit?

The listed primary-care copay is $40.

Molina Silver Core 70 Texas Health Insurance 2026 | Finzony

Molina Silver Core 70 Overview

Molina Silver Core 70 is a 2026 individual and family Marketplace health plan offered in Texas. The official Molina brochure lists a $6,000 individual deductible and $12,000 family deductible, with an individual out-of-pocket maximum of $10,150 and family maximum of $20,300. Primary-care visits are listed at $40, specialist visits at $65 and urgent care at $60. Emergency-room facility and inpatient facility services are listed at 45% coinsurance after the deductible. Review the complete plan documents for service-specific terms.

2026 Texas Marketplace plan with $40 primary-care and $65 specialist copays.

Expert Review of Molina Silver Core 70

This Silver plan offers fixed copays for certain outpatient visits, while hospital facility services have substantial coinsurance after the deductible. Compare the premium and cost-sharing structure against expected healthcare needs. Verify that preferred providers are in network and check the current prescription formulary before enrolling. Premiums depend on the applicant and location and are not established by the benefits brochure.

Pros

Fixed copays are listed for primary-care and specialist visits.
The plan has a defined annual out-of-pocket maximum.
Urgent-care services have a listed copay.

Cons

The $6,000 individual deductible can mean significant costs before deductible-based benefits apply.
Hospital facility services have 45% coinsurance after the deductible.
The individual out-of-pocket maximum is $10,150.

About Molina Healthcare (Insurer Profile)

Molina Healthcare

Key Insights

Founded

1980

Molina Healthcare was established 46 years ago and has built strong credibility over time, backed by its long-standing presence in the market.

Claims Experience

0% CSR, calculated as a 3-year average

Molina Healthcare settles 0% of all claims it receives.

Network Hospitals

5.5 million members

Molina Healthcare has a network of 5.5 million members hospitals, ensuring wide accessibility and convenience for policyholders.

Molina Silver Core 70 Features and Benefits

Individual deductible

$6,000 individual deductible.

Applicable deductible rules vary by covered service.

Family deductible

$12,000 family deductible.

Review the policy for family accumulation rules.

Out-of-pocket maximum

$10,150 individual and $20,300 family.

Applies to eligible covered cost sharing under plan rules.

Primary-care visits

$40 listed copay.

Check the plan documents for applicable visit conditions.

Specialist visits

$65 listed copay.

Confirm the specialist participates in the plan network.

Hospital facility services

45% coinsurance after deductible for listed inpatient facility services.

Professional fees may apply separately.

What Molina Silver Core 70 Does Not Cover (Exclusions)

Conditions or treatments that the policy clearly says it will not cover.

Premiums and non-covered services are not included in the out-of-pocket maximum.

Disclaimer: For illustration purposes only - exact terms are in the policy wording.

What's missing in Molina Silver Core 70

Confirm network participation for preferred doctors and hospitals.
Review prescription formulary tiers and medication restrictions.
Review the current Summary of Benefits and Coverage for exclusions, prior authorization requirements and service-specific limitations.

Insurer

Molina Healthcare plans and claim process

Molina Silver Core 70 FAQs

What is the individual deductible?

The 2026 Texas brochure lists a $6,000 individual deductible.

What is the family deductible?

The listed family deductible is $12,000.

What is the out-of-pocket maximum?

The listed maximum is $10,150 individual and $20,300 family.

How much is a primary-care visit?

Disclaimer: Premium amounts are indicative and may vary based on age, health, and plan selected. Ratings and figures are based on publicly available company disclosures and state insurance department filings. Finzony is not an insurance broker or agent. Verify all details on the official Molina Healthcare website before purchasing.