Marketplace issuer snapshot

Harbor Health coverage profile

Review marketplace plan availability, current source quality, formulary footprint, and linked HealthPorta plan coverage for Harbor Health.

Plans tracked: 32 State: Texas Coverage exceptions: 0
Plans tracked 32
Formularies 32
Latest refresh Tue, 03 Nov 2026 06:08 GMT
HealthPorta issuer coverage analytics

HealthPorta market view

Coverage, formulary, and source-quality context in one issuer profile

This issuer view combines plan availability, drug coverage footprint, and source-quality context so teams can review current marketplace status quickly.

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Issuer coverage metrics

Marketplace coverage snapshot

Plans tracked 32
State served

Texas

Latest source refresh Tue, 03 Nov 2026 06:08 GMT
Coverage exceptions 0

Drug coverage overview

132,320 drugs tracked across 32 formularies

Prior authorization requirements
Status Drugs
Required 33,048
Not Required 99,272

Plan roster

Marketplace plans from Harbor Health

Plan ID Plan name Year Network Last update
37758TX0010001 Gold 1A $0 Deductible $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab $0 Imaging & $0 Outpatient Procedures 2027 PREFERRED Nov 02, 2026
37758TX0010004 Gold 1AS $30 PCP $30 Mental Health Office Visit $30 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010012 Gold 1D $0 Deductible $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab $0 Imaging & $0 Outpatient Procedures 2027 PREFERRED Nov 02, 2026
37758TX0010066 Gold 1DS $30 PCP $30 Mental Health Office Visit $30 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010021 Gold 1E $0 Deductible $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab $0 Imaging & $0 Outpatient Procedures 2027 PREFERRED Nov 02, 2026
37758TX0010068 Gold 1ES $30 PCP $30 Mental Health Office Visit $30 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010030 Gold 1FB $0 Deductible $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab $0 Imaging & $0 Outpatient Procedures 2027 PREFERRED Nov 02, 2026
37758TX0010070 Gold 1FBS $30 PCP $30 Mental Health Office Visit $30 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010039 Gold 1H $0 Deductible $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab $0 Imaging & $0 Outpatient Procedures 2027 PREFERRED Nov 02, 2026
37758TX0010072 Gold 1HS $30 PCP $30 Mental Health Office Visit $30 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010048 Gold 1M $0 Deductible $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab $0 Imaging & $0 Outpatient Procedures 2027 PREFERRED Nov 02, 2026
37758TX0010074 Gold 1MS $30 PCP $30 Mental Health Office Visit $30 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010057 Gold 1S $0 Deductible $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab $0 Imaging & $0 Outpatient Procedures 2027 PREFERRED Nov 02, 2026
37758TX0010076 Gold 1SS $30 PCP $30 Mental Health Office Visit $30 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010002 Silver 1A $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab, $0 Imaging 2027 PREFERRED Nov 02, 2026
37758TX0010005 Silver 1AS $40 PCP $40 Mental Health Office Visit $40 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010014 Silver 1D $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab, $0 Imaging 2027 PREFERRED Nov 02, 2026
37758TX0010067 Silver 1DS $40 PCP $40 Mental Health Office Visit $40 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010023 Silver 1E $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab, $0 Imaging 2027 PREFERRED Nov 02, 2026
37758TX0010069 Silver 1ES $40 PCP $40 Mental Health Office Visit $40 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010032 Silver 1FB $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab, $0 Imaging 2027 PREFERRED Nov 02, 2026
37758TX0010071 Silver 1FBS $40 PCP $40 Mental Health Office Visit $40 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010041 Silver 1H $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab, $0 Imaging 2027 PREFERRED Nov 02, 2026
37758TX0010073 Silver 1HS $40 PCP $40 Mental Health Office Visit $40 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010050 Silver 1M $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab, $0 Imaging 2027 PREFERRED Nov 02, 2026
37758TX0010075 Silver 1MS $40 PCP $40 Mental Health Office Visit $40 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010059 Silver 1S $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab, $0 Imaging 2027 PREFERRED Nov 02, 2026
37758TX0010077 Silver 1SS $40 PCP $40 Mental Health Office Visit $40 Express Care 2027 PREFERRED Nov 02, 2026
37758TX0010001 Harbor Health G0 $0 Deductible $0 PCP $0 Mental Health Office Visit $0 Express Care 2026 PREFERRED Nov 04, 2025
37758TX0010004 Harbor Health G1S $30 PCP $30 Mental Health Office Visit $30 Express Care 2026 PREFERRED Nov 04, 2025
37758TX0010002 Harbor Health S1 $0 PCP $0 Mental Health Office Visit $0 Express Care 2026 PREFERRED Nov 04, 2025
37758TX0010005 Harbor Health S1S $40 PCP $40 Mental Health Office Visit $40 Express Care 2026 PREFERRED Nov 04, 2025

Data notes

Source notes and references

Note: This dashboard reflects recurring imports from CMS marketplace source files. Figures may lag issuer submissions or change when upstream source files are revised.

Source: CMS.gov and the HealthPorta Healthcare MRF API.