If you’re shopping for health insurance in Texas, Investopedia says Aetna is the best pick. Why? It has low costs and very few customer complaints. Molina and Blue Cross Blue Shield are also solid, affordable options. Their team looked at nine companies and compared things like plan options, prices, and digital tools to come up with their rankings.
Aetna

Why We Like It:
Aetna has the lowest overall costs in Texas and gets the fewest customer complaints.
Pros:
- Easy-to-use mobile app
- Offers eight helpful programs for managing health conditions
- Affordable monthly premiums
Cons:
- No PPO plans available in Texas
- Doesn’t offer a Bronze plan
The Details:
Aetna is one of the most budget-friendly insurance providers in Texas. Its silver plan premiums are the second-lowest (just behind Molina), and it has the third-lowest deductibles (after UnitedHealthcare and Blue Cross Blue Shield). Plus, it has the best customer complaint record among the nine companies reviewed, with a super-low complaint index of 0.208 — that means people rarely file complaints.
Aetna also offers special support programs for people managing things like pregnancy, asthma, or heart disease. And since it’s owned by CVS, you can enjoy free MinuteClinic visits and discounts on CVS Health products.
The company has been around since 1853 and is based in Hartford, Connecticut.
Molina Healthcare

Why We Like It:
Molina has the lowest average monthly premiums for both individuals and families in Texas.
Pros:
- Very affordable premiums
- Lower out-of-pocket maximums
Cons:
- Higher deductibles
- More customer complaints than most
The Details:
If you’re trying to keep monthly costs as low as possible, Molina is a great choice. It offers the cheapest silver plan premiums for individuals and families in Texas. Out-of-pocket maximums (the most you’ll pay in a year) are also low — $8,270 for individuals and $16,540 for families.
But keep in mind: before your coverage kicks in, you’ll need to pay high deductibles — $5,875 for individuals and $11,750 for families. Also, Molina’s customer service isn’t the best based on complaint data.
Molina was founded in 1980 and is headquartered in Long Beach, California.
Blue Cross Blue Shield (BCBS)

Why We Like It:
BCBS has the lowest deductibles and the most plan variety in Texas.
Pros:
- Offers five different metal plan types
- Eight medical management programs available
- Lowest deductibles
Cons:
- Monthly premiums are higher than most
The Details:
If you visit doctors or need medical care often, a low deductible plan can save you money — and BCBS offers the lowest deductibles out there ($2,659 for individuals and $5,318 for families).
The catch? Premiums are on the higher side — around $589/month for individuals and $2,121/month for families. But BCBS gives you more choices, offering five metal tiers (Catastrophic, Bronze, Expanded Bronze, Silver, and Gold), so you can pick one that fits your budget and needs.
Blue Cross Blue Shield was founded in 1929 and is based in Chicago.
Also Read: Do I Qualify for a Special Enrollment Period?
Why You Can Trust This Info
Investopedia’s team of researchers, editors, and writers used real data and objective analysis to create these rankings. They focus on giving readers unbiased, helpful advice. While they may earn a commission if you click on some links, it doesn’t affect the way they rate or review insurance companies.
Investopedia has been around since 1999 and has helped people find the right health insurance since 2019.