Delaware has a range of options available so that you and your family can access the medical services you require. Delaware residents can find affordable health insurance through the federally-facilitated marketplace. Insurers on the marketplace meet ACA standards and are available through HealthCare.gov during the annual Open Enrollment Period.
There is one main health insurance company on the marketplace, Highmark BCBSD of Delaware. Although Highmark is the only insurer available to Delaware residents, it offers various policies that allow you to match a plan to your healthcare needs.
How to Buy Health Insurance in 2022
If you don’t receive health insurance from the federal government or an employer, you can purchase a plan on the Delaware marketplace. Health insurance in the marketplace is broken down into three main metal tiers: Bronze, Silver, and Gold.
All tiers provide the same minimum benefits, but higher metal tiers cover a more significant percentage of expenses and have lower deductibles. However, the increased coverage of Gold plans comes with a more expensive monthly premium. The best tier for you depends on your household income and expected medical costs.
How to Apply for Health Insurance in Delaware
To obtain a health insurance plan that meets government requirements within the Affordable Care Act, shop the Health Insurance Marketplace. Choose Health Delaware is the state’s free official program that helps individuals and businesses learn more about the low-cost, high-quality health coverage available through the Health Insurance Marketplace.
Health Insurance Carriers In Delaware
Unlike other states, Delaware has just one health insurance company on the marketplace: Highmark Blue Cross Blue Shield Delaware. Naturally, this limits the number of options, but Highmark offers multiple policies within metal tiers.
Silver plans – the most popular metal tier – have three different plans, each with separate deductibles and out-of-pocket maximums. The variety of policies gives you the flexibility to find a plan that matches your financial situation.
Delaware Health Insurance Costs Overview
Each metal tier has different premiums and out-of-pocket costs associated with it: the higher the coverage, the more expensive the premium.
The following premiums are based on an average 40-year-old. Because Delaware has just one insurer, plans are available in all areas.
How Much Does Health Insurance Cost in Delaware?
According to the KFF, the average benchmark premium in Delaware was $548 in 2022.
What is the Cheapest Health Insurance Plan in Delaware?
Depending on your health, the cheapest health insurance plan will be the one that covers what you need the most. Contact us to find the best plan for you!
Cheapest Delaware Health Insurance Coverage by Metal Tier
Note that all costs are 2022 pricing from KFF. (source)
The average lowest cost premium of a Gold Plan in Delaware in 2022 was $529.
The average lowest cost premium of a Silver Plan in Delaware in 2022 was $538.
For a Bronze plan, the average lowest premium in 2022 was $415.
Other Types of Delaware Health Insurance Coverage
Catastrophic Health Insurance in Delaware
There is one catastrophic health insurance plan in Delaware: Major Events Blue EPO 8550 – 2 Free PCP Visits. Catastrophic plans have low monthly premiums, but their deductibles are very high. They may be an affordable way to protect yourself from worst-case scenarios, but you pay most routine medical expenses out of pocket.
Short Term Health Insurance in Delaware
Individuals are not allowed to enroll in back-to-back short-term plans and must wait one year until they can enroll again. Three insurers offer short-term health insurance in Delaware with maximum terms of three months:
- UnitedHealthcare (Golden Rule)
- Companion Life
- Standard Life
Low Income Health Insurance in Delaware
To qualify for Medicaid, your household income must be under a particular amount depending on the size of your family. There are also specific programs for individuals who meet certain medical or disability tests or qualify due to age or pregnancy. To find out more, visit DMMA Programs & Services.
Marketplace Average Benchmark Premiums, KFF, accessed 08/16/2022, https://www.kff.org/health-reform/state-indicator/marketplace-average-benchmark-premiums/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
Average Marketplace Premiums by Metal Tier, 2018-2022, KFF, accessed 08/16/2022, https://www.kff.org/health-reform/state-indicator/average-marketplace-premiums-by-metal-tier/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Average%20Lowest-Cost%20Bronze%20Premium__2022%22,%22sort%22:%22desc%22%7D