If you’re looking for comprehensive health insurance coverage in the Hoosier State – Indiana, we have good news for you! Like other states, Indiana is part of the Affordable Care Act’s Health Insurance Marketplace. Through it, you can compare health insurance plans and choose the one that’s right for you and your family. Due to COVID-19, the federal government has declared a Special Enrolment Period (SEP) open until August 15th, 2021. However, qualifying life events such as losing a job, or a change in family status have rolling enrollment periods that aren’t bound by any deadline.
Highlights and Updates
- Indiana has a federally facilitated marketplace. Residents enroll through Healthcare.gov.
- The 2021 Benefits Special Enrollment Period (SEP) is from February 15- August 15, 2021. (Benefits effective retroactively from March 1st, 2021)
- Indiana limits short-term health insurance plans to 364 days with a benefit cap of $2 million.
- Average premiums increased in 2021 by10.5%.
- Anthem, CareSource and Celtic (MHS/Ambetter) are the insurance providers registered with the Indiana Health Insurance Marketplace.
How to Buy Health Insurance in Indiana
If you don’t receive health insurance from the federal government or an employer, you can purchase a plan on the Health Insurance Marketplace, which is broken down into three main metal tiers: Bronze, Silver, and Gold. The prices vary, but all essentials services are covered regardless of the plan chosen. The monthly premiums become more expensive as you go to higher tiers, but more services are covered. Note that various programs such as traditional Medicaid, the Healthy Indiana Plan, Hoosier RX, and more may also be available depending on your situation.
How To Apply For Health Insurance in Indiana
Applying for Health Insurance is easy. Simply visit the Health Insurance Marketplace and enter your relevant data. You’ll be able to choose the plan which suits you. If you have a specific family situation that might make you eligible for other programs, visit Indiana’s official Medicaid page for info on the different benefits you may be entitled to.
Health Insurance Carriers In Indiana
Indiana only has three authorized health insurance carriers: Anthem, CareSource, and Celtic (MHS/Ambetter). Anthem only covers eight counties, while CareSource and Celtic are available in all 92 counties.
How Has Obamacare Helped Indiana’s Uninsured?
Before the Affordable Care Act (Obamacare) was introduced, Indiana had roughly 900,000 residents uninsured, which dropped to 549,000 by 2018. As in most places, before ACA, insurers could deny coverage based on pre-existing conditions or charge huge premiums. Now, affordable health care is available to all, with all essential services such as ambulatory care, emergency services, prescription drugs, and more covered.
Indiana Health Insurance Costs Overview
There are three main metal tiers: Bronze, Silver, and Gold. The higher the tier, the higher the premium. However, the out-of-pocket costs of the higher-tier plans are more than made up for by the enhanced coverage, so whichever plan you choose depends on your needs. If you have chronic health problems, you might want to opt for a higher-tier plan, but a lower-tier plan might make more sense if you’re younger and in better health.
*Note- these expenses apply to an average 40-year-old with no known major health issues.
How Much Does Health Insurance Cost in Indiana?
According to the KFF, the average benchmark premium in Indiana is $421 in the year 2021.
What is the Cheapest Health Insurance Plan in Indiana?
The cheapest overall plan seems to be CareSource Marketplace Bronze, which has an estimated monthly premium of $295.73. This plan doesn’t include adult dental, but the next cheapest plan from CareSource, at $310.31 a month, does. These, along with health insurance coverage averages covered below, are calculated through the healthcare.gov site.
*Note- Prices are estimates – fill out an application to see exact prices
Cheapest Indiana Health Insurance Coverage by Metal Tier
Indiana does not carry Platinum plans.
Of the gold plans available to those living in Indiana, the lowest estimated monthly premium is $550.65.
CareSource Marketplace Gold
Estimated monthly premium: $550.65
Deductible: $2000 Individual total
Out-of-pocket maximum: $6,500 Individual total
Of the silver plans available to those living in Indiana, the lowest estimated monthly premium is $356.12.
CareSource Marketplace Low Premium Silver
Estimated monthly premium: $356.10
Deductible: $6,000 Individual total
Out-of-pocket maximum: $8,550 Individual total
Of the three Bronze plans available to those living in Indiana, the lowest estimated monthly premium is $295.73.
CareSource Marketplace Bronze
Estimated monthly premium: $295.73
Deductible: $7,700 Individual total
Out-of-pocket maximum: $8,500 Individual total
Indiana Health Insurance Costs by Occupation
What Is the Average Cost of Health Insurance for a Student in Indiana?
Indiana student plans vary depending on which institution is attended. Typically, they seem to average out at around $2500 annually. Students are not required to register for a health plan, but if they aren’t covered otherwise (through work or a parent’s plan), they should apply as the fees are low.
What Is the Average Cost of Health Insurance for Self-Employed In Indiana?
Those self-employed in Indiana must purchase individual or family plans, which vary depending on which tier they choose, and how many people the plan needs to cover.
What Is the Average Cost of Health Insurance for Small Business Owners in Indiana?
Small business owners who don’t opt to enroll their employees and themselves in a group plan must buy insurance to cover themselves and their families. The advantage of signing up for a group plan is lower per-person premiums. About 30.4% of small firms in Indiana (50 or fewer people) do not provide group plans (Source)
Indiana Health Insurance Costs by Number of Participants
What Is the Average Cost of Health Insurance for Families in Indiana?
Health insurance costs vary on the number of family members insured under the policy and their ages. We calculated the approximate costs for an average family of four. In such a family, where both guardians are 40 years old, with two dependent children (9 and 5 years old) with a household income of $100k, the premium would start at $521 a month. Note that these estimates are not exact.
What Is the Average Cost of Health Insurance for Individuals in Indiana?
Across all tiers, the benchmark price for an Indiana individual is roughly $421.
What Is the Average Cost of Health Insurance for a Child in Delaware?
Medicaid and the Children’s Health Insurance Program (CHIP) provide no to low-cost health insurance for eligible children in the state.
Other Types of Delaware Health Insurance Coverage
Catastrophic Health Insurance in Indiana
Indiana catastrophic medical coverage is the cheapest health plan available in Indiana, but it comes with a caveat. The plan is only available to qualifying applicants under 30, and most companies in Indiana only offer it as private insurance, as Obamacare plans only apply to the metal tiers. The plans cover the same essential services as an ACA-affiliated plan, in addition to unexpected sickness and disability benefits.
Short Term or Temporary Health Insurance in Indiana
Before July 2019, short-term health insurance plans only covered up to six months in benefits, but legislation was passed to expand initial terms to 364 days, and with renewals, the plans can cover a maximum of 36 months. You also need to fulfill certain criteria, meaning you’re under 65 years old and in good health. This type of coverage may be right for you if you miss ACA open enrolment periods and happen to be temporarily without coverage.
Low-Income Health Insurance in Indiana
Indiana has a wide variety of health insurance programs available to low-income families throughout the state. The programs include traditional Medicaid, the Healthy Indiana Plan, Hoosier RX, and more may also be available.