Obamacare 2022 Rates and Health Insurance Providers for Shelby County , Indiana

Obamacare > Rates > Indiana > Shelby County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 |

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Shelby County, IN.

The health insurance rates listed below are for calendar year 2022.

For detailed information on available subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at Healthcare.gov
  • Contact the provider directly

The table below shows premiums for the following profiles at various ages:

  • Individuals
  • Couples
  • Couples with 1, 2, or 3 children
  • Individuals with 1, 2, or 3 children
  • A child alone

Each plan links to the insurance provider's website. You can find the following:

  • Summary of plan benefits and costs
  • Plan brochure
  • Provider Directory where you can find out which doctors and hospitals in the Shelbyville, IN area accept this insurance coverage as within the plan's network.

Obamacare Providers, Plans and 2022 Rates for Shelby County, Indiana

Below, you’ll find a summary of the 35 plans for Shelby County, Indiana and rates for each of these providers.‡ This chart is designed to give you a preview of your health insurance options.

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016| 2017 | 2018 | 2019 2020 2021 2022

You may also be interested in:

How To Sign Up for Obamacare in Indiana

For 2022 health plans, Indiana open enrollment has ended. However, you may still be able to purchase health insurance for this year if you qualify for a special enrollment period. For example, if you’ve recently lost your job or income due to the COVID-19 crisis or for any other reason, you might qualify for a 60-day special enrollment period that will allow you to sign up for a new health insurance plan. (See What Happens If I Missed the Enrollment Deadline for 2022?)

To get covered, you can go directly to the online health insurance marketplace for Indiana. If you need personalized help, you can reach out to an enrollment assistant. Most enrollment helpers are working remotely during the COVID crisis.

Where's the Indiana Health Care Exchange?

You can find the health insurance exchange for Indiana at Healthcare.gov. This is where you can learn about the various health insurance options available to you under the Affordable Care Act. If you see a plan you like, you'll be guided through the enrollment process online.

more...  

Indiana Medicaid Expansion: Do I Qualify for Medicaid Under the ACA?

The Affordable Care Act (Obamacare) expanded Medicaid eligibility to include more people who couldn’t otherwise obtain health insurance. As written, the ACA would extend Medicaid to all adults with incomes at or below 138% of the federal poverty level. (For a single person in Indiana in 2021, that’s $17,609. For a family of four, it’s $36,156.)

However, the U.S. Supreme Court later ruled that it was up to individual states to decide whether to expand Medicaid. As of October 2021, 12 states have not expanded their programs.

Indiana Offers a Limited Version of Medicaid Expansion

Indiana has decided to expand its Medicaid program, but it has done so in a way that differs from most states. Since February 1, 2015, Indiana will use federal Medicaid funds to expand an existing state health insurance program, Healthy Indiana. Indiana residents who need health coverage and are newly eligible for Medicaid -- those who earn up to 138% of the federal poverty level but who are not eligible for Indiana's traditional Medicaid program -- will be able to enroll in the state health plan.

To qualify for the expanded program, low-income Indiana residents with incomes above the federal poverty level will have to pay monthly premiums of 2% of household income -- that's between about $3 and $25 for a single adult without children. Those who don't or can't pay the premiums will be locked out of the Healthy Indiana plan for six months, unless they are considered "medically frail."

In addition, Indiana tried to implement a work requirement for Medicaid but a lawsuit -- and then the COVID-19 pandemic -- caused the state to suspend those plans.

more...  

Get Help Finding a Health Insurance Plan in Indiana

Get Help From Indiana's Health Insurance Exchange

The following links and telephone numbers take you to the official help resources for Healthcare.gov, the health insurance marketplace for Indiana.

Help by phone: 800-318-2596 (TTY: 855-889-4325)

In-person help: Go to Find Local Help, where you can enter your city and state or zip code to find an application assister, insurance agent, or health insurance broker in your area.

Get Help From a Licensed Insurance Broker

To directly connect with a Indiana insurance broker who can help you evaluate insurance plans and choose a plan that's appropriate for your situation, call 800-943-6832. (We receive advertising income from the licensed brokers who offer their services through this telephone number.)

More Information

For more detailed information, see How Do I Sign Up for Obamacare in Indiana?

  • Shelby County, IN Obamacare Rates
  • General Info
  • Rates
Obamacare Basics for Indiana - (Basics)
Obamacare Rates for Shelby County - (Rates)
Obamacare Enrollment - (How to Enroll)
Obamacare Financial Assistance - (Financial Help)
Obamacare for Different Life Situations - (Life Situations)
Using Your Obamacare Health Insurance Plan - (Using Your Plan)
Obamacare News - (News)

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CareSource

Local: 1-800-479-9502 | Toll Free: 1-877-806-9284

Toc - Plan #1 CareSource
Expanded Bronze

(HMO) CareSource Marketplace HSA Eligible Bronze

Annual Out of Pocket Expenses
Individual Family
$5,400 $10,800 Annual Deductible
$7,000 $14,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$311,56
$353,62
$398,17
$556,44
$845,56 		$549,90
$591,96
$636,51
$794,78 		$788,24
$830,30
$874,85
$1 033,12 		$1 026,58
$1 068,64
$1 113,19
$1 271,46 		$238,34
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$623,12
$707,24
$796,34
$1 112,88
$1 691,12 		$861,46
$945,58
$1 034,68
$1 351,22 		$1 099,80
$1 183,92
$1 273,02
$1 589,56 		$1 338,14
$1 422,26
$1 511,36
$1 827,90 		$238,34
Toc - Plan #2 CareSource
Silver

(HMO) CareSource Marketplace Low Premium Silver

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$338,72
$384,45
$432,88
$604,95
$919,28 		$597,84
$643,57
$692,00
$864,07 		$856,96
$902,69
$951,12
$1 123,19 		$1 116,08
$1 161,81
$1 210,24
$1 382,31 		$259,12
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$677,44
$768,90
$865,76
$1 209,90
$1 838,56 		$936,56
$1 028,02
$1 124,88
$1 469,02 		$1 195,68
$1 287,14
$1 384,00
$1 728,14 		$1 454,80
$1 546,26
$1 643,12
$1 987,26 		$259,12
Toc - Plan #3 CareSource
Gold

(HMO) CareSource Marketplace Gold

Annual Out of Pocket Expenses
Individual Family
$2,000 $4,000 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$523,77
$594,48
$669,38
$935,45
$1 421,51 		$924,45
$995,16
$1 070,06
$1 336,13 		$1 325,13
$1 395,84
$1 470,74
$1 736,81 		$1 725,81
$1 796,52
$1 871,42
$2 137,49 		$400,68
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1 047,54
$1 188,96
$1 338,76
$1 870,90
$2 843,02 		$1 448,22
$1 589,64
$1 739,44
$2 271,58 		$1 848,90
$1 990,32
$2 140,12
$2 672,26 		$2 249,58
$2 391,00
$2 540,80
$3 072,94 		$400,68
Toc - Plan #4 CareSource
Silver

(HMO) CareSource Marketplace Standard Silver

Annual Out of Pocket Expenses
Individual Family
$5,800 $11,600 Annual Deductible
$7,900 $15,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$355,98
$404,03
$454,94
$635,78
$966,12 		$628,30
$676,35
$727,26
$908,10 		$900,62
$948,67
$999,58
$1 180,42 		$1 172,94
$1 220,99
$1 271,90
$1 452,74 		$272,32
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$711,96
$808,06
$909,88
$1 271,56
$1 932,24 		$984,28
$1 080,38
$1 182,20
$1 543,88 		$1 256,60
$1 352,70
$1 454,52
$1 816,20 		$1 528,92
$1 625,02
$1 726,84
$2 088,52 		$272,32
Toc - Plan #5 CareSource
Expanded Bronze

(HMO) CareSource Marketplace Bronze

Annual Out of Pocket Expenses
Individual Family
$7,700 $15,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$281,29
$319,27
$359,49
$502,39
$763,42 		$496,48
$534,46
$574,68
$717,58 		$711,67
$749,65
$789,87
$932,77 		$926,86
$964,84
$1 005,06
$1 147,96 		$215,19
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$562,58
$638,54
$718,98
$1 004,78
$1 526,84 		$777,77
$853,73
$934,17
$1 219,97 		$992,96
$1 068,92
$1 149,36
$1 435,16 		$1 208,15
$1 284,11
$1 364,55
$1 650,35 		$215,19
Toc - Plan #6 CareSource
Silver

(HMO) CareSource Marketplace Low Deductible Silver

Annual Out of Pocket Expenses
Individual Family
$5,100 $10,200 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$365,59
$414,94
$467,22
$652,94
$992,21 		$645,27
$694,62
$746,90
$932,62 		$924,95
$974,30
$1 026,58
$1 212,30 		$1 204,63
$1 253,98
$1 306,26
$1 491,98 		$279,68
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$731,18
$829,88
$934,44
$1 305,88
$1 984,42 		$1 010,86
$1 109,56
$1 214,12
$1 585,56 		$1 290,54
$1 389,24
$1 493,80
$1 865,24 		$1 570,22
$1 668,92
$1 773,48
$2 144,92 		$279,68
Toc - Plan #7 CareSource
Silver

(HMO) CareSource Marketplace Low Premium Silver Dental, Vision, & Fitness

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$356,42
$404,53
$455,50
$636,56
$967,32 		$629,08
$677,19
$728,16
$909,22 		$901,74
$949,85
$1 000,82
$1 181,88 		$1 174,40
$1 222,51
$1 273,48
$1 454,54 		$272,66
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$712,84
$809,06
$911,00
$1 273,12
$1 934,64 		$985,50
$1 081,72
$1 183,66
$1 545,78 		$1 258,16
$1 354,38
$1 456,32
$1 818,44 		$1 530,82
$1 627,04
$1 728,98
$2 091,10 		$272,66
Toc - Plan #8 CareSource
Gold

(HMO) CareSource Marketplace Gold Dental, Vision, & Fitness

Annual Out of Pocket Expenses
Individual Family
$2,000 $4,000 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$548,29
$622,31
$700,71
$979,24
$1 488,05 		$967,73
$1 041,75
$1 120,15
$1 398,68 		$1 387,17
$1 461,19
$1 539,59
$1 818,12 		$1 806,61
$1 880,63
$1 959,03
$2 237,56 		$419,44
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1 096,58
$1 244,62
$1 401,42
$1 958,48
$2 976,10 		$1 516,02
$1 664,06
$1 820,86
$2 377,92 		$1 935,46
$2 083,50
$2 240,30
$2 797,36 		$2 354,90
$2 502,94
$2 659,74
$3 216,80 		$419,44
Toc - Plan #9 CareSource
Silver

(HMO) CareSource Marketplace Standard Silver Dental, Vision, & Fitness

Annual Out of Pocket Expenses
Individual Family
$5,800 $11,600 Annual Deductible
$7,900 $15,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$375,01
$425,63
$479,26
$669,77
$1 017,77 		$661,89
$712,51
$766,14
$956,65 		$948,77
$999,39
$1 053,02
$1 243,53 		$1 235,65
$1 286,27
$1 339,90
$1 530,41 		$286,88
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$750,02
$851,26
$958,52
$1 339,54
$2 035,54 		$1 036,90
$1 138,14
$1 245,40
$1 626,42 		$1 323,78
$1 425,02
$1 532,28
$1 913,30 		$1 610,66
$1 711,90
$1 819,16
$2 200,18 		$286,88
Toc - Plan #10 CareSource
Expanded Bronze

(HMO) CareSource Marketplace Bronze Dental, Vision, & Fitness

Annual Out of Pocket Expenses
Individual Family
$7,700 $15,400 Annual Deductible
$8,550 $17,100 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$295,16
$335,00
$377,21
$527,15
$801,06 		$520,95
$560,79
$603,00
$752,94 		$746,74
$786,58
$828,79
$978,73 		$972,53
$1 012,37
$1 054,58
$1 204,52 		$225,79
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$590,32
$670,00
$754,42
$1 054,30
$1 602,12 		$816,11
$895,79
$980,21
$1 280,09 		$1 041,90
$1 121,58
$1 206,00
$1 505,88 		$1 267,69
$1 347,37
$1 431,79
$1 731,67 		$225,79
Toc - Plan #11 CareSource
Silver

(HMO) CareSource Marketplace Low Deductible Silver Dental, Vision, & Fitness

Annual Out of Pocket Expenses
Individual Family
$5,100 $10,200 Annual Deductible
$7,500 $15,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$385,91
$438,01
$493,19
$689,23
$1 047,36 		$681,13
$733,23
$788,41
$984,45 		$976,35
$1 028,45
$1 083,63
$1 279,67 		$1 271,57
$1 323,67
$1 378,85
$1 574,89 		$295,22
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$771,82
$876,02
$986,38
$1 378,46
$2 094,72 		$1 067,04
$1 171,24
$1 281,60
$1 673,68 		$1 362,26
$1 466,46
$1 576,82
$1 968,90 		$1 657,48
$1 761,68
$1 872,04
$2 264,12 		$295,22

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Ambetter from MHS

Local: 1-877-687-1182 | Toll Free: 1-877-687-1182 | TTY: 1-877-941-9232
Toc - Plan #12 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 4 (2021)

Annual Out of Pocket Expenses
Individual Family
$7,200 $14,400 Annual Deductible
$7,200 $14,400 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$383,67
$435,45
$490,32
$685,22
$1 041,25 		$677,17
$728,95
$783,82
$978,72 		$970,67
$1 022,45
$1 077,32
$1 272,22 		$1 264,17
$1 315,95
$1 370,82
$1 565,72 		$293,50
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$767,34
$870,90
$980,64
$1 370,44
$2 082,50 		$1 060,84
$1 164,40
$1 274,14
$1 663,94 		$1 354,34
$1 457,90
$1 567,64
$1 957,44 		$1 647,84
$1 751,40
$1 861,14
$2 250,94 		$293,50
Toc - Plan #13 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 29 (2021)

Annual Out of Pocket Expenses
Individual Family
$5,450 $10,900 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$361,76
$410,59
$462,32
$646,09
$981,80 		$638,50
$687,33
$739,06
$922,83 		$915,24
$964,07
$1 015,80
$1 199,57 		$1 191,98
$1 240,81
$1 292,54
$1 476,31 		$276,74
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$723,52
$821,18
$924,64
$1 292,18
$1 963,60 		$1 000,26
$1 097,92
$1 201,38
$1 568,92 		$1 277,00
$1 374,66
$1 478,12
$1 845,66 		$1 553,74
$1 651,40
$1 754,86
$2 122,40 		$276,74
Toc - Plan #14 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 11 (2021)

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$371,55
$421,69
$474,82
$663,56
$1 008,35 		$655,78
$705,92
$759,05
$947,79 		$940,01
$990,15
$1 043,28
$1 232,02 		$1 224,24
$1 274,38
$1 327,51
$1 516,25 		$284,23
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$743,10
$843,38
$949,64
$1 327,12
$2 016,70 		$1 027,33
$1 127,61
$1 233,87
$1 611,35 		$1 311,56
$1 411,84
$1 518,10
$1 895,58 		$1 595,79
$1 696,07
$1 802,33
$2 179,81 		$284,23
Toc - Plan #15 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 12 (2021)

Annual Out of Pocket Expenses
Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$364,99
$414,25
$466,44
$651,85
$990,55 		$644,20
$693,46
$745,65
$931,06 		$923,41
$972,67
$1 024,86
$1 210,27 		$1 202,62
$1 251,88
$1 304,07
$1 489,48 		$279,21
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$729,98
$828,50
$932,88
$1 303,70
$1 981,10 		$1 009,19
$1 107,71
$1 212,09
$1 582,91 		$1 288,40
$1 386,92
$1 491,30
$1 862,12 		$1 567,61
$1 666,13
$1 770,51
$2 141,33 		$279,21
Toc - Plan #16 Ambetter from MHS
Gold

(EPO) Ambetter Secure Care 5 (2021)

Annual Out of Pocket Expenses
Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$485,92
$551,50
$620,99
$867,83
$1 318,75 		$857,64
$923,22
$992,71
$1 239,55 		$1 229,36
$1 294,94
$1 364,43
$1 611,27 		$1 601,08
$1 666,66
$1 736,15
$1 982,99 		$371,72
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$971,84
$1 103,00
$1 241,98
$1 735,66
$2 637,50 		$1 343,56
$1 474,72
$1 613,70
$2 107,38 		$1 715,28
$1 846,44
$1 985,42
$2 479,10 		$2 087,00
$2 218,16
$2 357,14
$2 850,82 		$371,72
Toc - Plan #17 Ambetter from MHS
Bronze

(EPO) Ambetter Essential Care 1 (2021)

Annual Out of Pocket Expenses
Individual Family
$8,300 $16,600 Annual Deductible
$8,300 $16,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$319,79
$362,95
$408,68
$571,13
$867,89 		$564,42
$607,58
$653,31
$815,76 		$809,05
$852,21
$897,94
$1 060,39 		$1 053,68
$1 096,84
$1 142,57
$1 305,02 		$244,63
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$639,58
$725,90
$817,36
$1 142,26
$1 735,78 		$884,21
$970,53
$1 061,99
$1 386,89 		$1 128,84
$1 215,16
$1 306,62
$1 631,52 		$1 373,47
$1 459,79
$1 551,25
$1 876,15 		$244,63
Toc - Plan #18 Ambetter from MHS
Gold

(EPO) Ambetter Secure Care 15 (2021)

Annual Out of Pocket Expenses
Individual Family
$1,150 $2,300 Annual Deductible
$4,450 $8,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$497,12
$564,22
$635,31
$887,84
$1 349,15 		$877,41
$944,51
$1 015,60
$1 268,13 		$1 257,70
$1 324,80
$1 395,89
$1 648,42 		$1 637,99
$1 705,09
$1 776,18
$2 028,71 		$380,29
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$994,24
$1 128,44
$1 270,62
$1 775,68
$2 698,30 		$1 374,53
$1 508,73
$1 650,91
$2 155,97 		$1 754,82
$1 889,02
$2 031,20
$2 536,26 		$2 135,11
$2 269,31
$2 411,49
$2 916,55 		$380,29
Toc - Plan #19 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 24 (2021)

Annual Out of Pocket Expenses
Individual Family
$7,450 $14,900 Annual Deductible
$7,450 $14,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$378,22
$429,27
$483,36
$675,49
$1 026,47 		$667,55
$718,60
$772,69
$964,82 		$956,88
$1 007,93
$1 062,02
$1 254,15 		$1 246,21
$1 297,26
$1 351,35
$1 543,48 		$289,33
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$756,44
$858,54
$966,72
$1 350,98
$2 052,94 		$1 045,77
$1 147,87
$1 256,05
$1 640,31 		$1 335,10
$1 437,20
$1 545,38
$1 929,64 		$1 624,43
$1 726,53
$1 834,71
$2 218,97 		$289,33
Toc - Plan #20 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 26 (2021)

Annual Out of Pocket Expenses
Individual Family
$5,450 $10,900 Annual Deductible
$8,100 $16,200 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$381,18
$432,62
$487,13
$680,76
$1 034,49 		$672,77
$724,21
$778,72
$972,35 		$964,36
$1 015,80
$1 070,31
$1 263,94 		$1 255,95
$1 307,39
$1 361,90
$1 555,53 		$291,59
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$762,36
$865,24
$974,26
$1 361,52
$2 068,98 		$1 053,95
$1 156,83
$1 265,85
$1 653,11 		$1 345,54
$1 448,42
$1 557,44
$1 944,70 		$1 637,13
$1 740,01
$1 849,03
$2 236,29 		$291,59
Toc - Plan #21 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 27 (2021)

Annual Out of Pocket Expenses
Individual Family
$2,750 $5,500 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$395,99
$449,43
$506,06
$707,21
$1 074,68 		$698,91
$752,35
$808,98
$1 010,13 		$1 001,83
$1 055,27
$1 111,90
$1 313,05 		$1 304,75
$1 358,19
$1 414,82
$1 615,97 		$302,92
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$791,98
$898,86
$1 012,12
$1 414,42
$2 149,36 		$1 094,90
$1 201,78
$1 315,04
$1 717,34 		$1 397,82
$1 504,70
$1 617,96
$2 020,26 		$1 700,74
$1 807,62
$1 920,88
$2 323,18 		$302,92
Toc - Plan #22 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 28 (2021)

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,200 $16,400 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$396,14
$449,61
$506,25
$707,49
$1 075,10 		$699,18
$752,65
$809,29
$1 010,53 		$1 002,22
$1 055,69
$1 112,33
$1 313,57 		$1 305,26
$1 358,73
$1 415,37
$1 616,61 		$303,04
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$792,28
$899,22
$1 012,50
$1 414,98
$2 150,20 		$1 095,32
$1 202,26
$1 315,54
$1 718,02 		$1 398,36
$1 505,30
$1 618,58
$2 021,06 		$1 701,40
$1 808,34
$1 921,62
$2 324,10 		$303,04
Toc - Plan #23 Ambetter from MHS
Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2021)

Annual Out of Pocket Expenses
Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$344,54
$391,04
$440,31
$615,33
$935,05 		$608,10
$654,60
$703,87
$878,89 		$871,66
$918,16
$967,43
$1 142,45 		$1 135,22
$1 181,72
$1 230,99
$1 406,01 		$263,56
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$689,08
$782,08
$880,62
$1 230,66
$1 870,10 		$952,64
$1 045,64
$1 144,18
$1 494,22 		$1 216,20
$1 309,20
$1 407,74
$1 757,78 		$1 479,76
$1 572,76
$1 671,30
$2 021,34 		$263,56
Toc - Plan #24 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 12 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$6,500 $13,000 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$380,92
$432,33
$486,80
$680,31
$1 033,79 		$672,32
$723,73
$778,20
$971,71 		$963,72
$1 015,13
$1 069,60
$1 263,11 		$1 255,12
$1 306,53
$1 361,00
$1 554,51 		$291,40
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$761,84
$864,66
$973,60
$1 360,62
$2 067,58 		$1 053,24
$1 156,06
$1 265,00
$1 652,02 		$1 344,64
$1 447,46
$1 556,40
$1 943,42 		$1 636,04
$1 738,86
$1 847,80
$2 234,82 		$291,40
Toc - Plan #25 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 4 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$7,200 $14,400 Annual Deductible
$7,200 $14,400 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$400,42
$454,47
$511,72
$715,13
$1 086,71 		$706,73
$760,78
$818,03
$1 021,44 		$1 013,04
$1 067,09
$1 124,34
$1 327,75 		$1 319,35
$1 373,40
$1 430,65
$1 634,06 		$306,31
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$800,84
$908,94
$1 023,44
$1 430,26
$2 173,42 		$1 107,15
$1 215,25
$1 329,75
$1 736,57 		$1 413,46
$1 521,56
$1 636,06
$2 042,88 		$1 719,77
$1 827,87
$1 942,37
$2 349,19 		$306,31
Toc - Plan #26 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 29 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$5,450 $10,900 Annual Deductible
$8,400 $16,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$377,56
$428,52
$482,50
$674,30
$1 024,66 		$666,38
$717,34
$771,32
$963,12 		$955,20
$1 006,16
$1 060,14
$1 251,94 		$1 244,02
$1 294,98
$1 348,96
$1 540,76 		$288,82
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$755,12
$857,04
$965,00
$1 348,60
$2 049,32 		$1 043,94
$1 145,86
$1 253,82
$1 637,42 		$1 332,76
$1 434,68
$1 542,64
$1 926,24 		$1 621,58
$1 723,50
$1 831,46
$2 215,06 		$288,82
Toc - Plan #27 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 11 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$6,000 $12,000 Annual Deductible
$8,500 $17,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$387,77
$440,10
$495,55
$692,53
$1 052,37 		$684,40
$736,73
$792,18
$989,16 		$981,03
$1 033,36
$1 088,81
$1 285,79 		$1 277,66
$1 329,99
$1 385,44
$1 582,42 		$296,63
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$775,54
$880,20
$991,10
$1 385,06
$2 104,74 		$1 072,17
$1 176,83
$1 287,73
$1 681,69 		$1 368,80
$1 473,46
$1 584,36
$1 978,32 		$1 665,43
$1 770,09
$1 880,99
$2 274,95 		$296,63
Toc - Plan #28 Ambetter from MHS
Gold

(EPO) Ambetter Secure Care 5 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$1,450 $2,900 Annual Deductible
$6,300 $12,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$507,13
$575,58
$648,10
$905,72
$1 376,32 		$895,08
$963,53
$1 036,05
$1 293,67 		$1 283,03
$1 351,48
$1 424,00
$1 681,62 		$1 670,98
$1 739,43
$1 811,95
$2 069,57 		$387,95
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1 014,26
$1 151,16
$1 296,20
$1 811,44
$2 752,64 		$1 402,21
$1 539,11
$1 684,15
$2 199,39 		$1 790,16
$1 927,06
$2 072,10
$2 587,34 		$2 178,11
$2 315,01
$2 460,05
$2 975,29 		$387,95
Toc - Plan #29 Ambetter from MHS
Bronze

(EPO) Ambetter Essential Care 1 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$8,300 $16,600 Annual Deductible
$8,300 $16,600 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$333,75
$378,80
$426,52
$596,06
$905,78 		$589,06
$634,11
$681,83
$851,37 		$844,37
$889,42
$937,14
$1 106,68 		$1 099,68
$1 144,73
$1 192,45
$1 361,99 		$255,31
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$667,50
$757,60
$853,04
$1 192,12
$1 811,56 		$922,81
$1 012,91
$1 108,35
$1 447,43 		$1 178,12
$1 268,22
$1 363,66
$1 702,74 		$1 433,43
$1 523,53
$1 618,97
$1 958,05 		$255,31
Toc - Plan #30 Ambetter from MHS
Gold

(EPO) Ambetter Secure Care 15 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$1,150 $2,300 Annual Deductible
$4,450 $8,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$518,82
$588,85
$663,04
$926,60
$1 408,05 		$915,71
$985,74
$1 059,93
$1 323,49 		$1 312,60
$1 382,63
$1 456,82
$1 720,38 		$1 709,49
$1 779,52
$1 853,71
$2 117,27 		$396,89
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$1 037,64
$1 177,70
$1 326,08
$1 853,20
$2 816,10 		$1 434,53
$1 574,59
$1 722,97
$2 250,09 		$1 831,42
$1 971,48
$2 119,86
$2 646,98 		$2 228,31
$2 368,37
$2 516,75
$3 043,87 		$396,89
Toc - Plan #31 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 24 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$7,450 $14,900 Annual Deductible
$7,450 $14,900 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$394,73
$448,01
$504,46
$704,98
$1 071,28 		$696,69
$749,97
$806,42
$1 006,94 		$998,65
$1 051,93
$1 108,38
$1 308,90 		$1 300,61
$1 353,89
$1 410,34
$1 610,86 		$301,96
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$789,46
$896,02
$1 008,92
$1 409,96
$2 142,56 		$1 091,42
$1 197,98
$1 310,88
$1 711,92 		$1 393,38
$1 499,94
$1 612,84
$2 013,88 		$1 695,34
$1 801,90
$1 914,80
$2 315,84 		$301,96
Toc - Plan #32 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 26 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$5,450 $10,900 Annual Deductible
$8,100 $16,200 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$397,82
$451,51
$508,40
$710,48
$1 079,65 		$702,14
$755,83
$812,72
$1 014,80 		$1 006,46
$1 060,15
$1 117,04
$1 319,12 		$1 310,78
$1 364,47
$1 421,36
$1 623,44 		$304,32
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$795,64
$903,02
$1 016,80
$1 420,96
$2 159,30 		$1 099,96
$1 207,34
$1 321,12
$1 725,28 		$1 404,28
$1 511,66
$1 625,44
$2 029,60 		$1 708,60
$1 815,98
$1 929,76
$2 333,92 		$304,32
Toc - Plan #33 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 27 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$2,750 $5,500 Annual Deductible
$6,500 $13,000 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$413,27
$469,05
$528,15
$738,09
$1 121,60 		$729,42
$785,20
$844,30
$1 054,24 		$1 045,57
$1 101,35
$1 160,45
$1 370,39 		$1 361,72
$1 417,50
$1 476,60
$1 686,54 		$316,15
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$826,54
$938,10
$1 056,30
$1 476,18
$2 243,20 		$1 142,69
$1 254,25
$1 372,45
$1 792,33 		$1 458,84
$1 570,40
$1 688,60
$2 108,48 		$1 774,99
$1 886,55
$2 004,75
$2 424,63 		$316,15
Toc - Plan #34 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 28 (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$0 $0 Annual Deductible
$8,200 $16,400 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$413,43
$469,24
$528,36
$738,37
$1 122,03 		$729,70
$785,51
$844,63
$1 054,64 		$1 045,97
$1 101,78
$1 160,90
$1 370,91 		$1 362,24
$1 418,05
$1 477,17
$1 687,18 		$316,27
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$826,86
$938,48
$1 056,72
$1 476,74
$2 244,06 		$1 143,13
$1 254,75
$1 372,99
$1 793,01 		$1 459,40
$1 571,02
$1 689,26
$2 109,28 		$1 775,67
$1 887,29
$2 005,53
$2 425,55 		$316,27
Toc - Plan #35 Ambetter from MHS
Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2021) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
$6,900 $13,800 Annual Deductible
$6,900 $13,800 Maximum Out of Pocket Per Year
Monthly Premiums:
Age Individual
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$359,58
$408,11
$459,53
$642,19
$975,87 		$634,65
$683,18
$734,60
$917,26 		$909,72
$958,25
$1 009,67
$1 192,33 		$1 184,79
$1 233,32
$1 284,74
$1 467,40 		$275,07
Age Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Child
0-14
21
30
40
50
60 		$719,16
$816,22
$919,06
$1 284,38
$1 951,74 		$994,23
$1 091,29
$1 194,13
$1 559,45 		$1 269,30
$1 366,36
$1 469,20
$1 834,52 		$1 544,37
$1 641,43
$1 744,27
$2 109,59 		$275,07

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Shelby County here.

Shelby County is in “Rating Area 10” of Indiana.

Currently, there are 35 plans offered in Rating Area 10.

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2022 Obamacare Rates for Shelby County

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