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Obamacare 2020 Rates and Health Insurance Providers for Shelby County , Indiana


Obamacare > Rates > Indiana > Shelby County

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 HealthCare.gov, the marketplace for Shelby County, Indiana.

The health insurance rates listed below are for calendar year 2020.

Obamacare Providers, Plans and 2020 Rates for Shelby County, Indiana

Below, you’ll find a summary of the 31 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.

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.

2020 Obamacare Rates, Providers, and Plans for Shelby County

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CareSource Indiana, Inc.

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

 

Expanded Bronze

(HMO) CareSource Marketplace HSA Eligible Bronze

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,300 $10,600
Maximum Out of Pocket Per Year $6,750 $13,500
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$302.19
$342.98
$386.19
$539.70
$820.13 		$604.38
$685.96
$772.38
$1,079.40
$1,640.26 		$835.55
$917.13
$1,003.55
$1,310.57 		$1,066.72
$1,148.30
$1,234.72
$1,541.74 		$1,297.89
$1,379.47
$1,465.89
$1,772.91 		$533.36
$574.15
$617.36
$770.87 		$764.53
$805.32
$848.53
$1,002.04 		$995.70
$1,036.49
$1,079.70
$1,233.21 		$231.17
 

Silver

(HMO) CareSource Marketplace Low Premium Silver

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $7,300 $14,600
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$329.67
$374.17
$421.31
$588.78
$894.71 		$659.34
$748.34
$842.62
$1,177.56
$1,789.42 		$911.53
$1,000.53
$1,094.81
$1,429.75 		$1,163.72
$1,252.72
$1,347.00
$1,681.94 		$1,415.91
$1,504.91
$1,599.19
$1,934.13 		$581.86
$626.36
$673.50
$840.97 		$834.05
$878.55
$925.69
$1,093.16 		$1,086.24
$1,130.74
$1,177.88
$1,345.35 		$252.19
 

Gold

(HMO) CareSource Marketplace Gold

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $6,500 $13,000
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$511.88
$580.98
$654.18
$914.22
$1,389.24 		$1,023.76
$1,161.96
$1,308.36
$1,828.44
$2,778.48 		$1,415.35
$1,553.55
$1,699.95
$2,220.03 		$1,806.94
$1,945.14
$2,091.54
$2,611.62 		$2,198.53
$2,336.73
$2,483.13
$3,003.21 		$903.47
$972.57
$1,045.77
$1,305.81 		$1,295.06
$1,364.16
$1,437.36
$1,697.40 		$1,686.65
$1,755.75
$1,828.95
$2,088.99 		$391.59
 

Silver

(HMO) CareSource Marketplace Standard Silver

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,900 $11,800
Maximum Out of Pocket Per Year $6,800 $13,600
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$347.12
$393.97
$443.61
$619.94
$942.06 		$694.24
$787.94
$887.22
$1,239.88
$1,884.12 		$959.78
$1,053.48
$1,152.76
$1,505.42 		$1,225.32
$1,319.02
$1,418.30
$1,770.96 		$1,490.86
$1,584.56
$1,683.84
$2,036.50 		$612.66
$659.51
$709.15
$885.48 		$878.20
$925.05
$974.69
$1,151.02 		$1,143.74
$1,190.59
$1,240.23
$1,416.56 		$265.54
 

Expanded Bronze

(HMO) CareSource Marketplace Bronze

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,700 $15,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$263.95
$299.58
$337.32
$471.41
$716.35 		$527.90
$599.16
$674.64
$942.82
$1,432.70 		$729.82
$801.08
$876.56
$1,144.74 		$931.74
$1,003.00
$1,078.48
$1,346.66 		$1,133.66
$1,204.92
$1,280.40
$1,548.58 		$465.87
$501.50
$539.24
$673.33 		$667.79
$703.42
$741.16
$875.25 		$869.71
$905.34
$943.08
$1,077.17 		$201.92
 

Silver

(HMO) CareSource Marketplace Low Deductible Silver

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,100 $10,200
Maximum Out of Pocket Per Year $6,600 $13,200
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$361.66
$410.48
$462.20
$645.92
$981.53 		$723.32
$820.96
$924.40
$1,291.84
$1,963.06 		$999.99
$1,097.63
$1,201.07
$1,568.51 		$1,276.66
$1,374.30
$1,477.74
$1,845.18 		$1,553.33
$1,650.97
$1,754.41
$2,121.85 		$638.33
$687.15
$738.87
$922.59 		$915.00
$963.82
$1,015.54
$1,199.26 		$1,191.67
$1,240.49
$1,292.21
$1,475.93 		$276.67
 

Silver

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

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $7,300 $14,600
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$348.88
$395.97
$445.86
$623.09
$946.84 		$697.76
$791.94
$891.72
$1,246.18
$1,893.68 		$964.65
$1,058.83
$1,158.61
$1,513.07 		$1,231.54
$1,325.72
$1,425.50
$1,779.96 		$1,498.43
$1,592.61
$1,692.39
$2,046.85 		$615.77
$662.86
$712.75
$889.98 		$882.66
$929.75
$979.64
$1,156.87 		$1,149.55
$1,196.64
$1,246.53
$1,423.76 		$266.89
 

Gold

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

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $6,500 $13,000
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$534.30
$606.42
$682.83
$954.25
$1,450.07 		$1,068.60
$1,212.84
$1,365.66
$1,908.50
$2,900.14 		$1,477.33
$1,621.57
$1,774.39
$2,317.23 		$1,886.06
$2,030.30
$2,183.12
$2,725.96 		$2,294.79
$2,439.03
$2,591.85
$3,134.69 		$943.03
$1,015.15
$1,091.56
$1,362.98 		$1,351.76
$1,423.88
$1,500.29
$1,771.71 		$1,760.49
$1,832.61
$1,909.02
$2,180.44 		$408.73
 

Silver

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

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,900 $11,800
Maximum Out of Pocket Per Year $6,800 $13,600
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$367.69
$417.33
$469.91
$656.69
$997.91 		$735.38
$834.66
$939.82
$1,313.38
$1,995.82 		$1,016.66
$1,115.94
$1,221.10
$1,594.66 		$1,297.94
$1,397.22
$1,502.38
$1,875.94 		$1,579.22
$1,678.50
$1,783.66
$2,157.22 		$648.97
$698.61
$751.19
$937.97 		$930.25
$979.89
$1,032.47
$1,219.25 		$1,211.53
$1,261.17
$1,313.75
$1,500.53 		$281.28
 

Expanded Bronze

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

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,700 $15,400
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$280.82
$318.73
$358.88
$501.54
$762.13 		$561.64
$637.46
$717.76
$1,003.08
$1,524.26 		$776.46
$852.28
$932.58
$1,217.90 		$991.28
$1,067.10
$1,147.40
$1,432.72 		$1,206.10
$1,281.92
$1,362.22
$1,647.54 		$495.64
$533.55
$573.70
$716.36 		$710.46
$748.37
$788.52
$931.18 		$925.28
$963.19
$1,003.34
$1,146.00 		$214.82
 

Silver

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

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,100 $10,200
Maximum Out of Pocket Per Year $6,600 $13,200
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$383.57
$435.35
$490.20
$685.06
$1,041.01 		$767.14
$870.70
$980.40
$1,370.12
$2,082.02 		$1,060.57
$1,164.13
$1,273.83
$1,663.55 		$1,354.00
$1,457.56
$1,567.26
$1,956.98 		$1,647.43
$1,750.99
$1,860.69
$2,250.41 		$677.00
$728.78
$783.63
$978.49 		$970.43
$1,022.21
$1,077.06
$1,271.92 		$1,263.86
$1,315.64
$1,370.49
$1,565.35 		$293.43

ADVERTISEMENT

Celtic Insurance Company

Local: 1-877-687-1182 | Toll Free: 1-877-687-1182 | TTY: 1-877-941-9232
 

Silver

(EPO) Ambetter Balanced Care 1 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,650 $11,300
Maximum Out of Pocket Per Year $6,950 $13,900
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$379.46
$430.68
$484.94
$677.70
$1,029.84 		$758.92
$861.36
$969.88
$1,355.40
$2,059.68 		$1,049.20
$1,151.64
$1,260.16
$1,645.68 		$1,339.48
$1,441.92
$1,550.44
$1,935.96 		$1,629.76
$1,732.20
$1,840.72
$2,226.24 		$669.74
$720.96
$775.22
$967.98 		$960.02
$1,011.24
$1,065.50
$1,258.26 		$1,250.30
$1,301.52
$1,355.78
$1,548.54 		$290.28
 

Silver

(EPO) Ambetter Balanced Care 4 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,050 $14,100
Maximum Out of Pocket Per Year $7,050 $14,100
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$368.91
$418.71
$471.46
$658.86
$1,001.20 		$737.82
$837.42
$942.92
$1,317.72
$2,002.40 		$1,020.03
$1,119.63
$1,225.13
$1,599.93 		$1,302.24
$1,401.84
$1,507.34
$1,882.14 		$1,584.45
$1,684.05
$1,789.55
$2,164.35 		$651.12
$700.92
$753.67
$941.07 		$933.33
$983.13
$1,035.88
$1,223.28 		$1,215.54
$1,265.34
$1,318.09
$1,505.49 		$282.21
 

Silver

(EPO) Ambetter Balanced Care 11 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,100 $16,200
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$350.98
$398.36
$448.55
$626.84
$952.54 		$701.96
$796.72
$897.10
$1,253.68
$1,905.08 		$970.46
$1,065.22
$1,165.60
$1,522.18 		$1,238.96
$1,333.72
$1,434.10
$1,790.68 		$1,507.46
$1,602.22
$1,702.60
$2,059.18 		$619.48
$666.86
$717.05
$895.34 		$887.98
$935.36
$985.55
$1,163.84 		$1,156.48
$1,203.86
$1,254.05
$1,432.34 		$268.50
 

Silver

(EPO) Ambetter Balanced Care 12 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$345.23
$391.82
$441.19
$616.56
$936.93 		$690.46
$783.64
$882.38
$1,233.12
$1,873.86 		$954.55
$1,047.73
$1,146.47
$1,497.21 		$1,218.64
$1,311.82
$1,410.56
$1,761.30 		$1,482.73
$1,575.91
$1,674.65
$2,025.39 		$609.32
$655.91
$705.28
$880.65 		$873.41
$920.00
$969.37
$1,144.74 		$1,137.50
$1,184.09
$1,233.46
$1,408.83 		$264.09
 

Gold

(EPO) Ambetter Secure Care 5 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,250 $2,500
Maximum Out of Pocket Per Year $5,900 $11,800
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$464.05
$526.69
$593.05
$828.78
$1,259.41 		$928.10
$1,053.38
$1,186.10
$1,657.56
$2,518.82 		$1,283.09
$1,408.37
$1,541.09
$2,012.55 		$1,638.08
$1,763.36
$1,896.08
$2,367.54 		$1,993.07
$2,118.35
$2,251.07
$2,722.53 		$819.04
$881.68
$948.04
$1,183.77 		$1,174.03
$1,236.67
$1,303.03
$1,538.76 		$1,529.02
$1,591.66
$1,658.02
$1,893.75 		$354.99
 

Silver

(EPO) Ambetter Balanced Care 14 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$386.73
$438.93
$494.23
$690.68
$1,049.56 		$773.46
$877.86
$988.46
$1,381.36
$2,099.12 		$1,069.30
$1,173.70
$1,284.30
$1,677.20 		$1,365.14
$1,469.54
$1,580.14
$1,973.04 		$1,660.98
$1,765.38
$1,875.98
$2,268.88 		$682.57
$734.77
$790.07
$986.52 		$978.41
$1,030.61
$1,085.91
$1,282.36 		$1,274.25
$1,326.45
$1,381.75
$1,578.20 		$295.84
 

Silver

(EPO) Ambetter Balanced Care 15 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,950 $5,900
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$387.10
$439.35
$494.70
$691.34
$1,050.56 		$774.20
$878.70
$989.40
$1,382.68
$2,101.12 		$1,070.32
$1,174.82
$1,285.52
$1,678.80 		$1,366.44
$1,470.94
$1,581.64
$1,974.92 		$1,662.56
$1,767.06
$1,877.76
$2,271.04 		$683.22
$735.47
$790.82
$987.46 		$979.34
$1,031.59
$1,086.94
$1,283.58 		$1,275.46
$1,327.71
$1,383.06
$1,579.70 		$296.12
 

Bronze

(EPO) Ambetter Essential Care 1 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$311.77
$353.85
$398.43
$556.80
$846.12 		$623.54
$707.70
$796.86
$1,113.60
$1,692.24 		$862.04
$946.20
$1,035.36
$1,352.10 		$1,100.54
$1,184.70
$1,273.86
$1,590.60 		$1,339.04
$1,423.20
$1,512.36
$1,829.10 		$550.27
$592.35
$636.93
$795.30 		$788.77
$830.85
$875.43
$1,033.80 		$1,027.27
$1,069.35
$1,113.93
$1,272.30 		$238.50
 

Gold

(EPO) Ambetter Secure Care 15 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $950 $1,900
Maximum Out of Pocket Per Year $3,950 $7,900
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$468.92
$532.22
$599.27
$837.48
$1,272.63 		$937.84
$1,064.44
$1,198.54
$1,674.96
$2,545.26 		$1,296.56
$1,423.16
$1,557.26
$2,033.68 		$1,655.28
$1,781.88
$1,915.98
$2,392.40 		$2,014.00
$2,140.60
$2,274.70
$2,751.12 		$827.64
$890.94
$957.99
$1,196.20 		$1,186.36
$1,249.66
$1,316.71
$1,554.92 		$1,545.08
$1,608.38
$1,675.43
$1,913.64 		$358.72
 

Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,750 $13,500
Maximum Out of Pocket Per Year $6,750 $13,500
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$333.65
$378.68
$426.39
$595.87
$905.49 		$667.30
$757.36
$852.78
$1,191.74
$1,810.98 		$922.53
$1,012.59
$1,108.01
$1,446.97 		$1,177.76
$1,267.82
$1,363.24
$1,702.20 		$1,432.99
$1,523.05
$1,618.47
$1,957.43 		$588.88
$633.91
$681.62
$851.10 		$844.11
$889.14
$936.85
$1,106.33 		$1,099.34
$1,144.37
$1,192.08
$1,361.56 		$255.23
 

Silver

(EPO) Ambetter Balanced Care 5 (2020)

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$353.27
$400.95
$451.47
$630.93
$958.75 		$706.54
$801.90
$902.94
$1,261.86
$1,917.50 		$976.79
$1,072.15
$1,173.19
$1,532.11 		$1,247.04
$1,342.40
$1,443.44
$1,802.36 		$1,517.29
$1,612.65
$1,713.69
$2,072.61 		$623.52
$671.20
$721.72
$901.18 		$893.77
$941.45
$991.97
$1,171.43 		$1,164.02
$1,211.70
$1,262.22
$1,441.68 		$270.25
 

Silver

(EPO) Ambetter Balanced Care 1 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,650 $11,300
Maximum Out of Pocket Per Year $6,950 $13,900
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$397.97
$451.68
$508.59
$710.75
$1,080.06 		$795.94
$903.36
$1,017.18
$1,421.50
$2,160.12 		$1,100.38
$1,207.80
$1,321.62
$1,725.94 		$1,404.82
$1,512.24
$1,626.06
$2,030.38 		$1,709.26
$1,816.68
$1,930.50
$2,334.82 		$702.41
$756.12
$813.03
$1,015.19 		$1,006.85
$1,060.56
$1,117.47
$1,319.63 		$1,311.29
$1,365.00
$1,421.91
$1,624.07 		$304.44
 

Silver

(EPO) Ambetter Balanced Care 4 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,050 $14,100
Maximum Out of Pocket Per Year $7,050 $14,100
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$386.90
$439.12
$494.45
$690.99
$1,050.02 		$773.80
$878.24
$988.90
$1,381.98
$2,100.04 		$1,069.77
$1,174.21
$1,284.87
$1,677.95 		$1,365.74
$1,470.18
$1,580.84
$1,973.92 		$1,661.71
$1,766.15
$1,876.81
$2,269.89 		$682.87
$735.09
$790.42
$986.96 		$978.84
$1,031.06
$1,086.39
$1,282.93 		$1,274.81
$1,327.03
$1,382.36
$1,578.90 		$295.97
 

Silver

(EPO) Ambetter Balanced Care 11 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,100 $16,200
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$368.10
$417.78
$470.42
$657.41
$998.99 		$736.20
$835.56
$940.84
$1,314.82
$1,997.98 		$1,017.79
$1,117.15
$1,222.43
$1,596.41 		$1,299.38
$1,398.74
$1,504.02
$1,878.00 		$1,580.97
$1,680.33
$1,785.61
$2,159.59 		$649.69
$699.37
$752.01
$939.00 		$931.28
$980.96
$1,033.60
$1,220.59 		$1,212.87
$1,262.55
$1,315.19
$1,502.18 		$281.59
 

Gold

(EPO) Ambetter Secure Care 5 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,250 $2,500
Maximum Out of Pocket Per Year $5,900 $11,800
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$486.68
$552.37
$621.97
$869.19
$1,320.83 		$973.36
$1,104.74
$1,243.94
$1,738.38
$2,641.66 		$1,345.66
$1,477.04
$1,616.24
$2,110.68 		$1,717.96
$1,849.34
$1,988.54
$2,482.98 		$2,090.26
$2,221.64
$2,360.84
$2,855.28 		$858.98
$924.67
$994.27
$1,241.49 		$1,231.28
$1,296.97
$1,366.57
$1,613.79 		$1,603.58
$1,669.27
$1,738.87
$1,986.09 		$372.30
 

Silver

(EPO) Ambetter Balanced Care 14 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $0 $0
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$405.59
$460.33
$518.33
$724.36
$1,100.74 		$811.18
$920.66
$1,036.66
$1,448.72
$2,201.48 		$1,121.45
$1,230.93
$1,346.93
$1,758.99 		$1,431.72
$1,541.20
$1,657.20
$2,069.26 		$1,741.99
$1,851.47
$1,967.47
$2,379.53 		$715.86
$770.60
$828.60
$1,034.63 		$1,026.13
$1,080.87
$1,138.87
$1,344.90 		$1,336.40
$1,391.14
$1,449.14
$1,655.17 		$310.27
 

Silver

(EPO) Ambetter Balanced Care 15 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,950 $5,900
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$405.98
$460.77
$518.82
$725.05
$1,101.79 		$811.96
$921.54
$1,037.64
$1,450.10
$2,203.58 		$1,122.52
$1,232.10
$1,348.20
$1,760.66 		$1,433.08
$1,542.66
$1,658.76
$2,071.22 		$1,743.64
$1,853.22
$1,969.32
$2,381.78 		$716.54
$771.33
$829.38
$1,035.61 		$1,027.10
$1,081.89
$1,139.94
$1,346.17 		$1,337.66
$1,392.45
$1,450.50
$1,656.73 		$310.56
 

Bronze

(EPO) Ambetter Essential Care 1 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$326.97
$371.10
$417.86
$583.95
$887.38 		$653.94
$742.20
$835.72
$1,167.90
$1,774.76 		$904.07
$992.33
$1,085.85
$1,418.03 		$1,154.20
$1,242.46
$1,335.98
$1,668.16 		$1,404.33
$1,492.59
$1,586.11
$1,918.29 		$577.10
$621.23
$667.99
$834.08 		$827.23
$871.36
$918.12
$1,084.21 		$1,077.36
$1,121.49
$1,168.25
$1,334.34 		$250.13
 

Gold

(EPO) Ambetter Secure Care 15 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $950 $1,900
Maximum Out of Pocket Per Year $3,950 $7,900
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$491.79
$558.17
$628.49
$878.32
$1,334.69 		$983.58
$1,116.34
$1,256.98
$1,756.64
$2,669.38 		$1,359.79
$1,492.55
$1,633.19
$2,132.85 		$1,736.00
$1,868.76
$2,009.40
$2,509.06 		$2,112.21
$2,244.97
$2,385.61
$2,885.27 		$868.00
$934.38
$1,004.70
$1,254.53 		$1,244.21
$1,310.59
$1,380.91
$1,630.74 		$1,620.42
$1,686.80
$1,757.12
$2,006.95 		$376.21
 

Silver

(EPO) Ambetter Balanced Care 5 (2020) + Vision + Adult Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,350 $14,700
Maximum Out of Pocket Per Year $7,350 $14,700
Monthly Premiums:
Age Individual
 Couple
Couple
1 Child
 Couple
2 Chidren
 Couple
3+ Children
 Individual
1 Child
 Individual
2 Children
 Individual
3+ Children
 Child
0-14
21
30
40
50
60 		$370.50
$420.50
$473.48
$661.69
$1,005.50 		$741.00
$841.00
$946.96
$1,323.38
$2,011.00 		$1,024.42
$1,124.42
$1,230.38
$1,606.80 		$1,307.84
$1,407.84
$1,513.80
$1,890.22 		$1,591.26
$1,691.26
$1,797.22
$2,173.64 		$653.92
$703.92
$756.90
$945.11 		$937.34
$987.34
$1,040.32
$1,228.53 		$1,220.76
$1,270.76
$1,323.74
$1,511.95 		$283.42

‡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 31 plans offered in Rating Area 10.

Steuben County Lagrange County Elkhart County St. Joseph County La Porte County Lake County Porter County De Kalb County Noble County Marshall County Kosciusko County Starke County Whitley County Jasper County Allen County Newton County Fulton County Pulaski County Wabash County Huntington County Miami County Adams County Wells County White County Cass County Benton County Carroll County Grant County Jay County Blackford County Howard County Tippecanoe County Warren County Clinton County Tipton County Delaware County Madison County Fountain County Randolph County Hamilton County Montgomery County Boone County Vermillion County Henry County Wayne County Parke County Hancock County Marion County Hendricks County Putnam County Fayette County Rush County Union County Shelby County Johnson County Morgan County Vigo County Clay County Franklin County Owen County Decatur County Monroe County Bartholomew County Brown County Ripley County Dearborn County Sullivan County Jennings County Greene County Jackson County Ohio County Lawrence County Switzerland County Jefferson County Knox County Daviess County Martin County Scott County Washington County Orange County Clark County Pike County Gibson County Dubois County Crawford County Harrison County Floyd County Perry County Warrick County Posey County Spencer County Vanderburgh County Vanderburgh County

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