Obamacare Providers, Plans and 2017 Rates for Benton County
The health insurance rates listed below are for calendar year 2017.
2017 Rates and Providers
(click here for 2014)
(click here for 2015)
(click here for 2016)
This page gives you an overview of the rates for individual and family health insurance plans available from HealthCare.gov, the marketplace for Benton County, Indiana.
Currently, there are 34 plans offered in Benton County.
Below, you’ll find a summary of plans 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 complete an application at HealthCare.gov or contact the provider directly.
The table below shows premiums for the following scenarios:
- Individual
- Couple
- Couple with 1 2 or 3 children
- Individual with 1 2 or 3 children
- A child alone
Each scenario is covered for age
- Age 21, 30, 40, 50
- Age 60 (Individual and Couple only)
For each plan, there are links that go to the insurance provider's website in a new window. You can find links to:
- a summary of plan benefits and costs,
- a plan brochure, and
- a "Provider Directory" -- where you can find out which doctors and hospitals in the Fowler, IN area accept this insurance coverage as within the plan's "network".
‡Source: HealthCare.gov has released sample rates for all counties in those states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Benton County here.
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CareSource Indiana, Inc.Local: 1-800-479-9502 | Toll Free: 1-877-806-9284 |
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Plan: (HMO) CareSource Gold Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$367.88 $417.54 $470.15 $657.04 $998.43 |
$735.76 $835.08 $940.30 $1314.08 $1996.86 |
$969.36 $1068.68 $1173.90 $1547.68 |
$1202.96 $1302.28 $1407.50 $1781.28 |
$1436.56 $1535.88 $1641.10 $2014.88 |
$601.48 $651.14 $703.75 $890.64 |
$835.08 $884.74 $937.35 $1124.24 |
$1068.68 $1118.34 $1170.95 $1357.84 |
$233.60 |
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MDwise Marketplace, Inc.Local: 1-855-417-5615 | Toll Free: 1-855-417-5615 TTY: 1-800-743-3333 |
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Plan: (HMO) MDwise Marketplace Gold Plus with Adult VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$1,500
: Family:
$3,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$312.40 $354.57 $399.24 $557.94 $847.84 |
$624.80 $709.14 $798.48 $1115.88 $1695.68 |
$823.17 $907.51 $996.85 $1314.25 |
$1021.54 $1105.88 $1195.22 $1512.62 |
$1219.91 $1304.25 $1393.59 $1710.99 |
$510.77 $552.94 $597.61 $756.31 |
$709.14 $751.31 $795.98 $954.68 |
$907.51 $949.68 $994.35 $1153.05 |
$198.37 |
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Anthem Ins Companies Inc(Anthem BCBS)Local: 1-855-886-6152 | Toll Free: 1-855-886-6152 |
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Plan: (HMO) Anthem Bronze Pathway X 20 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$5,200
: Family:
$10,400 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$296.75 $336.81 $379.25 $530.00 $805.38 |
$593.50 $673.62 $758.50 $1060.00 $1610.76 |
$781.94 $862.06 $946.94 $1248.44 |
$970.38 $1050.50 $1135.38 $1436.88 |
$1158.82 $1238.94 $1323.82 $1625.32 |
$485.19 $525.25 $567.69 $718.44 |
$673.63 $713.69 $756.13 $906.88 |
$862.07 $902.13 $944.57 $1095.32 |
$188.44 |
Plan: (HMO) Anthem Bronze Pathway X 5850Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$5,850
: Family:
$11,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$282.36 $320.48 $360.86 $504.29 $766.33 |
$564.72 $640.96 $721.72 $1008.58 $1532.66 |
$744.02 $820.26 $901.02 $1187.88 |
$923.32 $999.56 $1080.32 $1367.18 |
$1102.62 $1178.86 $1259.62 $1546.48 |
$461.66 $499.78 $540.16 $683.59 |
$640.96 $679.08 $719.46 $862.89 |
$820.26 $858.38 $898.76 $1042.19 |
$179.30 |
Plan: (HMO) Anthem Bronze Pathway X 5300Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$5,300
: Family:
$10,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$290.87 $330.14 $371.73 $519.49 $789.42 |
$581.74 $660.28 $743.46 $1038.98 $1578.84 |
$766.44 $844.98 $928.16 $1223.68 |
$951.14 $1029.68 $1112.86 $1408.38 |
$1135.84 $1214.38 $1297.56 $1593.08 |
$475.57 $514.84 $556.43 $704.19 |
$660.27 $699.54 $741.13 $888.89 |
$844.97 $884.24 $925.83 $1073.59 |
$184.70 |
Plan: (HMO) Anthem Bronze Pathway X 6500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$6,500
: Family:
$13,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$296.24 $336.23 $378.59 $529.08 $804.00 |
$592.48 $672.46 $757.18 $1058.16 $1608.00 |
$780.59 $860.57 $945.29 $1246.27 |
$968.70 $1048.68 $1133.40 $1434.38 |
$1156.81 $1236.79 $1321.51 $1622.49 |
$484.35 $524.34 $566.70 $717.19 |
$672.46 $712.45 $754.81 $905.30 |
$860.57 $900.56 $942.92 $1093.41 |
$188.11 |
Plan: (HMO) Anthem Bronze Pathway X 0 for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$6,550
: Family:
$13,100 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$290.48 $329.69 $371.23 $518.80 $788.36 |
$580.96 $659.38 $742.46 $1037.60 $1576.72 |
$765.41 $843.83 $926.91 $1222.05 |
$949.86 $1028.28 $1111.36 $1406.50 |
$1134.31 $1212.73 $1295.81 $1590.95 |
$474.93 $514.14 $555.68 $703.25 |
$659.38 $698.59 $740.13 $887.70 |
$843.83 $883.04 $924.58 $1072.15 |
$184.45 |
Plan: (HMO) Anthem Silver Pathway X 3500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$332.16 $377.00 $424.50 $593.24 $901.48 |
$664.32 $754.00 $849.00 $1186.48 $1802.96 |
$875.24 $964.92 $1059.92 $1397.40 |
$1086.16 $1175.84 $1270.84 $1608.32 |
$1297.08 $1386.76 $1481.76 $1819.24 |
$543.08 $587.92 $635.42 $804.16 |
$754.00 $798.84 $846.34 $1015.08 |
$964.92 $1009.76 $1057.26 $1226.00 |
$210.92 |
Plan: (HMO) Anthem Silver Pathway X 2500Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$2,500
: Family:
$5,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$337.18 $382.70 $430.92 $602.20 $915.11 |
$674.36 $765.40 $861.84 $1204.40 $1830.22 |
$888.47 $979.51 $1075.95 $1418.51 |
$1102.58 $1193.62 $1290.06 $1632.62 |
$1316.69 $1407.73 $1504.17 $1846.73 |
$551.29 $596.81 $645.03 $816.31 |
$765.40 $810.92 $859.14 $1030.42 |
$979.51 $1025.03 $1073.25 $1244.53 |
$214.11 |
Plan: (HMO) Anthem Silver Pathway X for HSASummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$3,000
: Family:
$6,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$341.44 $387.53 $436.36 $609.81 $926.67 |
$682.88 $775.06 $872.72 $1219.62 $1853.34 |
$899.69 $991.87 $1089.53 $1436.43 |
$1116.50 $1208.68 $1306.34 $1653.24 |
$1333.31 $1425.49 $1523.15 $1870.05 |
$558.25 $604.34 $653.17 $826.62 |
$775.06 $821.15 $869.98 $1043.43 |
$991.87 $1037.96 $1086.79 $1260.24 |
$216.81 |
Plan: (HMO) Anthem Catastrophic Pathway X 7150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Catastrophic | 21 30 40 50 60 |
$230.69 $261.83 $294.82 $412.01 $626.09 |
$461.38 $523.66 $589.64 $824.02 $1252.18 |
$607.87 $670.15 $736.13 $970.51 |
$754.36 $816.64 $882.62 $1117.00 |
$900.85 $963.13 $1029.11 $1263.49 |
$377.18 $408.32 $441.31 $558.50 |
$523.67 $554.81 $587.80 $704.99 |
$670.16 $701.30 $734.29 $851.48 |
$146.49 |
Plan: (HMO) Anthem Bronze Pathway X 4950Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$4,950
: Family:
$9,900 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$285.57 $324.12 $364.96 $510.03 $775.04 |
$571.14 $648.24 $729.92 $1020.06 $1550.08 |
$752.48 $829.58 $911.26 $1201.40 |
$933.82 $1010.92 $1092.60 $1382.74 |
$1115.16 $1192.26 $1273.94 $1564.08 |
$466.91 $505.46 $546.30 $691.37 |
$648.25 $686.80 $727.64 $872.71 |
$829.59 $868.14 $908.98 $1054.05 |
$181.34 |
Plan: (HMO) Anthem Bronze Pathway X 7150Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$7,150
: Family:
$14,300 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$281.01 $318.95 $359.13 $501.88 $762.66 |
$562.02 $637.90 $718.26 $1003.76 $1525.32 |
$740.46 $816.34 $896.70 $1182.20 |
$918.90 $994.78 $1075.14 $1360.64 |
$1097.34 $1173.22 $1253.58 $1539.08 |
$459.45 $497.39 $537.57 $680.32 |
$637.89 $675.83 $716.01 $858.76 |
$816.33 $854.27 $894.45 $1037.20 |
$178.44 |
Plan: (HMO) Anthem Silver Pathway X 4350Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$4,350
: Family:
$8,700 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$322.95 $366.55 $412.73 $576.79 $876.49 |
$645.90 $733.10 $825.46 $1153.58 $1752.98 |
$850.97 $938.17 $1030.53 $1358.65 |
$1056.04 $1143.24 $1235.60 $1563.72 |
$1261.11 $1348.31 $1440.67 $1768.79 |
$528.02 $571.62 $617.80 $781.86 |
$733.09 $776.69 $822.87 $986.93 |
$938.16 $981.76 $1027.94 $1192.00 |
$205.07 |
Plan: (HMO) Anthem Silver Core Pathway X 5300Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$5,300
: Family:
$10,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$293.88 $333.55 $375.58 $524.87 $797.59 |
$587.76 $667.10 $751.16 $1049.74 $1595.18 |
$774.37 $853.71 $937.77 $1236.35 |
$960.98 $1040.32 $1124.38 $1422.96 |
$1147.59 $1226.93 $1310.99 $1609.57 |
$480.49 $520.16 $562.19 $711.48 |
$667.10 $706.77 $748.80 $898.09 |
$853.71 $893.38 $935.41 $1084.70 |
$186.61 |
Plan: (POS) Anthem Bronze Pathway X POS 5000Summary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$287.12 $325.88 $366.94 $512.80 $779.24 |
$574.24 $651.76 $733.88 $1025.60 $1558.48 |
$756.56 $834.08 $916.20 $1207.92 |
$938.88 $1016.40 $1098.52 $1390.24 |
$1121.20 $1198.72 $1280.84 $1572.56 |
$469.44 $508.20 $549.26 $695.12 |
$651.76 $690.52 $731.58 $877.44 |
$834.08 $872.84 $913.90 $1059.76 |
$182.32 |
Plan: (HMO) Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$2,000
: Family:
$4,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$344.19 $390.66 $439.87 $614.72 $934.13 |
$688.38 $781.32 $879.74 $1229.44 $1868.26 |
$906.94 $999.88 $1098.30 $1448.00 |
$1125.50 $1218.44 $1316.86 $1666.56 |
$1344.06 $1437.00 $1535.42 $1885.12 |
$562.75 $609.22 $658.43 $833.28 |
$781.31 $827.78 $876.99 $1051.84 |
$999.87 $1046.34 $1095.55 $1270.40 |
$218.56 |
Plan: (HMO) Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State PlanSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-886-6152 - Provider Directory for This Plan: (Anthem Ins Companies Inc(Anthem BCBS))
Deductible: Individual:
$1,000
: Family:
$3,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$459.34 $521.35 $587.04 $820.38 $1246.65 |
$918.68 $1042.70 $1174.08 $1640.76 $2493.30 |
$1210.36 $1334.38 $1465.76 $1932.44 |
$1502.04 $1626.06 $1757.44 $2224.12 |
$1793.72 $1917.74 $2049.12 $2515.80 |
$751.02 $813.03 $878.72 $1112.06 |
$1042.70 $1104.71 $1170.40 $1403.74 |
$1334.38 $1396.39 $1462.08 $1695.42 |
$291.68 |
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CareSource Indiana, Inc.Local: 1-800-479-9502 | Toll Free: 1-877-806-9284 |
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Plan: (HMO) CareSource GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$1,000
: Family:
$2,000 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$342.75 $389.02 $438.04 $612.15 $930.23 |
$685.50 $778.04 $876.08 $1224.30 $1860.46 |
$903.15 $995.69 $1093.73 $1441.95 |
$1120.80 $1213.34 $1311.38 $1659.60 |
$1338.45 $1430.99 $1529.03 $1877.25 |
$560.40 $606.67 $655.69 $829.80 |
$778.05 $824.32 $873.34 $1047.45 |
$995.70 $1041.97 $1090.99 $1265.10 |
$217.65 |
Plan: (HMO) CareSource SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$3,300
: Family:
$6,600 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$286.03 $324.64 $365.54 $510.85 $776.28 |
$572.06 $649.28 $731.08 $1021.70 $1552.56 |
$753.69 $830.91 $912.71 $1203.33 |
$935.32 $1012.54 $1094.34 $1384.96 |
$1116.95 $1194.17 $1275.97 $1566.59 |
$467.66 $506.27 $547.17 $692.48 |
$649.29 $687.90 $728.80 $874.11 |
$830.92 $869.53 $910.43 $1055.74 |
$181.63 |
Plan: (HMO) CareSource BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 Monthly Premiums: |
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Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$249.69 $283.39 $319.10 $445.94 $677.64 |
$499.38 $566.78 $638.20 $891.88 $1355.28 |
$657.93 $725.33 $796.75 $1050.43 |
$816.48 $883.88 $955.30 $1208.98 |
$975.03 $1042.43 $1113.85 $1367.53 |
$408.24 $441.94 $477.65 $604.49 |
$566.79 $600.49 $636.20 $763.04 |
$725.34 $759.04 $794.75 $921.59 |
$158.55 |
Plan: (HMO) CareSource Silver Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$3,300
: Family:
$6,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$311.15 $353.15 $397.65 $555.71 $844.45 |
$622.30 $706.30 $795.30 $1111.42 $1688.90 |
$819.88 $903.88 $992.88 $1309.00 |
$1017.46 $1101.46 $1190.46 $1506.58 |
$1215.04 $1299.04 $1388.04 $1704.16 |
$508.73 $550.73 $595.23 $753.29 |
$706.31 $748.31 $792.81 $950.87 |
$903.89 $945.89 $990.39 $1148.45 |
$197.58 |
Plan: (HMO) CareSource Bronze Dental and VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$274.81 $311.90 $351.20 $490.80 $745.81 |
$549.62 $623.80 $702.40 $981.60 $1491.62 |
$724.12 $798.30 $876.90 $1156.10 |
$898.62 $972.80 $1051.40 $1330.60 |
$1073.12 $1147.30 $1225.90 $1505.10 |
$449.31 $486.40 $525.70 $665.30 |
$623.81 $660.90 $700.20 $839.80 |
$798.31 $835.40 $874.70 $1014.30 |
$174.50 |
Plan: (HMO) CareSource Federal Simple Choice GoldSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$1,250
: Family:
$2,500 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Gold | 21 30 40 50 60 |
$313.87 $356.24 $401.12 $560.57 $851.84 |
$627.74 $712.48 $802.24 $1121.14 $1703.68 |
$827.05 $911.79 $1001.55 $1320.45 |
$1026.36 $1111.10 $1200.86 $1519.76 |
$1225.67 $1310.41 $1400.17 $1719.07 |
$513.18 $555.55 $600.43 $759.88 |
$712.49 $754.86 $799.74 $959.19 |
$911.80 $954.17 $999.05 $1158.50 |
$199.31 |
Plan: (HMO) CareSource Federal Simple Choice SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$3,500
: Family:
$7,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$261.83 $297.18 $334.62 $467.63 $710.60 |
$523.66 $594.36 $669.24 $935.26 $1421.20 |
$689.92 $760.62 $835.50 $1101.52 |
$856.18 $926.88 $1001.76 $1267.78 |
$1022.44 $1093.14 $1168.02 $1434.04 |
$428.09 $463.44 $500.88 $633.89 |
$594.35 $629.70 $667.14 $800.15 |
$760.61 $795.96 $833.40 $966.41 |
$166.26 |
Plan: (HMO) CareSource Federal Simple Choice BronzeSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$6,650
: Family:
$13,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$233.06 $264.52 $297.85 $416.24 $632.52 |
$466.12 $529.04 $595.70 $832.48 $1265.04 |
$614.11 $677.03 $743.69 $980.47 |
$762.10 $825.02 $891.68 $1128.46 |
$910.09 $973.01 $1039.67 $1276.45 |
$381.05 $412.51 $445.84 $564.23 |
$529.04 $560.50 $593.83 $712.22 |
$677.03 $708.49 $741.82 $860.21 |
$147.99 |
Plan: (HMO) CareSource Low Premium SilverSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-877-806-9284 - Provider Directory for This Plan: (CareSource Indiana, Inc.)
Deductible: Individual:
$6,150
: Family:
$12,300 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$246.38 $279.63 $314.86 $440.02 $668.66 |
$492.76 $559.26 $629.72 $880.04 $1337.32 |
$649.21 $715.71 $786.17 $1036.49 |
$805.66 $872.16 $942.62 $1192.94 |
$962.11 $1028.61 $1099.07 $1349.39 |
$402.83 $436.08 $471.31 $596.47 |
$559.28 $592.53 $627.76 $752.92 |
$715.73 $748.98 $784.21 $909.37 |
$156.45 |
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MDwise Marketplace, Inc.Local: 1-855-417-5615 | Toll Free: 1-855-417-5615 TTY: 1-800-743-3333 |
||||||||||
Plan: (HMO) MDwise Marketplace Bronze PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$5,400
: Family:
$10,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$220.24 $249.97 $281.46 $393.34 $597.72 |
$440.48 $499.94 $562.92 $786.68 $1195.44 |
$580.33 $639.79 $702.77 $926.53 |
$720.18 $779.64 $842.62 $1066.38 |
$860.03 $919.49 $982.47 $1206.23 |
$360.09 $389.82 $421.31 $533.19 |
$499.94 $529.67 $561.16 $673.04 |
$639.79 $669.52 $701.01 $812.89 |
$139.85 |
Plan: (HMO) MDwise Marketplace Silver PlusSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$3,100
: Family:
$6,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$248.78 $282.36 $317.93 $444.31 $675.18 |
$497.56 $564.72 $635.86 $888.62 $1350.36 |
$655.53 $722.69 $793.83 $1046.59 |
$813.50 $880.66 $951.80 $1204.56 |
$971.47 $1038.63 $1109.77 $1362.53 |
$406.75 $440.33 $475.90 $602.28 |
$564.72 $598.30 $633.87 $760.25 |
$722.69 $756.27 $791.84 $918.22 |
$157.97 |
Plan: (HMO) MDwise Marketplace Bronze BasicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$6,800
: Family:
$13,600 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$215.27 $244.33 $275.11 $384.46 $584.23 |
$430.54 $488.66 $550.22 $768.92 $1168.46 |
$567.23 $625.35 $686.91 $905.61 |
$703.92 $762.04 $823.60 $1042.30 |
$840.61 $898.73 $960.29 $1178.99 |
$351.96 $381.02 $411.80 $521.15 |
$488.65 $517.71 $548.49 $657.84 |
$625.34 $654.40 $685.18 $794.53 |
$136.69 |
Plan: (HMO) MDwise Marketplace Silver BasicSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$5,000
: Family:
$10,000 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$233.69 $265.24 $298.65 $417.37 $634.23 |
$467.38 $530.48 $597.30 $834.74 $1268.46 |
$615.77 $678.87 $745.69 $983.13 |
$764.16 $827.26 $894.08 $1131.52 |
$912.55 $975.65 $1042.47 $1279.91 |
$382.08 $413.63 $447.04 $565.76 |
$530.47 $562.02 $595.43 $714.15 |
$678.86 $710.41 $743.82 $862.54 |
$148.39 |
Plan: (HMO) MDwise Marketplace Silver CoinsuranceSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$3,600
: Family:
$7,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$250.48 $284.30 $320.12 $447.36 $679.81 |
$500.96 $568.60 $640.24 $894.72 $1359.62 |
$660.02 $727.66 $799.30 $1053.78 |
$819.08 $886.72 $958.36 $1212.84 |
$978.14 $1045.78 $1117.42 $1371.90 |
$409.54 $443.36 $479.18 $606.42 |
$568.60 $602.42 $638.24 $765.48 |
$727.66 $761.48 $797.30 $924.54 |
$159.06 |
Plan: (HMO) MDwise Marketplace Bronze Plus with Adult VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$5,400
: Family:
$10,800 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Bronze | 21 30 40 50 60 |
$224.47 $254.78 $286.88 $400.91 $609.22 |
$448.94 $509.56 $573.76 $801.82 $1218.44 |
$591.48 $652.10 $716.30 $944.36 |
$734.02 $794.64 $858.84 $1086.90 |
$876.56 $937.18 $1001.38 $1229.44 |
$367.01 $397.32 $429.42 $543.45 |
$509.55 $539.86 $571.96 $685.99 |
$652.09 $682.40 $714.50 $828.53 |
$142.54 |
Plan: (HMO) MDwise Marketplace Silver Plus with Adult VisionSummary of Benefits and Coverage - Plan Brochure - Customer Service Phone: 1-855-417-5615 - Provider Directory for This Plan: (MDwise Marketplace, Inc.)
Deductible: Individual:
$3,100
: Family:
$6,200 Monthly Premiums: |
||||||||||
Metal level | Age | Individual |
Couple |
Couple w 1 Kid |
Couple w 2 Kids |
Couple w3+Kids |
Single w 1 Kid |
Single w 2 Kids |
Single w3+Kids |
Child any age |
Silver | 21 30 40 50 60 |
$253.01 $287.17 $323.35 $451.88 $686.67 |
$506.02 $574.34 $646.70 $903.76 $1373.34 |
$666.68 $735.00 $807.36 $1064.42 |
$827.34 $895.66 $968.02 $1225.08 |
$988.00 $1056.32 $1128.68 $1385.74 |
$413.67 $447.83 $484.01 $612.54 |
$574.33 $608.49 $644.67 $773.20 |
$734.99 $769.15 $805.33 $933.86 |
$160.66 |