Obamacare 2021 Rates for Clinton County

Obamacare > Rates > Indiana > Clinton 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 , the marketplace for Clinton County, IN.

The health insurance rates listed below are for calendar year 2021.

For information on 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

Obamacare Providers, 35 Plans and 2021 Rates for Clinton County, Indiana

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

You may also be interested in:

Obamacare Rates and Providers for Other Years

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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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$269,79
$306,20
$344,78
$481,83
$732,19
$476,17
$512,58
$551,16
$688,21
$682,55
$718,96
$757,54
$894,59
$888,93
$925,34
$963,92
$1 100,97
$206,38
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$539,58
$612,40
$689,56
$963,66
$1 464,38
$745,96
$818,78
$895,94
$1 170,04
$952,34
$1 025,16
$1 102,32
$1 376,42
$1 158,72
$1 231,54
$1 308,70
$1 582,80
$206,38
Toc - Plan #2 CareSource
Silver

(HMO) CareSource Marketplace Low Premium Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$293,31
$332,90
$374,84
$523,84
$796,03
$517,69
$557,28
$599,22
$748,22
$742,07
$781,66
$823,60
$972,60
$966,45
$1 006,04
$1 047,98
$1 196,98
$224,38
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$586,62
$665,80
$749,68
$1 047,68
$1 592,06
$811,00
$890,18
$974,06
$1 272,06
$1 035,38
$1 114,56
$1 198,44
$1 496,44
$1 259,76
$1 338,94
$1 422,82
$1 720,82
$224,38
Toc - Plan #3 CareSource
Gold

(HMO) CareSource Marketplace Gold

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$453,55
$514,77
$579,63
$810,03
$1 230,91
$800,51
$861,73
$926,59
$1 156,99
$1 147,47
$1 208,69
$1 273,55
$1 503,95
$1 494,43
$1 555,65
$1 620,51
$1 850,91
$346,96
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$907,10
$1 029,54
$1 159,26
$1 620,06
$2 461,82
$1 254,06
$1 376,50
$1 506,22
$1 967,02
$1 601,02
$1 723,46
$1 853,18
$2 313,98
$1 947,98
$2 070,42
$2 200,14
$2 660,94
$346,96
Toc - Plan #4 CareSource
Silver

(HMO) CareSource Marketplace Standard Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$308,25
$349,86
$393,94
$550,53
$836,59
$544,06
$585,67
$629,75
$786,34
$779,87
$821,48
$865,56
$1 022,15
$1 015,68
$1 057,29
$1 101,37
$1 257,96
$235,81
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$616,50
$699,72
$787,88
$1 101,06
$1 673,18
$852,31
$935,53
$1 023,69
$1 336,87
$1 088,12
$1 171,34
$1 259,50
$1 572,68
$1 323,93
$1 407,15
$1 495,31
$1 808,49
$235,81
Toc - Plan #5 CareSource
Expanded Bronze

(HMO) CareSource Marketplace Bronze

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$243,58
$276,46
$311,29
$435,03
$661,07
$429,92
$462,80
$497,63
$621,37
$616,26
$649,14
$683,97
$807,71
$802,60
$835,48
$870,31
$994,05
$186,34
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$487,16
$552,92
$622,58
$870,06
$1 322,14
$673,50
$739,26
$808,92
$1 056,40
$859,84
$925,60
$995,26
$1 242,74
$1 046,18
$1 111,94
$1 181,60
$1 429,08
$186,34
Toc - Plan #6 CareSource
Silver

(HMO) CareSource Marketplace Low Deductible Silver

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$316,58
$359,31
$404,58
$565,40
$859,18
$558,76
$601,49
$646,76
$807,58
$800,94
$843,67
$888,94
$1 049,76
$1 043,12
$1 085,85
$1 131,12
$1 291,94
$242,18
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$633,16
$718,62
$809,16
$1 130,80
$1 718,36
$875,34
$960,80
$1 051,34
$1 372,98
$1 117,52
$1 202,98
$1 293,52
$1 615,16
$1 359,70
$1 445,16
$1 535,70
$1 857,34
$242,18
Toc - Plan #7 CareSource
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$308,63
$350,29
$394,43
$551,21
$837,62
$544,73
$586,39
$630,53
$787,31
$780,83
$822,49
$866,63
$1 023,41
$1 016,93
$1 058,59
$1 102,73
$1 259,51
$236,10
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$617,26
$700,58
$788,86
$1 102,42
$1 675,24
$853,36
$936,68
$1 024,96
$1 338,52
$1 089,46
$1 172,78
$1 261,06
$1 574,62
$1 325,56
$1 408,88
$1 497,16
$1 810,72
$236,10
Toc - Plan #8 CareSource
Gold

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$474,78
$538,87
$606,76
$847,95
$1 288,54
$837,98
$902,07
$969,96
$1 211,15
$1 201,18
$1 265,27
$1 333,16
$1 574,35
$1 564,38
$1 628,47
$1 696,36
$1 937,55
$363,20
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$949,56
$1 077,74
$1 213,52
$1 695,90
$2 577,08
$1 312,76
$1 440,94
$1 576,72
$2 059,10
$1 675,96
$1 804,14
$1 939,92
$2 422,30
$2 039,16
$2 167,34
$2 303,12
$2 785,50
$363,20
Toc - Plan #9 CareSource
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$324,73
$368,57
$415,00
$579,96
$881,31
$573,15
$616,99
$663,42
$828,38
$821,57
$865,41
$911,84
$1 076,80
$1 069,99
$1 113,83
$1 160,26
$1 325,22
$248,42
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$649,46
$737,14
$830,00
$1 159,92
$1 762,62
$897,88
$985,56
$1 078,42
$1 408,34
$1 146,30
$1 233,98
$1 326,84
$1 656,76
$1 394,72
$1 482,40
$1 575,26
$1 905,18
$248,42
Toc - Plan #10 CareSource
Expanded Bronze

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$255,59
$290,09
$326,63
$456,47
$693,65
$451,11
$485,61
$522,15
$651,99
$646,63
$681,13
$717,67
$847,51
$842,15
$876,65
$913,19
$1 043,03
$195,52
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$511,18
$580,18
$653,26
$912,94
$1 387,30
$706,70
$775,70
$848,78
$1 108,46
$902,22
$971,22
$1 044,30
$1 303,98
$1 097,74
$1 166,74
$1 239,82
$1 499,50
$195,52
Toc - Plan #11 CareSource
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-806-9284

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$334,17
$379,28
$427,07
$596,82
$906,93
$589,81
$634,92
$682,71
$852,46
$845,45
$890,56
$938,35
$1 108,10
$1 101,09
$1 146,20
$1 193,99
$1 363,74
$255,64
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$668,34
$758,56
$854,14
$1 193,64
$1 813,86
$923,98
$1 014,20
$1 109,78
$1 449,28
$1 179,62
$1 269,84
$1 365,42
$1 704,92
$1 435,26
$1 525,48
$1 621,06
$1 960,56
$255,64

ADVERTISEMENT

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)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$417,91
$474,32
$534,07
$746,37
$1 134,18
$737,60
$794,01
$853,76
$1 066,06
$1 057,29
$1 113,70
$1 173,45
$1 385,75
$1 376,98
$1 433,39
$1 493,14
$1 705,44
$319,69
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$835,82
$948,64
$1 068,14
$1 492,74
$2 268,36
$1 155,51
$1 268,33
$1 387,83
$1 812,43
$1 475,20
$1 588,02
$1 707,52
$2 132,12
$1 794,89
$1 907,71
$2 027,21
$2 451,81
$319,69
Toc - Plan #13 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 29 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$394,05
$447,23
$503,58
$703,75
$1 069,42
$695,49
$748,67
$805,02
$1 005,19
$996,93
$1 050,11
$1 106,46
$1 306,63
$1 298,37
$1 351,55
$1 407,90
$1 608,07
$301,44
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$788,10
$894,46
$1 007,16
$1 407,50
$2 138,84
$1 089,54
$1 195,90
$1 308,60
$1 708,94
$1 390,98
$1 497,34
$1 610,04
$2 010,38
$1 692,42
$1 798,78
$1 911,48
$2 311,82
$301,44
Toc - Plan #14 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 11 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$404,70
$459,33
$517,20
$722,78
$1 098,34
$714,29
$768,92
$826,79
$1 032,37
$1 023,88
$1 078,51
$1 136,38
$1 341,96
$1 333,47
$1 388,10
$1 445,97
$1 651,55
$309,59
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$809,40
$918,66
$1 034,40
$1 445,56
$2 196,68
$1 118,99
$1 228,25
$1 343,99
$1 755,15
$1 428,58
$1 537,84
$1 653,58
$2 064,74
$1 738,17
$1 847,43
$1 963,17
$2 374,33
$309,59
Toc - Plan #15 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 12 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$397,56
$451,22
$508,07
$710,02
$1 078,94
$701,68
$755,34
$812,19
$1 014,14
$1 005,80
$1 059,46
$1 116,31
$1 318,26
$1 309,92
$1 363,58
$1 420,43
$1 622,38
$304,12
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$795,12
$902,44
$1 016,14
$1 420,04
$2 157,88
$1 099,24
$1 206,56
$1 320,26
$1 724,16
$1 403,36
$1 510,68
$1 624,38
$2 028,28
$1 707,48
$1 814,80
$1 928,50
$2 332,40
$304,12
Toc - Plan #16 Ambetter from MHS
Gold

(EPO) Ambetter Secure Care 5 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$529,28
$600,72
$676,41
$945,27
$1 436,44
$934,17
$1 005,61
$1 081,30
$1 350,16
$1 339,06
$1 410,50
$1 486,19
$1 755,05
$1 743,95
$1 815,39
$1 891,08
$2 159,94
$404,89
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 058,56
$1 201,44
$1 352,82
$1 890,54
$2 872,88
$1 463,45
$1 606,33
$1 757,71
$2 295,43
$1 868,34
$2 011,22
$2 162,60
$2 700,32
$2 273,23
$2 416,11
$2 567,49
$3 105,21
$404,89
Toc - Plan #17 Ambetter from MHS
Bronze

(EPO) Ambetter Essential Care 1 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$348,33
$395,34
$445,15
$622,10
$945,34
$614,79
$661,80
$711,61
$888,56
$881,25
$928,26
$978,07
$1 155,02
$1 147,71
$1 194,72
$1 244,53
$1 421,48
$266,46
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$696,66
$790,68
$890,30
$1 244,20
$1 890,68
$963,12
$1 057,14
$1 156,76
$1 510,66
$1 229,58
$1 323,60
$1 423,22
$1 777,12
$1 496,04
$1 590,06
$1 689,68
$2 043,58
$266,46
Toc - Plan #18 Ambetter from MHS
Gold

(EPO) Ambetter Secure Care 15 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$541,48
$614,57
$692,00
$967,07
$1 469,55
$955,71
$1 028,80
$1 106,23
$1 381,30
$1 369,94
$1 443,03
$1 520,46
$1 795,53
$1 784,17
$1 857,26
$1 934,69
$2 209,76
$414,23
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 082,96
$1 229,14
$1 384,00
$1 934,14
$2 939,10
$1 497,19
$1 643,37
$1 798,23
$2 348,37
$1 911,42
$2 057,60
$2 212,46
$2 762,60
$2 325,65
$2 471,83
$2 626,69
$3 176,83
$414,23
Toc - Plan #19 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 24 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$411,97
$467,58
$526,49
$735,77
$1 118,07
$727,12
$782,73
$841,64
$1 050,92
$1 042,27
$1 097,88
$1 156,79
$1 366,07
$1 357,42
$1 413,03
$1 471,94
$1 681,22
$315,15
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$823,94
$935,16
$1 052,98
$1 471,54
$2 236,14
$1 139,09
$1 250,31
$1 368,13
$1 786,69
$1 454,24
$1 565,46
$1 683,28
$2 101,84
$1 769,39
$1 880,61
$1 998,43
$2 416,99
$315,15
Toc - Plan #20 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 26 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$415,19
$471,23
$530,60
$741,52
$1 126,81
$732,80
$788,84
$848,21
$1 059,13
$1 050,41
$1 106,45
$1 165,82
$1 376,74
$1 368,02
$1 424,06
$1 483,43
$1 694,35
$317,61
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$830,38
$942,46
$1 061,20
$1 483,04
$2 253,62
$1 147,99
$1 260,07
$1 378,81
$1 800,65
$1 465,60
$1 577,68
$1 696,42
$2 118,26
$1 783,21
$1 895,29
$2 014,03
$2 435,87
$317,61
Toc - Plan #21 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 27 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$431,32
$489,54
$551,22
$770,33
$1 170,58
$761,27
$819,49
$881,17
$1 100,28
$1 091,22
$1 149,44
$1 211,12
$1 430,23
$1 421,17
$1 479,39
$1 541,07
$1 760,18
$329,95
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$862,64
$979,08
$1 102,44
$1 540,66
$2 341,16
$1 192,59
$1 309,03
$1 432,39
$1 870,61
$1 522,54
$1 638,98
$1 762,34
$2 200,56
$1 852,49
$1 968,93
$2 092,29
$2 530,51
$329,95
Toc - Plan #22 Ambetter from MHS
Silver

(EPO) Ambetter Balanced Care 28 (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,200 $16,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$431,49
$489,73
$551,43
$770,62
$1 171,04
$761,57
$819,81
$881,51
$1 100,70
$1 091,65
$1 149,89
$1 211,59
$1 430,78
$1 421,73
$1 479,97
$1 541,67
$1 760,86
$330,08
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$862,98
$979,46
$1 102,86
$1 541,24
$2 342,08
$1 193,06
$1 309,54
$1 432,94
$1 871,32
$1 523,14
$1 639,62
$1 763,02
$2 201,40
$1 853,22
$1 969,70
$2 093,10
$2 531,48
$330,08
Toc - Plan #23 Ambetter from MHS
Expanded Bronze

(EPO) Ambetter Essential Care 2 HSA (2021)

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$375,28
$425,94
$479,60
$670,24
$1 018,49
$662,36
$713,02
$766,68
$957,32
$949,44
$1 000,10
$1 053,76
$1 244,40
$1 236,52
$1 287,18
$1 340,84
$1 531,48
$287,08
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$750,56
$851,88
$959,20
$1 340,48
$2 036,98
$1 037,64
$1 138,96
$1 246,28
$1 627,56
$1 324,72
$1 426,04
$1 533,36
$1 914,64
$1 611,80
$1 713,12
$1 820,44
$2 201,72
$287,08
Toc - Plan #24 Ambetter from MHS
Silver

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

Benefits & Coverage Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$414,91
$470,92
$530,25
$741,02
$1 126,05
$732,31
$788,32
$847,65
$1 058,42
$1 049,71
$1 105,72
$1 165,05
$1 375,82
$1 367,11
$1 423,12
$1 482,45
$1 693,22
$317,40
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$829,82
$941,84
$1 060,50
$1 482,04
$2 252,10
$1 147,22
$1 259,24
$1 377,90
$1 799,44
$1 464,62
$1 576,64
$1 695,30
$2 116,84
$1 782,02
$1 894,04
$2 012,70
$2 434,24
$317,40
Toc - Plan #25 Ambetter from MHS
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$436,15
$495,02
$557,39
$778,95
$1 183,69
$769,80
$828,67
$891,04
$1 112,60
$1 103,45
$1 162,32
$1 224,69
$1 446,25
$1 437,10
$1 495,97
$1 558,34
$1 779,90
$333,65
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$872,30
$990,04
$1 114,78
$1 557,90
$2 367,38
$1 205,95
$1 323,69
$1 448,43
$1 891,55
$1 539,60
$1 657,34
$1 782,08
$2 225,20
$1 873,25
$1 990,99
$2 115,73
$2 558,85
$333,65
Toc - Plan #26 Ambetter from MHS
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$411,25
$466,76
$525,56
$734,47
$1 116,10
$725,85
$781,36
$840,16
$1 049,07
$1 040,45
$1 095,96
$1 154,76
$1 363,67
$1 355,05
$1 410,56
$1 469,36
$1 678,27
$314,60
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$822,50
$933,52
$1 051,12
$1 468,94
$2 232,20
$1 137,10
$1 248,12
$1 365,72
$1 783,54
$1 451,70
$1 562,72
$1 680,32
$2 098,14
$1 766,30
$1 877,32
$1 994,92
$2 412,74
$314,60
Toc - Plan #27 Ambetter from MHS
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$422,37
$479,38
$539,78
$754,34
$1 146,29
$745,48
$802,49
$862,89
$1 077,45
$1 068,59
$1 125,60
$1 186,00
$1 400,56
$1 391,70
$1 448,71
$1 509,11
$1 723,67
$323,11
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$844,74
$958,76
$1 079,56
$1 508,68
$2 292,58
$1 167,85
$1 281,87
$1 402,67
$1 831,79
$1 490,96
$1 604,98
$1 725,78
$2 154,90
$1 814,07
$1 928,09
$2 048,89
$2 478,01
$323,11
Toc - Plan #28 Ambetter from MHS
Gold

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$552,39
$626,95
$705,94
$986,54
$1 499,15
$974,96
$1 049,52
$1 128,51
$1 409,11
$1 397,53
$1 472,09
$1 551,08
$1 831,68
$1 820,10
$1 894,66
$1 973,65
$2 254,25
$422,57
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 104,78
$1 253,90
$1 411,88
$1 973,08
$2 998,30
$1 527,35
$1 676,47
$1 834,45
$2 395,65
$1 949,92
$2 099,04
$2 257,02
$2 818,22
$2 372,49
$2 521,61
$2 679,59
$3 240,79
$422,57
Toc - Plan #29 Ambetter from MHS
Bronze

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$363,54
$412,60
$464,59
$649,26
$986,61
$641,64
$690,70
$742,69
$927,36
$919,74
$968,80
$1 020,79
$1 205,46
$1 197,84
$1 246,90
$1 298,89
$1 483,56
$278,10
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$727,08
$825,20
$929,18
$1 298,52
$1 973,22
$1 005,18
$1 103,30
$1 207,28
$1 576,62
$1 283,28
$1 381,40
$1 485,38
$1 854,72
$1 561,38
$1 659,50
$1 763,48
$2 132,82
$278,10
Toc - Plan #30 Ambetter from MHS
Gold

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$565,12
$641,40
$722,21
$1 009,29
$1 533,71
$997,43
$1 073,71
$1 154,52
$1 441,60
$1 429,74
$1 506,02
$1 586,83
$1 873,91
$1 862,05
$1 938,33
$2 019,14
$2 306,22
$432,31
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$1 130,24
$1 282,80
$1 444,42
$2 018,58
$3 067,42
$1 562,55
$1 715,11
$1 876,73
$2 450,89
$1 994,86
$2 147,42
$2 309,04
$2 883,20
$2 427,17
$2 579,73
$2 741,35
$3 315,51
$432,31
Toc - Plan #31 Ambetter from MHS
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$429,96
$487,99
$549,48
$767,89
$1 166,88
$758,87
$816,90
$878,39
$1 096,80
$1 087,78
$1 145,81
$1 207,30
$1 425,71
$1 416,69
$1 474,72
$1 536,21
$1 754,62
$328,91
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$859,92
$975,98
$1 098,96
$1 535,78
$2 333,76
$1 188,83
$1 304,89
$1 427,87
$1 864,69
$1 517,74
$1 633,80
$1 756,78
$2 193,60
$1 846,65
$1 962,71
$2 085,69
$2 522,51
$328,91
Toc - Plan #32 Ambetter from MHS
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$433,32
$491,80
$553,77
$773,89
$1 176,00
$764,80
$823,28
$885,25
$1 105,37
$1 096,28
$1 154,76
$1 216,73
$1 436,85
$1 427,76
$1 486,24
$1 548,21
$1 768,33
$331,48
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$866,64
$983,60
$1 107,54
$1 547,78
$2 352,00
$1 198,12
$1 315,08
$1 439,02
$1 879,26
$1 529,60
$1 646,56
$1 770,50
$2 210,74
$1 861,08
$1 978,04
$2 101,98
$2 542,22
$331,48
Toc - Plan #33 Ambetter from MHS
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$450,15
$510,91
$575,28
$803,96
$1 221,69
$794,51
$855,27
$919,64
$1 148,32
$1 138,87
$1 199,63
$1 264,00
$1 492,68
$1 483,23
$1 543,99
$1 608,36
$1 837,04
$344,36
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$900,30
$1 021,82
$1 150,56
$1 607,92
$2 443,38
$1 244,66
$1 366,18
$1 494,92
$1 952,28
$1 589,02
$1 710,54
$1 839,28
$2 296,64
$1 933,38
$2 054,90
$2 183,64
$2 641,00
$344,36
Toc - Plan #34 Ambetter from MHS
Silver

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

Annual Out of Pocket Expenses:

Individual Family
$0 $0 Annual Deductible
$8,200 $16,400 Maximum Out of Pocket Per Year

Monthly Premiums:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$450,33
$511,11
$575,51
$804,27
$1 222,16
$794,82
$855,60
$920,00
$1 148,76
$1 139,31
$1 200,09
$1 264,49
$1 493,25
$1 483,80
$1 544,58
$1 608,98
$1 837,74
$344,49
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$900,66
$1 022,22
$1 151,02
$1 608,54
$2 444,32
$1 245,15
$1 366,71
$1 495,51
$1 953,03
$1 589,64
$1 711,20
$1 840,00
$2 297,52
$1 934,13
$2 055,69
$2 184,49
$2 642,01
$344,49
Toc - Plan #35 Ambetter from MHS
Expanded Bronze

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

Benefits & Coverage Plan Brochure Provider Directory
Customer Service Phone: 1-877-687-1182

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:

[show premiums]
Age Individual
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$391,67
$444,53
$500,54
$699,50
$1 062,96
$691,29
$744,15
$800,16
$999,12
$990,91
$1 043,77
$1 099,78
$1 298,74
$1 290,53
$1 343,39
$1 399,40
$1 598,36
$299,62
Age Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Child
0-14
21
30
40
50
60
$783,34
$889,06
$1 001,08
$1 399,00
$2 125,92
$1 082,96
$1 188,68
$1 300,70
$1 698,62
$1 382,58
$1 488,30
$1 600,32
$1 998,24
$1 682,20
$1 787,92
$1 899,94
$2 297,86
$299,62

‡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 Clinton County here.

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

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

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2021 Obamacare Plans for Clinton County, IN

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