Updated: May 22, 2024
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Opting for metal tiers beyond Silver affects health insurance costs. Indiana's most affordable options are Anthem (BCBS) for Bronze, Expanded Bronze, Silver and Ambetter for Gold.
If you're looking to balance affordability with high quality and ample coverage options, MoneyGeek also analyzed the best health insurance in Indiana.
CheapestHealth InsuranceIndianaMost Affordable Health Insurance in Indiana
Why Trust MoneyGeek? We downloaded plan data for Indiana directly from the Centers for Medicare and Medicaid Services (CMS).
Plan data was updated with the CMS exchange data released in October, the latest available data for the 2024 enrollment period.
The most cost-effective plan in the Silver tier is the Anthem Silver Pathway Essentials 7200 offered by Anthem (BCBS), with a monthly cost of $395. It's essential to note that Silver plans are the most common due to their balance of monthly premiums and out-of-pocket costs. For individuals looking to reduce their monthly expenses further, Bronze plans may offer a more affordable rate, accepting higher out-of-pocket costs when seeking medical care.
Health insurance costs vary by metal tier and by the balance struck between monthly premiums and the potential out-of-pocket expenses, including deductibles.
Here are the most affordable health insurance plans from each metal tier:
For more information on affordable options, explore cheap health insurance plans that cater to a variety of needs and budgets.
| Bronze | PlanAnthem Bronze Pathway Essentials 9450 | CompanyAnthem (BCBS) | Monthly Cost$331 | Maximum Out-of-Pocket$9,450 |
| Expanded Bronze | PlanAnthem Bronze Pathway Essentials POS 5000 | CompanyAnthem (BCBS) | Monthly Cost$349 | Maximum Out-of-Pocket$9,450 |
| Silver | PlanAnthem Silver Pathway Essentials 7200 | CompanyAnthem (BCBS) | Monthly Cost$395 | Maximum Out-of-Pocket$8,700 |
| Gold | PlanEveryday Gold | CompanyAmbetter | Monthly Cost$524 | Maximum Out-of-Pocket$7,500 |
Consumers can choose from various metal tiers in the Indiana health insurance marketplace —Bronze, Expanded Bronze, Silver and Gold. Each metal tier represents a different level of cost-sharing between the insurer and the insured; Bronze plans have the lowest monthly premiums but higher out-of-pocket expenses when care is needed, while Gold plans come with higher premiums but lower out-of-pocket costs.
For instance, a Bronze plan could cost around $331 per month with a maximum out-of-pocket expense of $9,450, whereas a Gold plan might cost approximately $524 monthly with a lower out-of-pocket cap of $7,500. Those expecting to need more medical care may benefit from the lower out-of-pocket costs associated with Gold plans despite the higher premiums. Conversely, individuals anticipating fewer medical needs may prefer the lower monthly premiums associated with Bronze plans, accepting the risk of higher expenses if needed.
Individuals and families with incomes below 250% of the Federal Poverty Line are eligible for cost-sharing reductions on Silver plans. This can significantly reduce out-of-pocket expenses like deductibles and co-pays, making health care more affordable without the necessity of choosing a plan with a higher premium such as Gold. This allows lower-income individuals access to more comprehensive coverage without the financial burden of higher-tier plans.
The most affordable plan in the Silver tier in Indiana is the Anthem Silver Pathway Essentials 7200 from Anthem (BCBS), with a monthly cost of $395.
Silver plans are particularly beneficial for individuals and families seeking a balance between monthly premiums and out-of-pocket costs. Those who qualify for cost-sharing reductions can substantially lower their co-pays, deductibles, and other expenses, making Silver plans an excellent choice for moderate-income individuals. Cost-sharing reductions are only available on Silver plans and can make care more accessible and affordable when utilizing health care services.
| Anthem (BCBS) | Monthly Cost$395 | Maximum Out-of-Pocket$8,700 | PlanAnthem Silver Pathway Essentials 7200 |
| Anthem (BCBS) | Monthly Cost$406 | Maximum Out-of-Pocket$9,100 | PlanAnthem Silver Pathway Essentials 5900 Standard |
| Anthem (BCBS) | Monthly Cost$415 | Maximum Out-of-Pocket$7,500 | PlanAnthem Silver Pathway Essentials 5000 |
| Anthem (BCBS) | Monthly Cost$420 | Maximum Out-of-Pocket$9,450 | PlanAnthem Silver Pathway Essentials 3000 |
| Cigna | Monthly Cost$426 | Maximum Out-of-Pocket$9,300 | PlanConnect Silver 8000 Indiv Med Deductible |
The most cost-effective Gold tier health plan in Indiana is the Everyday Gold from Ambetter, available at a monthly cost of $524. This plan is the cheapest among its tier offerings. Below are the three least expensive Gold plans:
Gold plans are particularly well-suited for individuals who expect to have high medical expenses throughout the year. They offer lower out-of-pocket costs when you receive care, which can be benefits those who frequently visit doctors or need regular prescriptions. Despite the higher monthly premiums, these plans may offer better overall savings for those anticipating significant health care needs.
| Ambetter | Monthly Cost$524 | Maximum Out-of-Pocket$7,500 | PlanEveryday Gold |
| Ambetter | Monthly Cost$528 | Maximum Out-of-Pocket$8,700 | PlanStandard Gold |
| Ambetter | Monthly Cost$544 | Maximum Out-of-Pocket$7,500 | PlanEveryday Gold + Vision + Adult Dental |
| Ambetter | Monthly Cost$547 | Maximum Out-of-Pocket$7,500 | PlanComplete Gold |
| Ambetter | Monthly Cost$547 | Maximum Out-of-Pocket$8,700 | PlanStandard Gold + Vision + Adult Dental |
The most affordable Bronze plan in Indiana is Anthem Bronze Pathway Essentials 9450 from Anthem (BCBS), with a monthly cost of $331.
Introducing the top three most affordable Bronze plans in Indiana:
Bronze plans are designed to provide essential health benefits and are a good fit for individuals who want lower monthly premiums and can handle higher out-of-pocket costs when they need care. They are particularly suitable for those who are generally healthy and don't expect to need much medical care. These plans can also be a smart choice for people who want basic coverage as a financial safety net for unexpected medical emergencies.
| Anthem (BCBS) | Monthly Cost$331 | Maximum Out-of-Pocket$9,450 | PlanAnthem Bronze Pathway Essentials 9450 |
| Anthem (BCBS) | Monthly Cost$344 | Maximum Out-of-Pocket$9,450 | PlanAnthem Bronze Pathway Essentials 5500 |
| CareSource | Monthly Cost$367 | Maximum Out-of-Pocket$9,450 | PlanCareSource Marketplace Low Premium Bronze |
| CareSource | Monthly Cost$374 | Maximum Out-of-Pocket$9,450 | PlanCareSource Marketplace Low Premium Bronze Dental, Vision, & Fitness |
Introducing the most affordable plan in the Expanded Bronze tier for Indiana, the Anthem Bronze Pathway Essentials POS 5000 from Anthem (BCBS), with a monthly cost of $349.
The top three most cost-effective Expanded Bronze plans in Indiana are:
Expanded Bronze plans are ideal for individuals who want lower monthly premiums and can handle higher out-of-pocket costs in the event of significant medical services. These plans typically suit those who are in relatively good health and do not expect to need frequent medical care. Customers who choose Bronze plans are willing to trade lower monthly costs for higher costs when accessing care.
| Anthem (BCBS) | Monthly Cost$349 | Maximum Out-of-Pocket$9,450 | PlanAnthem Bronze Pathway Essentials POS 5000 |
| Anthem (BCBS) | Monthly Cost$352 | Maximum Out-of-Pocket$9,400 | PlanAnthem Bronze Pathway Essentials POS 7500 Standard |
| Anthem (BCBS) | Monthly Cost$352 | Maximum Out-of-Pocket$9,400 | PlanAnthem Bronze Pathway Essentials 7500 Standard |
| Anthem (BCBS) | Monthly Cost$352 | Maximum Out-of-Pocket$9,450 | PlanAnthem Bronze Pathway Essentials 4500 |
| Aetna | Monthly Cost$362 | Maximum Out-of-Pocket$7,500 | PlanBronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 |
In Indiana, individuals earning up to 250% below the Federal Poverty Level are eligible for cost-sharing reductions on Silver plans, enhancing affordability by decreasing deductibles and out-of-pocket expenses.
The most affordable Silver plan for those earning between $14,580 to $21,870 annually is the Anthem Silver Pathway Essentials 7200 from **Anthem (BCBS), with a Maximum Out-of-Pocket cost of $750.
The two most affordable Silver plans with their costs are:
To access CSRs in Indiana, you must select a Silver plan. Income limits are for single individuals and vary with household size.
| Anthem (BCBS) | Monthly Cost$395 | Maximum Out-of-Pocket$750 | PlanAnthem Silver Pathway Essentials 7200 |
| Anthem (BCBS) | Monthly Cost$406 | Maximum Out-of-Pocket$1,800 | PlanAnthem Silver Pathway Essentials 5900 Standard |
| Anthem (BCBS) | Monthly Cost$415 | Maximum Out-of-Pocket$650 | PlanAnthem Silver Pathway Essentials 5000 |
| Anthem (BCBS) | Monthly Cost$420 | Maximum Out-of-Pocket$600 | PlanAnthem Silver Pathway Essentials 3000 |
| Cigna | Monthly Cost$426 | Maximum Out-of-Pocket$1,000 | PlanConnect Silver 8000 Indiv Med Deductible |
Cost-sharing reductions (CSRs) are discounts that lower the amount you pay for deductibles, copayments, and co-insurance. Individuals with incomes between 100% and 250% of the federal poverty level qualify for Silver health insurance plans.
For instance, with a CSR, the Anthem Silver Pathway Essentials 7200 plan's maximum out-of-pocket cost could drop from $7,550 to a lower amount, depending on the CSR level applied, ranging from 73% to 94% actuarial value. This means less out-of-pocket spending on health care for qualifying individuals.
In Indiana, Health Maintenance Organization (HMO) plans are the most popular health insurance option. Those looking for alternatives to HMO plans can also find Exclusive Provider Organization (EPO) plans available in the state.
The most affordable HMO plan in Indiana is the Anthem Silver Pathway Essentials 7200 from Anthem (Blue Cross Blue Shield) which has a monthly cost of $395.
EPO plans offer a different approach to health care, providing coverage within a specific network of doctors and hospitals. These plans may be suitable for individuals who do not need the flexibility of a larger network that HMO plans offer. However, if you prefer having a primary care physician to coordinate your care and referrals, then the HMO plan might be the better choice, with Anthem (Blue Cross Blue Shield) offering the most affordable HMO plan in Indiana.
| Anthem (BCBS) | Monthly Cost$395 | Maximum Out-of-Pocket$8,700 | PlanAnthem Silver Pathway Essentials 7200 |
| Anthem (BCBS) | Monthly Cost$406 | Maximum Out-of-Pocket$9,100 | PlanAnthem Silver Pathway Essentials 5900 Standard |
| Anthem (BCBS) | Monthly Cost$415 | Maximum Out-of-Pocket$7,500 | PlanAnthem Silver Pathway Essentials 5000 |
| Anthem (BCBS) | Monthly Cost$420 | Maximum Out-of-Pocket$9,450 | PlanAnthem Silver Pathway Essentials 3000 |
| CareSource | Monthly Cost$430 | Maximum Out-of-Pocket$9,100 | PlanCareSource Marketplace Silver |
Indiana's most common health insurance plan type is the Health Maintenance Organization (HMO) plan.
Here are the differences between each plan type available in Indiana:
Exclusive Provider Organization (EPO): EPO plans typically require members to use a network of doctors and hospitals. They usually do not cover out-of-network care except in an emergency, providing a balance between flexibility and costs. While EPOs often offer lower premiums compared to PPOs, the restriction to use providers within the network can be a disadvantage if a member's preferred doctor or hospital is outside the network.
Health Maintenance Organization (HMO): HMO plans generally offer lower premiums and out-of-pocket costs but require policyholders to choose a primary care physician (PCP) and get referrals to see specialists. The main advantages of HMOs are cost savings and the convenience of coordinated care through the primary care physician. However, the limited choice of health care providers and the need for referrals can be a drawback for those desiring more flexibility.
Health insurance rates and availability of specific plans vary by county in Indiana, affecting the options and premiums for residents.
Comparing the most affordable plans in the largest and smallest counties by population shows this variation:
The following table outlines all available plans in each county in Indiana.
| Anthem (BCBS) | Monthly Cost$412 | Maximum Out-of-Pocket$8,700 | PlanAnthem Silver Pathway Essentials 7200 |
| Anthem (BCBS) | Monthly Cost$423 | Maximum Out-of-Pocket$9,100 | PlanAnthem Silver Pathway Essentials 5900 Standard |
Age matters a lot for health insurance prices in Indiana. An 18-year-old with a silver plan pays about $314 each month. But a 60-year-old with the same silver plan pays more, around $933. That's $619 more each month!
Now, about those metal tiers. They're like different levels of plans. For example, a 40-year-old with a bronze plan pays $349 monthly. If they choose a gold plan, the price goes up to $610. That means the gold plan costs $261 more per month than the bronze plan.
MoneyGeek broke down the different health insurance options available in Indiana. We explain private insurance that you can find in the marketplace, including the different metal levels like bronze, silver, gold and platinum. We also cover the details of Medicaid and Medicare programs. We aim to help you understand your health care choices so you can make the best decision for yourself and your family.
The open enrollment period in Indiana generally aligns with the federal Health Insurance Marketplace schedule, typically running from November 1 to December 15. Residents can shop for private health insurance coverage through the Marketplace during this time. If you want your coverage to start on January 1, you must enroll by December 15. If you miss this enrollment deadline, you may have to wait until the next open enrollment period to sign up unless you qualify for a Special Enrollment Period (SEP). SEPs are available for individuals experiencing certain life events, such as marriage, divorce, the birth of a child, or loss of other health coverage.
Medicaid is a government-funded health care program in the United States that provides medical assistance to low-income individuals and families. In Indiana, eligibility for Medicaid is determined based on income, with specific levels set for different groups such as pregnant women, children, adults without dependent children, individuals with disabilities, and elderly adults. The program also considers factors like family size and whether the individual is already receiving Supplemental Security Income (SSI). To qualify, applicants must meet both categorical and financial criteria, be U.S. citizens or legal residents, and reside in Indiana. Eligibility details can vary yearly based on changes in federal and state policies.
Medicare is a federal health care program primarily for individuals aged 65 or older, and younger people with certain disabilities or diseases. In Indiana, eligibility is based on age, disability status, or having end-stage renal disease or ALS. Medicare is divided into several parts:
MoneyGeek found the best Medicare Advantage Plans in Indiana and the best Medicare Supplement plans in Indiana.
When looking for health insurance, you may have questions about cost and availability. MoneyGeek responded to frequently asked questions about cheap private health insurance in Texas to help you learn more.
The cheapest silver plan in Indiana is the Anthem Silver Pathway Essentials 7200 by Anthem (BCBS) at $395 monthly. Meanwhile, the cheapest gold plan in Indiana is Everyday Gold offered by Ambetter, with a monthly cost of $524.
Although you'll pay a lower monthly premium for a cheap health insurance plan, you may pay higher out-of-pocket costs when accessing health care services. More expensive plans cover more comprehensive services and considerably lower your out-of-pocket maximums.
About Mark Fitzpatrick
Mark Fitzpatrick has analyzed the property and casualty insurance market for over five years, conducting original research and creating personalized content for every kind of buyer. Currently, he leads P&C insurance content production at MoneyGeek. Fitzpatrick has been quoted in several insurance-related publications, including CNBC, NBC News and Mashable.
Fitzpatrick earned a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He is passionate about using his knowledge of economics and insurance to bring transparency around financial topics and help others feel confident in their money moves.
