Standard Silver + Vision + Adult Dental
Silver · HMO · Ambetter Health · Indiana
At age 40 it costs between $473.54 and $672.84 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 35065IN0050001 |
|---|---|
| Insurer | Ambetter Health |
| Metal level | Silver |
| Plan type | HMO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 Copay after deductible |
| Adult dental included | Yes |
| Child dental included | No |
| Share of premium buying essential health benefits | 97.25% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-877-687-1182 · TTY 1-800-743-3333 |
Where it is sold, and what it costs there
92 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Fayette County | $370.54 | $420.55 | $473.54 | $661.77 | $1,005.62 |
| Hancock County | $370.54 | $420.55 | $473.54 | $661.77 | $1,005.62 |
| Henry County | $370.54 | $420.55 | $473.54 | $661.77 | $1,005.62 |
| Madison County | $370.54 | $420.55 | $473.54 | $661.77 | $1,005.62 |
| Union County | $370.54 | $420.55 | $473.54 | $661.77 | $1,005.62 |
| Wayne County | $370.54 | $420.55 | $473.54 | $661.77 | $1,005.62 |
| Blackford County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Dearborn County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Delaware County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Franklin County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Grant County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Jay County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Ohio County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Randolph County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Ripley County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Switzerland County | $384.31 | $436.18 | $491.13 | $686.35 | $1,042.98 |
| Clark County | $387.06 | $439.30 | $494.65 | $691.27 | $1,050.45 |
| Crawford County | $387.06 | $439.30 | $494.65 | $691.27 | $1,050.45 |
| Floyd County | $387.06 | $439.30 | $494.65 | $691.27 | $1,050.45 |
| Harrison County | $387.06 | $439.30 | $494.65 | $691.27 | $1,050.45 |
| Jefferson County | $387.06 | $439.30 | $494.65 | $691.27 | $1,050.45 |
| Scott County | $387.06 | $439.30 | $494.65 | $691.27 | $1,050.45 |
| Washington County | $387.06 | $439.30 | $494.65 | $691.27 | $1,050.45 |
| Boone County | $388.13 | $440.51 | $496.02 | $693.18 | $1,053.35 |
| Hamilton County | $388.13 | $440.51 | $496.02 | $693.18 | $1,053.35 |
| Hendricks County | $388.13 | $440.51 | $496.02 | $693.18 | $1,053.35 |
| Marion County | $388.13 | $440.51 | $496.02 | $693.18 | $1,053.35 |
| Morgan County | $388.13 | $440.51 | $496.02 | $693.18 | $1,053.35 |
| Shelby County | $388.13 | $440.51 | $496.02 | $693.18 | $1,053.35 |
| Daviess County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Dubois County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Greene County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Knox County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Martin County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Orange County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Perry County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Pike County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Spencer County | $405.39 | $460.10 | $518.07 | $724 | $1,100.19 |
| Clay County | $414.59 | $470.55 | $529.84 | $740.44 | $1,125.17 |
| Parke County | $414.59 | $470.55 | $529.84 | $740.44 | $1,125.17 |
| Sullivan County | $414.59 | $470.55 | $529.84 | $740.44 | $1,125.17 |
| Vermillion County | $414.59 | $470.55 | $529.84 | $740.44 | $1,125.17 |
| Vigo County | $414.59 | $470.55 | $529.84 | $740.44 | $1,125.17 |
| Bartholomew County | $421.91 | $478.85 | $539.18 | $753.51 | $1,145.03 |
| Decatur County | $421.91 | $478.85 | $539.18 | $753.51 | $1,145.03 |
| Jackson County | $421.91 | $478.85 | $539.18 | $753.51 | $1,145.03 |
| Jennings County | $421.91 | $478.85 | $539.18 | $753.51 | $1,145.03 |
| Rush County | $421.91 | $478.85 | $539.18 | $753.51 | $1,145.03 |
| Adams County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Dekalb County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Huntington County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Lagrange County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Noble County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Steuben County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Wabash County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Wells County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Whitley County | $422.81 | $479.88 | $540.34 | $755.12 | $1,147.48 |
| Allen County | $425.56 | $483 | $543.86 | $760.04 | $1,154.95 |
| Elkhart County | $425.56 | $483 | $543.86 | $760.04 | $1,154.95 |
| Kosciusko County | $425.56 | $483 | $543.86 | $760.04 | $1,154.95 |
| Marshall County | $425.56 | $483 | $543.86 | $760.04 | $1,154.95 |
| St. Joseph County | $425.56 | $483 | $543.86 | $760.04 | $1,154.95 |
| Starke County | $425.56 | $483 | $543.86 | $760.04 | $1,154.95 |
| Brown County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Cass County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Fulton County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Howard County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Johnson County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Lawrence County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Miami County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Monroe County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Owen County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Pulaski County | $461.35 | $523.63 | $589.60 | $823.96 | $1,252.09 |
| Gibson County | $473.27 | $537.15 | $604.83 | $845.25 | $1,284.43 |
| Posey County | $473.27 | $537.15 | $604.83 | $845.25 | $1,284.43 |
| Vanderburgh County | $473.27 | $537.15 | $604.83 | $845.25 | $1,284.43 |
| Warrick County | $473.27 | $537.15 | $604.83 | $845.25 | $1,284.43 |
| LaPorte County | $491.60 | $557.95 | $628.25 | $877.98 | $1,334.17 |
| Lake County | $491.60 | $557.95 | $628.25 | $877.98 | $1,334.17 |
| Porter County | $491.60 | $557.95 | $628.25 | $877.98 | $1,334.17 |
| Carroll County | $506.27 | $574.60 | $647 | $904.18 | $1,373.99 |
| Clinton County | $506.27 | $574.60 | $647 | $904.18 | $1,373.99 |
| Fountain County | $506.27 | $574.60 | $647 | $904.18 | $1,373.99 |
| Montgomery County | $506.27 | $574.60 | $647 | $904.18 | $1,373.99 |
| Putnam County | $506.27 | $574.60 | $647 | $904.18 | $1,373.99 |
| Tippecanoe County | $506.27 | $574.60 | $647 | $904.18 | $1,373.99 |
| Tipton County | $506.27 | $574.60 | $647 | $904.18 | $1,373.99 |
| Benton County | $526.49 | $597.55 | $672.84 | $940.29 | $1,428.86 |
| Jasper County | $526.49 | $597.55 | $672.84 | $940.29 | $1,428.86 |
| Newton County | $526.49 | $597.55 | $672.84 | $940.29 | $1,428.86 |
| Warren County | $526.49 | $597.55 | $672.84 | $940.29 | $1,428.86 |
| White County | $526.49 | $597.55 | $672.84 | $940.29 | $1,428.86 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.