QHP Index

Diabetes Gold 3000 $0 Chronic Care Drugs & Services

Gold · HMO · CareSource · Indiana

At age 40 it costs between $781.15 and $989.62 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.

What CMS publishes about it

Plan ID54192IN0010026
InsurerCareSource
Metal levelGold
Plan typeHMO
Deductible (individual)$3,000
Deductible (family)$6,000
Drug deductibleIncluded in the medical deductible
Most you could pay in a year$8,500
Family maximum$17,000
Primary care visit$10
Specialist visit$40
Emergency room10% Coinsurance after deductible
Inpatient stay$500 Copay per Stay after deductible
Generic drugs$10
Preferred brand drugs$60
Specialty drugs40% Coinsurance after deductible
Adult dental includedNo
Child dental includedNo
Share of premium buying essential health benefits100.00%
Network directoryWho is in network
Summary of benefitsSummary of benefits and coverage
Drug listFormulary
Customer service1-833-230-2099 · 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.

CountyAt 21At 30At 40At 50At 60
Gibson County $611.23$693.74 $781.15$1,091.65 $1,658.87
Posey County $611.23$693.74 $781.15$1,091.65 $1,658.87
Vanderburgh County $611.23$693.74 $781.15$1,091.65 $1,658.87
Warrick County $611.23$693.74 $781.15$1,091.65 $1,658.87
LaPorte County $613.19$695.97 $783.66$1,095.16 $1,664.20
Lake County $613.19$695.97 $783.66$1,095.16 $1,664.20
Porter County $613.19$695.97 $783.66$1,095.16 $1,664.20
Daviess County $618.43$701.92 $790.36$1,104.52 $1,678.43
Dubois County $618.43$701.92 $790.36$1,104.52 $1,678.43
Greene County $618.43$701.92 $790.36$1,104.52 $1,678.43
Knox County $618.43$701.92 $790.36$1,104.52 $1,678.43
Martin County $618.43$701.92 $790.36$1,104.52 $1,678.43
Orange County $618.43$701.92 $790.36$1,104.52 $1,678.43
Perry County $618.43$701.92 $790.36$1,104.52 $1,678.43
Pike County $618.43$701.92 $790.36$1,104.52 $1,678.43
Spencer County $618.43$701.92 $790.36$1,104.52 $1,678.43
Clark County $626.95$711.59 $801.24$1,119.73 $1,701.54
Crawford County $626.95$711.59 $801.24$1,119.73 $1,701.54
Floyd County $626.95$711.59 $801.24$1,119.73 $1,701.54
Harrison County $626.95$711.59 $801.24$1,119.73 $1,701.54
Jefferson County $626.95$711.59 $801.24$1,119.73 $1,701.54
Scott County $626.95$711.59 $801.24$1,119.73 $1,701.54
Washington County $626.95$711.59 $801.24$1,119.73 $1,701.54
Boone County $641.36$727.95 $819.66$1,145.47 $1,740.66
Hamilton County $641.36$727.95 $819.66$1,145.47 $1,740.66
Hendricks County $641.36$727.95 $819.66$1,145.47 $1,740.66
Marion County $641.36$727.95 $819.66$1,145.47 $1,740.66
Morgan County $641.36$727.95 $819.66$1,145.47 $1,740.66
Shelby County $641.36$727.95 $819.66$1,145.47 $1,740.66
Carroll County $647.91$735.38 $828.03$1,157.17 $1,758.44
Clinton County $647.91$735.38 $828.03$1,157.17 $1,758.44
Fountain County $647.91$735.38 $828.03$1,157.17 $1,758.44
Montgomery County $647.91$735.38 $828.03$1,157.17 $1,758.44
Putnam County $647.91$735.38 $828.03$1,157.17 $1,758.44
Tippecanoe County $647.91$735.38 $828.03$1,157.17 $1,758.44
Tipton County $647.91$735.38 $828.03$1,157.17 $1,758.44
Cass County $658.40$747.28 $841.43$1,175.89 $1,786.89
Fulton County $658.40$747.28 $841.43$1,175.89 $1,786.89
Howard County $658.40$747.28 $841.43$1,175.89 $1,786.89
Miami County $658.40$747.28 $841.43$1,175.89 $1,786.89
Pulaski County $658.40$747.28 $841.43$1,175.89 $1,786.89
Brown County $664.29$753.97 $848.96$1,186.42 $1,802.89
Johnson County $664.29$753.97 $848.96$1,186.42 $1,802.89
Lawrence County $664.29$753.97 $848.96$1,186.42 $1,802.89
Monroe County $664.29$753.97 $848.96$1,186.42 $1,802.89
Owen County $664.29$753.97 $848.96$1,186.42 $1,802.89
Adams County $686.57$779.25 $877.43$1,226.21 $1,863.34
Dekalb County $686.57$779.25 $877.43$1,226.21 $1,863.34
Huntington County $686.57$779.25 $877.43$1,226.21 $1,863.34
Lagrange County $686.57$779.25 $877.43$1,226.21 $1,863.34
Noble County $686.57$779.25 $877.43$1,226.21 $1,863.34
Steuben County $686.57$779.25 $877.43$1,226.21 $1,863.34
Wabash County $686.57$779.25 $877.43$1,226.21 $1,863.34
Wells County $686.57$779.25 $877.43$1,226.21 $1,863.34
Whitley County $686.57$779.25 $877.43$1,226.21 $1,863.34
Benton County $692.46$785.94 $884.97$1,236.74 $1,879.34
Jasper County $692.46$785.94 $884.97$1,236.74 $1,879.34
Newton County $692.46$785.94 $884.97$1,236.74 $1,879.34
Warren County $692.46$785.94 $884.97$1,236.74 $1,879.34
White County $692.46$785.94 $884.97$1,236.74 $1,879.34
Fayette County $697.70$791.89 $891.66$1,246.10 $1,893.57
Hancock County $697.70$791.89 $891.66$1,246.10 $1,893.57
Henry County $697.70$791.89 $891.66$1,246.10 $1,893.57
Madison County $697.70$791.89 $891.66$1,246.10 $1,893.57
Union County $697.70$791.89 $891.66$1,246.10 $1,893.57
Wayne County $697.70$791.89 $891.66$1,246.10 $1,893.57
Elkhart County $699.67$794.12 $894.18$1,249.61 $1,898.90
Kosciusko County $699.67$794.12 $894.18$1,249.61 $1,898.90
Marshall County $699.67$794.12 $894.18$1,249.61 $1,898.90
St. Joseph County $699.67$794.12 $894.18$1,249.61 $1,898.90
Starke County $699.67$794.12 $894.18$1,249.61 $1,898.90
Bartholomew County $711.46$807.51 $909.25$1,270.67 $1,930.90
Decatur County $711.46$807.51 $909.25$1,270.67 $1,930.90
Jackson County $711.46$807.51 $909.25$1,270.67 $1,930.90
Jennings County $711.46$807.51 $909.25$1,270.67 $1,930.90
Rush County $711.46$807.51 $909.25$1,270.67 $1,930.90
Allen County $712.12$808.25 $910.08$1,271.84 $1,932.68
Blackford County $716.05$812.71 $915.11$1,278.86 $1,943.35
Delaware County $716.05$812.71 $915.11$1,278.86 $1,943.35
Grant County $716.05$812.71 $915.11$1,278.86 $1,943.35
Jay County $716.05$812.71 $915.11$1,278.86 $1,943.35
Randolph County $716.05$812.71 $915.11$1,278.86 $1,943.35
Dearborn County $718.01$814.94 $917.62$1,282.37 $1,948.68
Franklin County $718.01$814.94 $917.62$1,282.37 $1,948.68
Ohio County $718.01$814.94 $917.62$1,282.37 $1,948.68
Ripley County $718.01$814.94 $917.62$1,282.37 $1,948.68
Switzerland County $718.01$814.94 $917.62$1,282.37 $1,948.68
Clay County $774.35$878.89 $989.62$1,382.99 $2,101.59
Parke County $774.35$878.89 $989.62$1,382.99 $2,101.59
Sullivan County $774.35$878.89 $989.62$1,382.99 $2,101.59
Vermillion County $774.35$878.89 $989.62$1,382.99 $2,101.59
Vigo County $774.35$878.89 $989.62$1,382.99 $2,101.59

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.