Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Silver · HMO · CareSource · Indiana
At age 40 it costs between $550.97 and $698.02 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 | $5,000 | $9,500 | $30 | $15 |
| up to 150% of the federal poverty level | $250 | $1,100 | No Charge | $3 |
| 150% to 200% | $1,000 | $3,350 | $5 | $5 |
| 200% to 250% | $4,600 | $8,000 | $30 | $10 |
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 | 54192IN0020025 |
|---|---|
| Insurer | CareSource |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,000 |
| Deductible (family) | $10,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $9,500 |
| Family maximum | $19,000 |
| Primary care visit | $30 |
| Specialist visit | $50 |
| Emergency room | 50% Coinsurance after deductible |
| Inpatient stay | $600 Copay per Stay after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $100 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 99.19% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-230-2099 · 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.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Gibson County | $431.12 | $489.32 | $550.97 | $769.98 | $1,170.06 |
| Posey County | $431.12 | $489.32 | $550.97 | $769.98 | $1,170.06 |
| Vanderburgh County | $431.12 | $489.32 | $550.97 | $769.98 | $1,170.06 |
| Warrick County | $431.12 | $489.32 | $550.97 | $769.98 | $1,170.06 |
| LaPorte County | $432.51 | $490.90 | $552.74 | $772.46 | $1,173.82 |
| Lake County | $432.51 | $490.90 | $552.74 | $772.46 | $1,173.82 |
| Porter County | $432.51 | $490.90 | $552.74 | $772.46 | $1,173.82 |
| Daviess County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Dubois County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Greene County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Knox County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Martin County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Orange County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Perry County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Pike County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Spencer County | $436.20 | $495.09 | $557.47 | $779.06 | $1,183.86 |
| Clark County | $442.21 | $501.91 | $565.15 | $789.79 | $1,200.16 |
| Crawford County | $442.21 | $501.91 | $565.15 | $789.79 | $1,200.16 |
| Floyd County | $442.21 | $501.91 | $565.15 | $789.79 | $1,200.16 |
| Harrison County | $442.21 | $501.91 | $565.15 | $789.79 | $1,200.16 |
| Jefferson County | $442.21 | $501.91 | $565.15 | $789.79 | $1,200.16 |
| Scott County | $442.21 | $501.91 | $565.15 | $789.79 | $1,200.16 |
| Washington County | $442.21 | $501.91 | $565.15 | $789.79 | $1,200.16 |
| Boone County | $452.38 | $513.45 | $578.14 | $807.94 | $1,227.75 |
| Hamilton County | $452.38 | $513.45 | $578.14 | $807.94 | $1,227.75 |
| Hendricks County | $452.38 | $513.45 | $578.14 | $807.94 | $1,227.75 |
| Marion County | $452.38 | $513.45 | $578.14 | $807.94 | $1,227.75 |
| Morgan County | $452.38 | $513.45 | $578.14 | $807.94 | $1,227.75 |
| Shelby County | $452.38 | $513.45 | $578.14 | $807.94 | $1,227.75 |
| Carroll County | $457 | $518.69 | $584.04 | $816.20 | $1,240.29 |
| Clinton County | $457 | $518.69 | $584.04 | $816.20 | $1,240.29 |
| Fountain County | $457 | $518.69 | $584.04 | $816.20 | $1,240.29 |
| Montgomery County | $457 | $518.69 | $584.04 | $816.20 | $1,240.29 |
| Putnam County | $457 | $518.69 | $584.04 | $816.20 | $1,240.29 |
| Tippecanoe County | $457 | $518.69 | $584.04 | $816.20 | $1,240.29 |
| Tipton County | $457 | $518.69 | $584.04 | $816.20 | $1,240.29 |
| Cass County | $464.39 | $527.08 | $593.49 | $829.40 | $1,260.36 |
| Fulton County | $464.39 | $527.08 | $593.49 | $829.40 | $1,260.36 |
| Howard County | $464.39 | $527.08 | $593.49 | $829.40 | $1,260.36 |
| Miami County | $464.39 | $527.08 | $593.49 | $829.40 | $1,260.36 |
| Pulaski County | $464.39 | $527.08 | $593.49 | $829.40 | $1,260.36 |
| Brown County | $468.55 | $531.80 | $598.81 | $836.83 | $1,271.64 |
| Johnson County | $468.55 | $531.80 | $598.81 | $836.83 | $1,271.64 |
| Lawrence County | $468.55 | $531.80 | $598.81 | $836.83 | $1,271.64 |
| Monroe County | $468.55 | $531.80 | $598.81 | $836.83 | $1,271.64 |
| Owen County | $468.55 | $531.80 | $598.81 | $836.83 | $1,271.64 |
| Adams County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Dekalb County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Huntington County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Lagrange County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Noble County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Steuben County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Wabash County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Wells County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Whitley County | $484.26 | $549.63 | $618.88 | $864.89 | $1,314.28 |
| Benton County | $488.42 | $554.36 | $624.20 | $872.32 | $1,325.57 |
| Jasper County | $488.42 | $554.36 | $624.20 | $872.32 | $1,325.57 |
| Newton County | $488.42 | $554.36 | $624.20 | $872.32 | $1,325.57 |
| Warren County | $488.42 | $554.36 | $624.20 | $872.32 | $1,325.57 |
| White County | $488.42 | $554.36 | $624.20 | $872.32 | $1,325.57 |
| Fayette County | $492.12 | $558.55 | $628.92 | $878.92 | $1,335.60 |
| Hancock County | $492.12 | $558.55 | $628.92 | $878.92 | $1,335.60 |
| Henry County | $492.12 | $558.55 | $628.92 | $878.92 | $1,335.60 |
| Madison County | $492.12 | $558.55 | $628.92 | $878.92 | $1,335.60 |
| Union County | $492.12 | $558.55 | $628.92 | $878.92 | $1,335.60 |
| Wayne County | $492.12 | $558.55 | $628.92 | $878.92 | $1,335.60 |
| Elkhart County | $493.50 | $560.12 | $630.69 | $881.39 | $1,339.36 |
| Kosciusko County | $493.50 | $560.12 | $630.69 | $881.39 | $1,339.36 |
| Marshall County | $493.50 | $560.12 | $630.69 | $881.39 | $1,339.36 |
| St. Joseph County | $493.50 | $560.12 | $630.69 | $881.39 | $1,339.36 |
| Starke County | $493.50 | $560.12 | $630.69 | $881.39 | $1,339.36 |
| Bartholomew County | $501.82 | $569.56 | $641.32 | $896.25 | $1,361.94 |
| Decatur County | $501.82 | $569.56 | $641.32 | $896.25 | $1,361.94 |
| Jackson County | $501.82 | $569.56 | $641.32 | $896.25 | $1,361.94 |
| Jennings County | $501.82 | $569.56 | $641.32 | $896.25 | $1,361.94 |
| Rush County | $501.82 | $569.56 | $641.32 | $896.25 | $1,361.94 |
| Allen County | $502.28 | $570.09 | $641.92 | $897.07 | $1,363.19 |
| Blackford County | $505.05 | $573.24 | $645.46 | $902.03 | $1,370.72 |
| Delaware County | $505.05 | $573.24 | $645.46 | $902.03 | $1,370.72 |
| Grant County | $505.05 | $573.24 | $645.46 | $902.03 | $1,370.72 |
| Jay County | $505.05 | $573.24 | $645.46 | $902.03 | $1,370.72 |
| Randolph County | $505.05 | $573.24 | $645.46 | $902.03 | $1,370.72 |
| Dearborn County | $506.44 | $574.81 | $647.23 | $904.50 | $1,374.48 |
| Franklin County | $506.44 | $574.81 | $647.23 | $904.50 | $1,374.48 |
| Ohio County | $506.44 | $574.81 | $647.23 | $904.50 | $1,374.48 |
| Ripley County | $506.44 | $574.81 | $647.23 | $904.50 | $1,374.48 |
| Switzerland County | $506.44 | $574.81 | $647.23 | $904.50 | $1,374.48 |
| Clay County | $546.18 | $619.91 | $698.02 | $975.47 | $1,482.33 |
| Parke County | $546.18 | $619.91 | $698.02 | $975.47 | $1,482.33 |
| Sullivan County | $546.18 | $619.91 | $698.02 | $975.47 | $1,482.33 |
| Vermillion County | $546.18 | $619.91 | $698.02 | $975.47 | $1,482.33 |
| Vigo County | $546.18 | $619.91 | $698.02 | $975.47 | $1,482.33 |
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.