QHP Index

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

Gold · HMO · CareSource · Indiana

At age 40 it costs between $784.88 and $994.35 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 ID54192IN0020026
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 benefits99.47%
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 $614.15$697.06 $784.88$1,096.87 $1,666.80
Posey County $614.15$697.06 $784.88$1,096.87 $1,666.80
Vanderburgh County $614.15$697.06 $784.88$1,096.87 $1,666.80
Warrick County $614.15$697.06 $784.88$1,096.87 $1,666.80
LaPorte County $616.12$699.30 $787.40$1,100.39 $1,672.16
Lake County $616.12$699.30 $787.40$1,100.39 $1,672.16
Porter County $616.12$699.30 $787.40$1,100.39 $1,672.16
Daviess County $621.39$705.28 $794.13$1,109.80 $1,686.45
Dubois County $621.39$705.28 $794.13$1,109.80 $1,686.45
Greene County $621.39$705.28 $794.13$1,109.80 $1,686.45
Knox County $621.39$705.28 $794.13$1,109.80 $1,686.45
Martin County $621.39$705.28 $794.13$1,109.80 $1,686.45
Orange County $621.39$705.28 $794.13$1,109.80 $1,686.45
Perry County $621.39$705.28 $794.13$1,109.80 $1,686.45
Pike County $621.39$705.28 $794.13$1,109.80 $1,686.45
Spencer County $621.39$705.28 $794.13$1,109.80 $1,686.45
Clark County $629.95$714.99 $805.07$1,125.08 $1,709.67
Crawford County $629.95$714.99 $805.07$1,125.08 $1,709.67
Floyd County $629.95$714.99 $805.07$1,125.08 $1,709.67
Harrison County $629.95$714.99 $805.07$1,125.08 $1,709.67
Jefferson County $629.95$714.99 $805.07$1,125.08 $1,709.67
Scott County $629.95$714.99 $805.07$1,125.08 $1,709.67
Washington County $629.95$714.99 $805.07$1,125.08 $1,709.67
Boone County $644.43$731.42 $823.58$1,150.95 $1,748.97
Hamilton County $644.43$731.42 $823.58$1,150.95 $1,748.97
Hendricks County $644.43$731.42 $823.58$1,150.95 $1,748.97
Marion County $644.43$731.42 $823.58$1,150.95 $1,748.97
Morgan County $644.43$731.42 $823.58$1,150.95 $1,748.97
Shelby County $644.43$731.42 $823.58$1,150.95 $1,748.97
Carroll County $651.01$738.90 $831.99$1,162.70 $1,766.84
Clinton County $651.01$738.90 $831.99$1,162.70 $1,766.84
Fountain County $651.01$738.90 $831.99$1,162.70 $1,766.84
Montgomery County $651.01$738.90 $831.99$1,162.70 $1,766.84
Putnam County $651.01$738.90 $831.99$1,162.70 $1,766.84
Tippecanoe County $651.01$738.90 $831.99$1,162.70 $1,766.84
Tipton County $651.01$738.90 $831.99$1,162.70 $1,766.84
Cass County $661.54$750.85 $845.45$1,181.51 $1,795.42
Fulton County $661.54$750.85 $845.45$1,181.51 $1,795.42
Howard County $661.54$750.85 $845.45$1,181.51 $1,795.42
Miami County $661.54$750.85 $845.45$1,181.51 $1,795.42
Pulaski County $661.54$750.85 $845.45$1,181.51 $1,795.42
Brown County $667.47$757.57 $853.02$1,192.09 $1,811.50
Johnson County $667.47$757.57 $853.02$1,192.09 $1,811.50
Lawrence County $667.47$757.57 $853.02$1,192.09 $1,811.50
Monroe County $667.47$757.57 $853.02$1,192.09 $1,811.50
Owen County $667.47$757.57 $853.02$1,192.09 $1,811.50
Adams County $689.85$782.98 $881.62$1,232.06 $1,872.24
Dekalb County $689.85$782.98 $881.62$1,232.06 $1,872.24
Huntington County $689.85$782.98 $881.62$1,232.06 $1,872.24
Lagrange County $689.85$782.98 $881.62$1,232.06 $1,872.24
Noble County $689.85$782.98 $881.62$1,232.06 $1,872.24
Steuben County $689.85$782.98 $881.62$1,232.06 $1,872.24
Wabash County $689.85$782.98 $881.62$1,232.06 $1,872.24
Wells County $689.85$782.98 $881.62$1,232.06 $1,872.24
Whitley County $689.85$782.98 $881.62$1,232.06 $1,872.24
Benton County $695.77$789.70 $889.19$1,242.65 $1,888.32
Jasper County $695.77$789.70 $889.19$1,242.65 $1,888.32
Newton County $695.77$789.70 $889.19$1,242.65 $1,888.32
Warren County $695.77$789.70 $889.19$1,242.65 $1,888.32
White County $695.77$789.70 $889.19$1,242.65 $1,888.32
Fayette County $701.04$795.68 $895.92$1,252.05 $1,902.61
Hancock County $701.04$795.68 $895.92$1,252.05 $1,902.61
Henry County $701.04$795.68 $895.92$1,252.05 $1,902.61
Madison County $701.04$795.68 $895.92$1,252.05 $1,902.61
Union County $701.04$795.68 $895.92$1,252.05 $1,902.61
Wayne County $701.04$795.68 $895.92$1,252.05 $1,902.61
Elkhart County $703.01$797.92 $898.45$1,255.58 $1,907.97
Kosciusko County $703.01$797.92 $898.45$1,255.58 $1,907.97
Marshall County $703.01$797.92 $898.45$1,255.58 $1,907.97
St. Joseph County $703.01$797.92 $898.45$1,255.58 $1,907.97
Starke County $703.01$797.92 $898.45$1,255.58 $1,907.97
Bartholomew County $714.86$811.37 $913.59$1,276.74 $1,940.13
Decatur County $714.86$811.37 $913.59$1,276.74 $1,940.13
Jackson County $714.86$811.37 $913.59$1,276.74 $1,940.13
Jennings County $714.86$811.37 $913.59$1,276.74 $1,940.13
Rush County $714.86$811.37 $913.59$1,276.74 $1,940.13
Allen County $715.52$812.11 $914.43$1,277.91 $1,941.92
Blackford County $719.47$816.60 $919.48$1,284.97 $1,952.63
Delaware County $719.47$816.60 $919.48$1,284.97 $1,952.63
Grant County $719.47$816.60 $919.48$1,284.97 $1,952.63
Jay County $719.47$816.60 $919.48$1,284.97 $1,952.63
Randolph County $719.47$816.60 $919.48$1,284.97 $1,952.63
Dearborn County $721.44$818.84 $922$1,288.50 $1,957.99
Franklin County $721.44$818.84 $922$1,288.50 $1,957.99
Ohio County $721.44$818.84 $922$1,288.50 $1,957.99
Ripley County $721.44$818.84 $922$1,288.50 $1,957.99
Switzerland County $721.44$818.84 $922$1,288.50 $1,957.99
Clay County $778.05$883.09 $994.35$1,389.60 $2,111.63
Parke County $778.05$883.09 $994.35$1,389.60 $2,111.63
Sullivan County $778.05$883.09 $994.35$1,389.60 $2,111.63
Vermillion County $778.05$883.09 $994.35$1,389.60 $2,111.63
Vigo County $778.05$883.09 $994.35$1,389.60 $2,111.63

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.