Indiana HSA Plans

Indiana has two HSA plans available on the exchange, depending on what county you are in. 

Anthem also offers plans in a limited number of counties off the exchange. 

Health Savings Accounts can reduce your out of pocket costs as well as your tax burden. Learn more at our HSA Guide.

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It’s easy to find HSA eligible options, since it’s in the plan name!

On Exchange Plans

CareSource · CareSource HSA Bronze

    1. Bronze HMO| Plan ID: 54192IN0010010

Deductible

$4,000 Individual Total

Out-of-pocket maximum

$6,550 Individual Total

Copayments / Coinsurance

  • Emergency room care: 50% Coinsurance after deductible
  • Generic drugs: 50% Coinsurance after deductible
  • Primary doctor: 50% Coinsurance after deductible
  • Specialist doctor: 50% Coinsurance after deductible

Costs for medical care

Deductible

  • $4,000 Individual Total

Out-of-pocket maximum

  • $6,550 Individual Total

Primary care doctor visit

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Specialist visit

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

X-rays and diagnostic imaging

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Laboratory outpatient and professional services

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Outpatient facility

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Outpatient professional services

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Hearing aids

  • In Network: Benefit Not Covered

Routine eye exam for adults

  • In Network: No Charge
  • Out of Network: Benefit Not Covered

Routine eye exam for children

  • In Network: No Charge
  • Out of Network: Benefit Not Covered

Eyeglasses for children

  • In Network: No Charge
  • Out of Network: Benefit Not Covered
Eligible for Health Savings Account (HSA)Yes
Prescription drug coverage

Generic drugs

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Preferred brand drugs

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Non-preferred brand drugs

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Specialty drugs

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered
List of covered drugsView
Three month in-network mail order pharmacy benefitYes
Prescription drug deductibleIncluded in plan deductible
Prescription drug out-of-pocket maximumIncluded in plan’s out-of-pocket maximum
Access to doctors and hospitals
Provider directory URLView
National Provider NetworkNo
Need referral to see a specialistNo
Hospital services

Emergency room care

  • In Network: 50% Coinsurance after deductible
  • Out of Network: 50% Coinsurance after deductible

Inpatient doctor and surgical services

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered

Inpatient hospital services (like a hospital stay)

  • In Network: 50% Coinsurance after deductible
  • Out of Network: Benefit Not Covered
Cost Coverage Examples

Typical cost for a healthy pregnancy and normal delivery.

  • $6,610

Typical yearly cost for managing type 2 diabetes for one person.

  • $6,605

Typical cost for treatment of a simple fracture.

  • $1,926

Ambetter From MHS · Ambetter Essential Care 2 HSA (2018)

    1. Bronze EPO| Plan ID: 76179IN0110052

Deductible

$6,550 Individual Total

Out-of-pocket maximum

$6,550 Individual Total

Copayments / Coinsurance

  • Emergency room care: No Charge After Deductible
  • Generic drugs: No Charge After Deductible
  • Primary doctor: No Charge After Deductible
  • Specialist doctor: No Charge After Deductible

Costs for medical care

Deductible

  • $6,550 Individual Total

Out-of-pocket maximum

  • $6,550 Individual Total

Primary care doctor visit

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Specialist visit

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

X-rays and diagnostic imaging

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Laboratory outpatient and professional services

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Outpatient facility

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Outpatient professional services

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Hearing aids

  • In Network: Benefit Not Covered

Routine eye exam for adults

  • In Network: Benefit Not Covered

Routine eye exam for children

  • In Network: No Charge
  • Out of Network: Benefit Not Covered

Eyeglasses for children

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered
Eligible for Health Savings Account (HSA)Yes
Prescription drug coverage

Generic drugs

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Preferred brand drugs

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Non-preferred brand drugs

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Specialty drugs

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered
List of covered drugsView
Three month in-network mail order pharmacy benefitYes
Prescription drug deductibleIncluded in plan deductible
Prescription drug out-of-pocket maximumIncluded in plan’s out-of-pocket maximum
Access to doctors and hospitals
Provider directory URLView
National Provider NetworkNo
Need referral to see a specialistNo
Hospital services

Emergency room care

  • In Network: No Charge After Deductible
  • Out of Network: No Charge After Deductible

Inpatient doctor and surgical services

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered

Inpatient hospital services (like a hospital stay)

  • In Network: No Charge After Deductible
  • Out of Network: Benefit Not Covered
Cost Coverage Examples

Typical cost for a healthy pregnancy and normal delivery.

  • $6,610

Typical yearly cost for managing type 2 diabetes for one person.

  • $6,610

Typical cost for treatment of a simple fracture.

  • $1,900

 

Off Exchange Plans

Anthem Bronze Pathway 0 for HSA – HMO

Anthem Blue Cross and Blue Shield

Deductible 

$6,100 per person

Max Out of Pocket 

$6,550 per person

DOCTOR VISIT COPAY 
Primary: No Charge after deductible
Specialist: No Charge after deductible
PRESCRIPTION COPAY 
Generic: 0% Coinsurance after deductible
Brand: 0% Coinsurance after deductible

Anthem Bronze Pathway 20 for HSA – HMO

Anthem Blue Cross and Blue Shield
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Deductible 

$5,100 per person

Max Out of Pocket 

$6,550 per person

DOCTOR VISIT COPAY 
Primary: 20% Coinsurance after deductible
Specialist: 20% Coinsurance after deductible
PRESCRIPTION COPAY 
Generic: 20% Coinsurance after deductible
Brand: 20% Coinsurance after deductible

Anthem Silver Pathway for HSA – HMO

Anthem Blue Cross and Blue Shield

Deductible 

$2,700 per person

Max Out of Pocket 

$5,000 per person

DOCTOR VISIT COPAY 
Primary: 10% Coinsurance after deductible
Specialist: 10% Coinsurance after deductible
PRESCRIPTION COPAY 
Generic: 10% Coinsurance after deductible
Brand: 10% Coinsurance after deductible