Indiana HSA Plans

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

HSA Plan Guide

Overview

FAQ

On Exchange Plans

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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

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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 Apply Now

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

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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