Indiana uses the federally run health insurance exchange/Marketplace, HealthCare.gov, where six private insurance companies offer individual/family coverage for 2024. 1 There will continue to be six carriers offering Indiana Marketplace plans in 2025, but with some changes (discussed in more detail below). And unlike most states, the overall weighted average premium change (before subsidies) amounts to a slight decrease in Indiana for 2025. 2
Marketplace plans are designed to serve those without access to employer-sponsored coverage or government-run coverage like Medicare or Medicaid. This includes self-employed individuals, people who work for small businesses that don’t offer health benefits, and early retirees who aren’t yet eligible for Medicare.
Many people find Affordable Care Act (ACA) Marketplace plans to be budget-friendly, and nearly 296,000 people enrolled in private health plans through the Indiana Health Insurance Marketplace during the open enrollment period for 2024 coverage. 3
If you buy a plan through the Indiana Health Insurance Marketplace, you may qualify for financial assistance through an advance premium tax credit (premium subsidy) and also possibly a subsidy that reduces your out-of-pocket costs when you get medical care. 4
As of 2024, small businesses (fewer than 50 employees) in Indiana can qualify for a state tax credit if they offer an ICHRA benefit to their employees, as long as certain parameters are met. 5
Hoping to improve your smile? Dental insurance may be a smart addition to your health coverage. Our guide explores dental coverage options in Indiana.
Learn about Indiana's Medicaid expansion, the state’s Medicaid enrollment and Medicaid eligibility.
Use our guide to learn about Medicare, Medicare Advantage, and Medigap coverage available in Indiana as well as the state’s Medicare supplement (Medigap) regulations.
Short-term health plans provide temporary health insurance for consumers who may find themselves without comprehensive coverage. Learn more about short-term plan availability in Indiana.
You can buy individual/family health insurance from Indiana’s Marketplace if: 6
Marketplace financial assistance, such as premium subsidies and cost-sharing reductions, depends on your household income. In addition, to qualify for financial assistance, you must:
In Indiana, you can sign up for ACA-compliant individual and family health plans during the annual open enrollment period, which runs from November 1 through January 15. 10
If you sign up by December 15, your coverage starts on January 1. If you enroll between December 16 and January 15, your coverage begins on February 1.
If the open enrollment deadline passes, you may still be able to sign up for or make changes to an ACA Marketplace health plan through a special enrollment period (SEP). To qualify for a SEP, you’ll generally need a qualifying life event.
However, you can apply in some situations even if you don’t have a qualifying life event. These include:
There are a few ways to enroll in an exchange health plan in Indiana:
In Indiana, you can find affordable health plans through the ACA Marketplace’s website: HeathCare.gov.
Thanks to the ACA, you may be eligible for income-based premium subsidies called Advance Premium Tax Credits (APTC), which help reduce your monthly premiums.
Nearly nine out of 10 Indiana exchange enrollees were eligible for premium subsidies on 2024 plans, with an average monthly savings of about $452. People who receive these subsidies pay an average monthly premium of only $82, after the subsidies are applied. 16
Cost-sharing reductions (CSR) also reduce costs by helping lower your deductibles and out-of-pocket costs. CSR benefits are automatically built into all of the available Silver-level plans as long as your income isn’t more than 250% of the federal poverty level. 4
The federal government used to reimburse insurers for the cost of providing CSR benefits, but that ended in 2017. Since then, insurers have been adding the cost of CSR to the premiums they charge. In most states, this cost is only added to Silver-plan rates, since CSR benefits are only available on Silver plans. But Indiana is one of only two states where insurers are required to spread the cost of CSR across premiums for plans at all metal levels (broad loading, as opposed to the silver loading approach taken in most states). 18
Medicaid offers very affordable access to coverage and care for those who meet the eligibility criteria. Check out our guide on Medicaid in Indiana for more information.
Short-term plans are also available as a cost-effective option if you don’t qualify for employer plans, Medicaid, Medicare, or subsidies from the exchange. Learn more about short-term health insurance in Indiana.
Six insurance companies provide individual and family plans for 2024 through the exchange in Indiana, 19 including Aetna Health, which is new to Indiana’s Health Insurance Marketplace. 20
For 2025, there will continue to be six insurers, but with some changes: 2
For 2025, Indiana’s Marketplace insurers will implement the following average rate changes, which amount to a weighted average rate decrease of 1.3%. 2
Source: Indiana Department of Insurance 2
The average rate changes apply to the full-price premiums. But most Indiana residents who use the exchange receive financial assistance in the form of premium tax credits (premium subsidies), and thus do not pay full price. 17
If you qualify for subsidies, the actual change in what you pay depends on how much your plan’s cost changes and how much financial assistance you receive from the government.
For perspective, here’s an overview of how full-price premiums have changed over the years in Indiana’s individual/family health insurance market:
During the open enrollment period for 2024 coverage, 295,772 people enrolled in private individual market health plans through the Indiana Marketplace. 32
The 2024 enrollment number was a record high (see chart below for historical enrollment numbers).
Enrollment has been growing since 2021, partly due to the subsidy enhancements created by the American Rescue Plan and Inflation Reduction Act.
The enrollment growth in 2024 was also due to the “unwinding” of the pandemic-era Medicaid continuous coverage. As of June 2024, more than 479,000 Indiana residents had been disenrolled from Medicaid. 33 And CMS reported that by April 2024, more than 125,000 of those people had transitioned to a Marketplace plan. 34
Source: 2014, 35 2015, 36 2016, 37 2017, 38 2018, 39 2019, 40 2020, 41 2021, 42 2022, 43 2023, 44 2024 45
Indiana Department of Insurance
Oversees and licenses health insurance companies, brokers, and agents who sell insurance plans. It can be a valuable source for Indiana residents with questions or complaints about their health coverage.
Affiliated Service Providers of Indiana, Inc. (ASPIN)
A Navigator organization funded by the federal government, serving Indiana. They can assist with questions and help people enroll in Medicaid or a private insurance plan through the exchange.
Indiana State Health Insurance Assistance Information Program (SHIP)
This local service offers guidance and information to Medicare beneficiaries and their caregivers.
Louise Norris is an individual health insurance broker who has been writing about health insurance and health reform since 2006. She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org.
