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Expanded_bronzeHMOHSA Eligible

Choice Bronze HSA + Vision + Adult Dental

Ambetter Health

Starting at

$553

/month before subsidy

Key facts

Choice Bronze HSA + Vision + Adult Dental is a 2027 Expanded_bronze HMO health insurance plan from Ambetter Health, sold on the ACA Marketplace in Indiana under plan ID 35065IN0050013. The monthly premium starts at $553 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $7,950 ($15,900 for a family), and the individual out-of-pocket maximum is $7,950 ($15,900 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID: 35065IN0050013
Plan year: 2027
State: Indiana
Metal level: Expanded_bronze
Plan type: HMO
HSA-eligible: Yes

Individual Deductible

$7,950

Family: $15,900

Out-of-Pocket Max

$7,950

Family: $15,900

Coinsurance

You pay after deductible

Network Type

HMO

INN001

Cost Sharing

What you pay for common services (after deductible unless noted)

Medical Services

Primary Care VisitNo Charge after deductible

Specialist VisitNo Charge after deductible

Urgent CareNo Charge after deductible

Emergency RoomNo Charge after deductible

Prescription Drugs

Generic DrugsNo Charge after deductible

Brand Name DrugsNo Charge after deductible

Specialty DrugsNo Charge after deductible

What you'd typically pay

Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$8,010

your estimated cost

Deductible: $7,950
Copays: $0
Coinsurance: $0

Managing type 2 diabetes

A year of routine care

$5,420

your estimated cost

Deductible: $5,400
Copays: $0
Coinsurance: $0

A simple fracture

ER visit + follow-up

$2,800

your estimated cost

Deductible: $2,800
Copays: $0
Coinsurance: $0

Is your medication or doctor covered?

Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.

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Official Plan Documents

Published by Ambetter Health. These are the authoritative source for coverage details.

Summary of Benefits & Coverage (SBC)Standardized cost & coverage summary Plan BrochureFull plan details from the insurer Drug FormularyCovered prescriptions & drug tiers

Who This Plan Is Best For

Review the plan details above to determine if this plan fits your healthcare needs and budget.

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost

What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,216/month

Annual Premium

$6,636

OOP Maximum

$7,950

💡 What this means:

With a $7,950 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $7,950 total. Then insurance covers everything else for the year.

More plans from Ambetter Health in Indiana

View all Marketplace plans in Indiana

Frequently asked questions about Choice Bronze HSA + Vision + Adult Dental

How much does Choice Bronze HSA + Vision + Adult Dental cost per month?

Choice Bronze HSA + Vision + Adult Dental from Ambetter Health starts at $553 per month before any subsidy in Indiana. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.

What is the deductible for Choice Bronze HSA + Vision + Adult Dental?

The individual medical deductible is $7,950, and the family deductible is $15,900. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.

What is the out-of-pocket maximum for Choice Bronze HSA + Vision + Adult Dental?

The most you would pay in a year for covered in-network care is $7,950 for an individual and $15,900 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Choice Bronze HSA + Vision + Adult Dental HSA-eligible?

Yes. Choice Bronze HSA + Vision + Adult Dental is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does Choice Bronze HSA + Vision + Adult Dental use?

Choice Bronze HSA + Vision + Adult Dental is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
How ACA subsidies work
Premium tax credits and who qualifies
The 2026 subsidy cliff
Why income near 400% FPL matters again this year
The SLCSP benchmark
The Silver plan that sets your subsidy and Form 1095-A

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Important Notice

Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.