Health Insurance Plans in Delaware
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| Plan Name | On or Off Exchange | Plan eligible for subsidy? | Metal Level | Deductible (individual/family) | Out-of-pocket Max (individual/family) | |
|---|---|---|---|---|---|---|
| Premier Bronze HSA by Ambetter Health of Delaware | Both | Bronze | $5,200 / $10,400 | $8,050 / $16,100 | Price & Details | |
| Everyday Bronze + Vision + Adult Dental by Ambetter Health of Delaware | Both | Bronze | $8,450 / $16,900 | $9,200 / $18,400 | Price & Details | |
| AmeriHealth Caritas Next Bronze Essential + No Referrals by AmeriHealth Caritas Next | Obamacare | Bronze | $9,200 / $18,400 | $9,200 / $18,400 | Price & Details | |
| AmeriHealth Caritas Next Bronze Signature + No Referrals by AmeriHealth Caritas Next | Obamacare | Bronze | $7,500 / $15,000 | $9,200 / $18,400 | Price & Details | |
| AmeriHealth Caritas Next Bronze Premier + No Referrals by AmeriHealth Caritas Next | Obamacare | Bronze | $3,500 / $7,000 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Bronze 3800 by Highmark BCBSD Inc. | Both | Bronze | $3,800 / $7,600 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Standard Bronze 7500 by Highmark BCBSD Inc. | Both | Bronze | $7,500 / $15,000 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Bronze 3800 + Adult Dental and Vision by Highmark BCBSD Inc. | Both | Bronze | $3,800 / $7,600 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Bronze 8900 by Highmark BCBSD Inc. | Both | Bronze | $8,900 / $17,800 | $8,900 / $17,800 | Price & Details | |
| Standard Expanded Bronze by Ambetter Health of Delaware | Both | Bronze | $7,500 / $15,000 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit by Highmark BCBSD Inc. | Both | Bronze | $7,400 / $14,800 | $7,400 / $14,800 | Price & Details | |
| Everyday Bronze by Ambetter Health of Delaware | Both | Bronze | $8,450 / $16,900 | $9,200 / $18,400 | Price & Details | |
| Premier Bronze HSA + Vision + Adult Dental by Ambetter Health of Delaware | Both | Bronze | $5,200 / $10,400 | $8,050 / $16,100 | Price & Details | |
| Standard Expanded Bronze + Vision + Adult Dental by Ambetter Health of Delaware | Both | Bronze | $7,500 / $15,000 | $9,200 / $18,400 | Price & Details | |
| Standard Silver by Ambetter Health of Delaware | Both | Silver | $5,000 / $10,000 | $8,000 / $16,000 | Price & Details | |
| Focused Silver by Ambetter Health of Delaware | Both | Silver | $6,300 / $12,600 | $8,000 / $16,000 | Price & Details | |
| Elite Silver by Ambetter Health of Delaware | Both | Silver | $0 / $0 | $8,200 / $16,400 | Price & Details | |
| Focused Silver + Vision + Adult Dental by Ambetter Health of Delaware | Both | Silver | $6,300 / $12,600 | $8,000 / $16,000 | Price & Details | |
| AmeriHealth Caritas Next Silver Signature + No Referrals by AmeriHealth Caritas Next | Obamacare | Silver | $5,000 / $10,000 | $8,000 / $16,000 | Price & Details | |
| AmeriHealth Caritas Next Silver Premier + No Referrals by AmeriHealth Caritas Next | Obamacare | Silver | $0 / $0 | $9,200 / $18,400 | Price & Details | |
| AmeriHealth Caritas Next Silver Deluxe + No Referrals by AmeriHealth Caritas Next | Obamacare | Silver | $4,500 / $9,000 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Silver 7000 by Highmark BCBSD Inc. | Both | Silver | $7,000 / $14,000 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Standard Silver 5000 by Highmark BCBSD Inc. | Both | Silver | $5,000 / $10,000 | $8,000 / $16,000 | Price & Details | |
| my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision by Highmark BCBSD Inc. | Both | Silver | $5,000 / $10,000 | $8,000 / $16,000 | Price & Details | |
| Elite Silver + Vision + Adult Dental by Ambetter Health of Delaware | Both | Silver | $0 / $0 | $8,200 / $16,400 | Price & Details | |
| Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care by Aetna CVS Health | Both | Silver | $5,000 / $10,000 | $8,000 / $16,000 | Price & Details | |
| Complete Gold by Ambetter Health of Delaware | Both | Gold | $1,450 / $2,900 | $7,500 / $15,000 | Price & Details | |
| Clear Gold by Ambetter Health of Delaware | Both | Gold | $900 / $1,800 | $8,400 / $16,800 | Price & Details | |
| Standard Gold by Ambetter Health of Delaware | Both | Gold | $1,500 / $3,000 | $7,800 / $15,600 | Price & Details | |
| Standard Gold + Vision + Adult Dental by Ambetter Health of Delaware | Both | Gold | $1,500 / $3,000 | $7,800 / $15,600 | Price & Details | |
| Complete Gold + Vision + Adult Dental by Ambetter Health of Delaware | Both | Gold | $1,450 / $2,900 | $7,500 / $15,000 | Price & Details | |
| Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care by Aetna CVS Health | Both | Gold | $1,500 / $3,000 | $7,800 / $15,600 | Price & Details | |
| AmeriHealth Caritas Next Gold Signature + No Referrals by AmeriHealth Caritas Next | Obamacare | Gold | $1,500 / $3,000 | $7,800 / $15,600 | Price & Details | |
| AmeriHealth Caritas Next Gold Deluxe + No Referrals by AmeriHealth Caritas Next | Obamacare | Gold | $850 / $1,700 | $7,500 / $15,000 | Price & Details | |
| my Blue Access PPO Standard Gold 1500 by Highmark BCBSD Inc. | Both | Gold | $1,500 / $3,000 | $7,800 / $15,600 | Price & Details | |
| my Blue Access PPO Gold 0 + Adult Dental and Vision by Highmark BCBSD Inc. | Both | Gold | $0 / $0 | $7,500 / $15,000 | Price & Details | |
| my Blue Access PPO Gold 1700 HSA by Highmark BCBSD Inc. | Both | Gold | $1,700 / $3,400 | $5,700 / $11,400 | Price & Details | |
| my Blue Access PPO Premier Gold 0 by Highmark BCBSD Inc. | Both | Gold | $0 / $0 | $6,700 / $13,400 | Price & Details | |
| my Blue Access PPO Gold 0 by Highmark BCBSD Inc. | Both | Gold | $0 / $0 | $7,500 / $15,000 | Price & Details | |
| Clear Gold + Vision + Adult Dental by Ambetter Health of Delaware | Both | Gold | $900 / $1,800 | $8,400 / $16,800 | Price & Details | |
| my Blue Access PPO Premier Gold 0 + Adult Dental and Vision by Highmark BCBSD Inc. | Both | Gold | $0 / $0 | $6,700 / $13,400 | Price & Details | |
| my Blue Access PPO Standard Platinum 0 by Highmark BCBSD Inc. | Both | Platinum | $0 / $0 | $4,300 / $8,600 | Price & Details | |
| my Blue Access PPO Premier Platinum 0 by Highmark BCBSD Inc. | Both | Platinum | $0 / $0 | $5,000 / $10,000 | Price & Details | |
| my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision by Highmark BCBSD Inc. | Both | Platinum | $0 / $0 | $5,000 / $10,000 | Price & Details | |
| my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits by Highmark BCBSD Inc. | Both | Catastrophic | $9,200 / $18,400 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Silver 3500 by Highmark BCBSD Inc. | Off | Silver | $3,500 / $7,000 | $9,200 / $18,400 | Price & Details | |
| my Blue Access PPO Silver 3500 + Adult Dental and Vision by Highmark BCBSD Inc. | Off | Silver | $3,500 / $7,000 | $9,200 / $18,400 | Price & Details |
Help with Obamacare & Off-Exchange Plans Sign Up
After using a subsidy tax credit, you may be eligible for Obamacare plans as low as $0.
Licensed insurance agents at our trusted partner help people apply for a subsidy and sign up for Obamacare plans available on healthcare.gov or other State exchange marketplaces.
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Learn More About Obamacare and Off-Exchange Plans in Delaware
What are Obamacare Health Insurance Plans?
Obamacare health insurance plans are plans which are eligible for reduced costs with a subsidy tax credit. Obamacare plans are only offered through the federal government exchange marketplace healthcare.gov or some States have their own exchange marketplace website. Although plans are only offered through the exchange marketplaces, the federal government allows certified brokers, agents, and web brokers to help you enroll in an Obamacare plan and apply for a subsidy.
What are Off-Exchange Health Insurance Plans?
Off-Exchange health insurance plans are plans which are available outside of the federal government exchange marketplaces. Off-Exchange plans existed before Obamacare. For example, if someone did not have access to a health insurance plan through work, they may have purchased an Off-Exchange plan offered on the Individual Market.
You can enroll in an Off-Exchange plan through a broker, agent, web broker, or by contacting the insurance company directly.
What’s the difference between Obamacare plans and Off-Exchange plans?
The main difference between Obamacare plans and Off-Exchange plans is that only Obamacare plans are eligible for a subsidy tax credit to reduce costs.
Otherwise there are not many other differences between Obamacare plans and Off-Exchange plans. Plan design, coverage, and rates are similar and both sets of plans must adhere to federal government regulations. In fact, there are many plans which are available as both Obamacare plans and as Off-Exchange plans.
Can a plan be both an Obamacare and Off-Exchange plan?
Yes, a plan can be available as both an Obamacare and an Off-Exchange plan.
On the other hand, some plans are only offered as Obamacare plans while other plans are only offered as Off-Exchange plans.
Do plans which are both Obamacare and Off-Exchange plans cost the same price?
Yes, by law a plan which is offered as both an Obamacare plan and an Off-Exchange plan must be sold at the same price. In addition, broker, agents, and web brokers are required to sell plans at the same market price. However, keep in mind that only Obamacare plans are eligible for a subsidy to reduce the monthly premium price.
Who is eligible for Obamacare and Off-Exchange plans?
Technically everyone is eligible for Obamacare plans and Off-Exchange plans. The real question is - who is eligible for a subsidy tax credit? - which can only be used to reduce the costs of Obamacare plans. Note that even if you are not eligible for a subsidy tax credit, you are still allowed to purchase an Obamacare plan at the full price.
What is the Obamacare Subsidy (Tax Credit)?
The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit (APTC). Typically people receive a tax credit at the end of the year when filing taxes, but this tax credit can be received “in advance”, during the year, to reduce the monthly premium costs of an Obamacare health insurance plan.
You must complete an official federal government application to learn your subsidy amount. Everyone’s amount will be different. The calculation for the subsidy amount can be quite complicated. It is based on several different factors, but household income is the main factor. We recommend using our tool to estimate your subsidy amount.
Search Obamacare plans and estimate subsidy amount
Who is eligible to receive an Obamacare Subsidy (Tax Credit)
To be eligible for a subsidy to reduce the monthly premium costs of Obamacare plans, you must meet the following requirements.
- Income requirements based on household size and household income. As examples, earn less than $48,240 for an individual and less than $98,400 for a family of four
- Not eligible for other federal government sponsored insurance, such as Medicare or Medicaid
- Do not have access to a health insurance plan from your employer which meet federal government coverage and affordability requirements
- File taxes or be claimed as a spouse or dependent on taxes. Married couples are required to file taxes jointly.
- Not be incarcerated
- Be legally present in the United States
Why should I consider Off-Exchange plans?
Off-Exchange plans may provide you with additional options compared to available Obamacare plans. If you are not eligible for a subsidy, or only eligible for a small subsidy amount, Off-Exchange plans may still be an affordable option for you.
A second reason for considering Off-Exchange plans is that your favorite doctor may only accept a plan which is available as an Off-Exchange plan. We recommend researching provider networks when considering health insurance plans. We provide links to official provider directories, or doctor lookups, on Health Plan Radar.
In addition, some health insurance companies have been leaving the Obamacare plan market, but they may still offer Off-Exchange plans. Your preferred insurance company may still offer plans on the Off-Exchange market.
How do I choose an Obamacare plan or Off-Exchange plan which is best for me and my family?
There are several health insurance concepts you should understand before choosing a plan that’s best for you, including premium price, out-of-pocket costs, deductibles, and plan metal levels. Visit our choosing a plan FAQ page to learn more.
FAQs - Choosing an Obamacare or Off-Exchange Health Insurance Plan