Ranked 1 of 15 states · median $558/mo · CMS PY2026
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A 40-year-old accountant in Indiana pays a median $558/month for a Silver plan before subsidies — the cheapest of the states covered here. The cheapest plan in the state is $440 from Anthem Blue Cross and Blue Shield in Daviess. On cheapest Silver at age 27, Indiana ranks 2 of 15 for this occupation.
Screen-based work skews younger and healthier, which is exactly the profile a high-deductible plan is built for. The risk is real — you carry the first several thousand dollars yourself — so the tables below show what a healthy buyer pays across the age curve, not just at 40.
Occupational context: Sedentary strain: eye strain, repetitive stress, and Q1 stress load.
None of that changes your price. ACA plans in Indiana are community rated — premium varies by age, ZIP code, tobacco use and household size only. Your occupation cannot be used to rate you, decline you, or exclude a condition. What it changes is which plan design is the right bet.
Premium is set by rating area, so a accountant in one Indiana county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Starke | $452 | Anthem Blue Cross and Blue Shield | $7,000 | 3 |
| Tipton | $454 | Anthem Blue Cross and Blue Shield | $7,000 | 3 |
| Hancock | $457 | Anthem Blue Cross and Blue Shield | $7,000 | 5 |
| Newton | $460 | Anthem Blue Cross and Blue Shield | $7,000 | 3 |
| Dearborn | $465 | Anthem Blue Cross and Blue Shield | $7,000 | 3 |
| Hendricks | $469 | Anthem Blue Cross and Blue Shield | $7,000 | 4 |
The spread across just these six is $17/month — $200 a year for the same metal tier. Statewide the range runs $440 to $699. Coverage by County publishes all 92 Indiana counties individually.
| Indiana — the age curve | 2026 |
|---|---|
| Cheapest Silver @27 | $361 |
| Cheapest Silver @40 | $440 |
| Cheapest Silver @60 | $934 |
| Cheapest Bronze @40 | $376 — Anthem Blue Cross and Blue Shield |
| Bronze deductible | $10,150 |
| Lowest deductible in state | $1,450 |
A 27-year-old accountant in Indiana starts at $361; the same plan class at 60 starts at $934 — roughly 2.6× as much. If a Bronze plan here is HSA-qualified, the deduction plus low claim volume usually beats Silver on total annual cost. Confirm HSA eligibility on the plan document, not the metal tier.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 4,429 plan records across 92 Indiana counties. Full-price filed rates before premium tax credits — verify at enrollment.
Nothing on this list is cheaper. More expensive: Ohio ($625), South Carolina ($636), Alabama ($680).
Side-by-side: Indiana vs Ohio · Indiana vs South Carolina
Cross-state numbers are useful for understanding whether Indiana is treating you well, not for arbitrage. You cannot buy an out-of-state exchange plan. If you are a accountant weighing a relocation for other reasons, the premium difference is a real line item worth putting in the decision.
Self-employed Accountants in Indiana typically deduct: Software, licensing, CPE credits, home office. Health premiums sit separately, above the line under IRC §162(l), and only when neither you nor a spouse could have joined an employer plan — eligibility disqualifies you even if you declined the coverage.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The cheapest Silver plan for a 40-year-old in Indiana is $440 per month from Anthem Blue Cross and Blue Shield, with a state median of $558. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
It cannot happen on an exchange plan. Rating in Indiana uses four inputs only: age, ZIP code, tobacco use and how many people are on the policy. Trade, injury history and pre-existing conditions are all excluded from pricing by law.
No. Only EPO and HMO and POS plans were filed for 2026.
Indiana ranks 1 of 15 states covered here, at a median $558 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Above the cliff. At this income a single-person household receives no premium tax credit for 2026 and pays the full premium.
This occupation is above the cliff in all 21 states reported.
What this figure is. It is the median annual wage BLS reports for Accountants and Auditors (SOC 13-2011) in Indiana. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed accountant. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Indiana specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Accountants in Indiana and a blog covering deductibles, subsidies and special enrollment.
One of Indiana’s 5 carriers is leaving. Cigna exits the individual market entirely on January 1, 2027, so if you are an accountant covered by them the question is not whether you switch but whether you choose the switch yourself.
On price the only honest number today is national: the Peterson-KFF read of 2027 filings puts the median proposed rise near 15%, spanning −1% to 54%. Final Indiana rates are not approved, so any precise 2027 figure quoted for this state is guesswork.
Mark November 1, 2026 to open and December 15 to act. That second date guarantees cover from January 1 in Indiana regardless of how the current litigation over the enrollment window resolves.
One thing 2027 will not fix: no PPO is sold anywhere in Indiana. All 92 counties offer HMO, EPO or POS only, so care outside the network is effectively emergency-only. If your work as an accountant crosses county lines, weigh that above the premium.
You already know you are changing plans — Cigna is leaving. The only real question is whether you pick the replacement or the marketplace picks it for you, and that is a much easier decision made in August than in the second week of December.
Give me a ZIP and I will tell you three things:
Rates for Accountants in Indiana are set by county, not by occupation. Start with your ZIP and I will show you the plans actually filed where you live.