Data-driven, no paid rankings

Affordable Health Insurance in Delaware: Compare 2026 Plans

Top-rated ACA Marketplace (Obamacare) plans in Delaware ranked by official quality scores, plus the lowest-premium Bronze options and APTC subsidy estimates. Plans are displayed based on federal marketplace data, not broker recommendations or paid placements.

What is the best health insurance in Delaware?

There is no single best ACA health insurance plan in Delaware (DE); what a plan costs you depends on your doctors, prescriptions, and expected medical use, not just premium. 39 ACA plans are currently available. Policymage does not recommend plans. It compares plans on premium, deductible, and network type, plus official quality ratings where the marketplace publishes them, using marketplace plan data priced near Dover.

Last updated: October 7, 2026 · Source: Official Marketplace Data · How we calculate this

Rankings are based on official star ratings (clinical quality, member experience, plan efficiency) and premium data from the federal marketplace. Policymage is not a licensed insurance broker. We display data, not recommendations. Prices reflect a 30-year-old near Dover, DE before subsidies, at 2026 rates.

$525/mo

Avg Bronze Premium

3

Insurers Statewide

39

Plans Listed

HealthCare.gov

Exchange Type

Health Insurance Carriers in Delaware

Ambetter Health of Delaware
Ambetter Health of Delaware
AmeriHealth Caritas Next
AmeriHealth Caritas Next
Highmark Blue Cross Blue Shield Delaware
Highmark Blue Cross Blue Shield Delaware
Ambetter Health of Delaware
Ambetter Health of Delaware
AmeriHealth Caritas Next
AmeriHealth Caritas Next
Highmark Blue Cross Blue Shield Delaware
Highmark Blue Cross Blue Shield Delaware

Lowest Available Premium

$481.65/mo

Bronze plan · 30-year-old near Dover · before subsidies

Avg Bronze Plan

$525/mo

13 plans in Delaware

Avg Silver Plan

$674/mo

Benchmark (2nd-lowest Silver): $614.31/mo

Eligible for CSR cost reductions

Plans by Category

Each card shows the plan that comes first on the stated measure for a sample 30-year-old. These are sorts, not recommendations. From the 20 lowest-premium plans near Dover · 2026 premiums · 30-year-old, before subsidies

Highest Rated, Low Premium

Highest official quality rating among the lowest-premium plans

Bronze
PPO

my Blue Access Select PPO Bronze 9200

Highmark Blue Cross Blue Shield Delaware

$513.51/mo

4/5

Ded: $9,200

OOP: $9,200

Lowest Premium + OOP Max

Lowest yearly worst case: 12 months of premium plus the out-of-pocket max

Bronze
EPO

Principal Bronze HSA

Ambetter Health of Delaware

$528.30/mo

Ded: $5,200

OOP: $8,050

Lowest Premium with Child Dental

Lowest premium with children's dental coverage included

Bronze
PPO

my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision

Highmark Blue Cross Blue Shield Delaware

$578.93/mo

4/5

Ded: $3,800

OOP: $9,900

Lowest-Premium HSA Plan

Lowest monthly premium among HSA-eligible plans

Lowest Premium

Lowest monthly premium for a 30-year-old

Bronze
HMO

AmeriHealth Caritas Next Bronze Essential + No Referrals

AmeriHealth Caritas Next

$481.65/mo

Ded: $10,600

OOP: $10,600

Top-Rated Plans in Delaware

Sorted by official quality rating, then premium, among the 20 lowest-premium plans · Prices near Dover · 2026 premiums · 30-year-old, no subsidies

1
Bronze
PPO
HSA

my Blue Access Select PPO Bronze 9200

Highmark Blue Cross Blue Shield Delaware

$513.51/mo

Ded: $9,200

2
Bronze
PPO
HSA

my Blue Access Select PPO Standard Bronze 7500

Highmark Blue Cross Blue Shield Delaware

$554.72/mo

Ded: $7,500

3
Bronze
PPO
HSA

my Blue Access Select PPO Bronze 3800

Highmark Blue Cross Blue Shield Delaware

$560.55/mo

Ded: $3,800

4
Bronze
PPO
HSA
Child Dental

my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision

Highmark Blue Cross Blue Shield Delaware

$578.93/mo

Ded: $3,800

5
Bronze
HMO
HSA

AmeriHealth Caritas Next Bronze Essential + No Referrals

AmeriHealth Caritas Next

$481.65/mo

Ded: $10,600

6
Bronze
EPO
HSA

Everyday Bronze

Ambetter Health of Delaware

$496.14/mo

Ded: $8,450

7
Bronze
EPO
HSA

Standard Expanded Bronze

Ambetter Health of Delaware

$498.02/mo

Ded: $7,500

8
Bronze
HMO
HSA

AmeriHealth Caritas Next Bronze Signature + No Referrals

AmeriHealth Caritas Next

$511.23/mo

Ded: $7,500

9
Bronze
EPO
HSA

Everyday Bronze + Vision + Adult Dental

Ambetter Health of Delaware

$515.11/mo

Ded: $8,450

10
Bronze
EPO
HSA

Standard Expanded Bronze + Vision + Adult Dental

Ambetter Health of Delaware

$517.06/mo

Ded: $7,500

Rankings based on official star ratings from federal marketplace data. Premiums are estimated for a 30-year-old near Dover without subsidies. Catastrophic plans are only for people under 30 or with a hardship exemption. Your actual options and prices vary by ZIP code, age, and household income. See results for your details →

APTC Subsidy Income Thresholds (2026)

Based on Federal Poverty Level (FPL) guidelines. Your subsidy eligibility depends on your exact household size and income.

Household Size100% FPL
(Medicaid min)
138% FPL
(Medicaid max)
250% FPL
(CSR eligible)
400% FPL
(APTC range)
1 person$15,960$22,025$39,900$63,840
2 people$21,640$29,863$54,100$86,560
3 people$27,320$37,702$68,300$109,280
4 people$33,000$45,540$82,500$132,000

Thresholds are for the 48 contiguous states. Alaska and Hawaii have higher FPL amounts. The enhanced subsidies that removed the income cap expired after 2025, so households above 400% FPL no longer qualify for premium tax credits.

Lowest-Cost Plans Available in Delaware

Bronze and Catastrophic plans near Dover, DE · 30-year-old · 2026 premiums · Before subsidies · Catastrophic is for under-30s or a hardship exemption

Bronze
HMO
HSA Eligible

AmeriHealth Caritas Next Bronze Essential + No Referrals

AmeriHealth Caritas Next

$481.65/mo

Ded: $10,600

Bronze
EPO
HSA Eligible

Everyday Bronze

Ambetter Health of Delaware

$496.14/mo

Ded: $8,450

Bronze
EPO
HSA Eligible

Standard Expanded Bronze

Ambetter Health of Delaware

$498.02/mo

Ded: $7,500

Bronze
HMO
HSA Eligible

AmeriHealth Caritas Next Bronze Signature + No Referrals

AmeriHealth Caritas Next

$511.23/mo

Ded: $7,500

Bronze
PPO
HSA Eligible

my Blue Access Select PPO Bronze 9200

Highmark Blue Cross Blue Shield Delaware

$513.51/mo

Ded: $9,200

Bronze
EPO
HSA Eligible

Everyday Bronze + Vision + Adult Dental

Ambetter Health of Delaware

$515.11/mo

Ded: $8,450

Bronze
EPO
HSA Eligible

Standard Expanded Bronze + Vision + Adult Dental

Ambetter Health of Delaware

$517.06/mo

Ded: $7,500

Bronze
HMO
HSA Eligible

AmeriHealth Caritas Next Bronze Premier + No Referrals

AmeriHealth Caritas Next

$521.49/mo

Ded: $3,850

These are list prices before subsidies for a 30-year-old near Dover. With APTC, your actual monthly cost can be much lower. See your subsidized price →

Find Cheapest Plan for My ZIP

Bronze vs Silver: How Total Costs Compare

Bronze
Lowest premium
  • Lowest monthly premium
  • Highest deductibles & copays
  • Lower premium; you pay more when you use care
  • HSA-eligible plans often available
  • Not eligible for CSR cost reductions
Silver
CSR-eligible
  • Mid-range premium
  • Benchmark for APTC subsidy calculation
  • Eligible for CSR cost reductions (100–250% FPL)
  • With CSR: deductibles can drop to $300–$700
  • With CSR, total yearly cost can be lower than Bronze, depending on care used

How CSR changes the math: At 100%–250% FPL, cost-sharing reductions lower the deductible and copays on Silver plans only, so a Silver plan's listed deductible can overstate what you would pay. To compare tiers, add up the total annual cost of each: the premium × 12 plus the cost-sharing you expect to pay.

How much does health insurance cost in Delaware? (2026)

The average Silver plan in Delaware costs $674/month before subsidies, with Bronze averaging $525 and the cheapest plan in the state starting at $481.65/month. Most enrollees pay less than the listed price once APTC subsidies are applied.

Average monthly premium by metal tier in Delaware, 2026 rates, before subsidies
Metal tierPlansLowestAverageHighest
Bronze13$482$525$579
Silver10$609$674$793
Gold14$646$687$740
Platinum2$901$904$906

Figures are 2026 full monthly premiums for a single 30-year-old, before any Advance Premium Tax Credit. Estimate your subsidy to see what you would actually pay, or compare average costs across all states.

Delaware health insurance cost by age and family size

The cheapest Bronze plan in Dover costs $482/month at age 30 and $1,152/month at age 60, and $1,734/month for a family of four, before subsidies. With the premium tax credit, a 60-year-old earning $63,840 (400% of the poverty level) pays no more than $530/month for the benchmark Silver plan.

Cheapest monthly premium by household in Dover, 2026 rates, before subsidies, non-smokers
Who is coveredBronzeSilverGold
One adult, age 21$424$536$569
One adult, age 30$482$609$646
One adult, age 40$542$685$727
One adult, age 50$758$958$1,016
One adult, age 60$1,152$1,455$1,544
One adult, age 64$1,273$1,609$1,707
Couple, both 40$1,085$1,370$1,454
Family of 4 (two adults 40, two children under 15)$1,734$2,191$2,325

What you pay after the premium tax credit (2026)

Monthly cost after the federal premium tax credit, by household and income
HouseholdYearly incomeBenchmark Silver costs you at mostCheapest Bronze after the credit
One adult, age 30150% of the poverty level$23,940$84$0
One adult, age 30250% of the poverty level$39,900$281$148
One adult, age 30400% of the poverty level$63,840$530$397
One adult, age 60150% of the poverty level$23,940$84$0
One adult, age 60250% of the poverty level$39,900$281$0
One adult, age 60400% of the poverty level$63,840$530$213
Couple, both 40150% of the poverty level$32,460$113$0
Couple, both 40250% of the poverty level$54,100$381$82
Couple, both 40400% of the poverty level$86,560$718$420
  • Premiums are the cheapest 2026 plans in Dover, scaled from a 30-year-old's premium by the age rating curve CMS sets for Delaware. Prices elsewhere in Delaware differ; the county pages below show each area.
  • The credit uses the 2026 IRS percentages and the 2026 poverty guidelines. Above 400% of the poverty level there is no credit.
  • Federal credit only: some states add their own help on top, and children in lower-income families usually qualify for Medicaid or CHIP. Calculate your own credit.

Health insurance companies in Delaware compared by price

3 companies sell Marketplace plans in Dover. AmeriHealth Caritas Next has the cheapest Bronze plan for a 40-year-old, at $542/month before subsidies, and Ambetter Health of Delaware offers the most plans (17). PPO plans come from Highmark Blue Cross Blue Shield Delaware.

Cheapest monthly premium by company in Dover, a 40-year-old, 2026 rates, before subsidies, non-smokers
CompanyPlansBronzeSilverGoldNetworks
Ambetter Health of Delaware17$559$685$727EPO, HSA
Highmark Blue Cross Blue Shield Delaware14$578$805$748PPO, HSA
AmeriHealth Caritas Next8$542$761$738HMO, HSA

Each company's cheapest plan in each tier, from every Marketplace plan sold in Dover. Prices and companies elsewhere in Delaware can differ. Networks and doctors vary by plan, so check the provider directory before you enroll.

How Metal Tiers and Plans Differ in Delaware

1Check subsidy eligibility first

If your household income is between 100%–400% of the Federal Poverty Level, you likely qualify for APTC to reduce your premium. Some Delaware residents qualify for $0/month Bronze plans. Enter your income in the compare tool to see your options.

2Healthcare usage and metal tiers

Bronze plans have lower premiums and higher cost-sharing when you use care. Silver and Gold plans have higher premiums and lower cost-sharing, so which tier costs less in total depends on how much care you use.

3Check if your doctors are in-network

HMO plans require you to use in-network providers and get referrals for specialists. PPO plans offer more flexibility. Verify your preferred doctors and hospitals accept your plan before enrolling.

4Estimate your total annual cost

Look beyond the monthly premium. Add up the premium × 12, plus your expected deductible and copay costs. A lower-premium Bronze plan can cost more total if you need regular care.

Affordable, budget, and low-cost ACA plans in Delaware

Whether you're searching for cheap, affordable, budget-friendly, low-cost, inexpensive, economical, or discount health insurance in Delaware, every ACA Marketplace plan available through the federal Marketplace at HealthCare.gov must cover the same 10 Essential Health Benefits set by federal law: preventive care, emergency services, hospitalization, prescription drugs, maternity, mental health, and more. No Marketplace plan can deny you for a pre-existing condition or charge you more for being sick.

The only real differences between a "cheap" plan and an expensive one are the monthly premium, the metal tier, the provider network, and how much you pay out of pocket when you actually use care.

Below we break down every way to find lower-cost coverage in Delaware so you can match a plan to both your budget and your expected medical needs. For the strategies that apply in every state (subsidy eligibility, metal-tier choice, HSA savings, and Medicaid). See our national guide to affordable health insurance.

You might know Delaware as DE. The plans and pricing below are the same no matter which name you use.

Budget Marketplace coverage in Delaware

Bronze-tier plans have the lowest monthly premium of any metal level in Delaware, making them the budget choice for healthy adults who rarely visit the doctor. Expect a high deductible (often $7,500+) in exchange for the low monthly cost. If you qualify for the Premium Tax Credit (APTC), your effective premium can drop significantly; many Delaware residents pay $0–$50/month for Bronze coverage after subsidies are applied.

Low-cost Silver plans & Cost-Sharing Reductions

Silver-tier plans are the only tier eligible for Cost-Sharing Reductions (CSR), which lower your deductible, copays, and out-of-pocket maximum if your household income is between 100% and 250% of the Federal Poverty Level. For Delaware residents in that income range, an enhanced Silver plan carries lower cost-sharing than a standard Silver plan at the same premium. Whether that outweighs a lower Bronze premium depends on how much care you use; compare total annual cost for both.

Discount HSA-eligible HDHP options

HSA-eligible High-Deductible Health Plans (HDHPs) in Delaware let you contribute pre-tax dollars to a Health Savings Account. For 2026 IRS limits, individuals can contribute up to $4,400 and families up to $8,750. Unused funds roll over year to year, and after age 65, you can withdraw for any expense without penalty. An HDHP pairs a low, economical premium with a tax-advantaged savings vehicle.

Cheap catastrophic plans (under 30 only)

Delaware residents under 30 (or those with a hardship/affordability exemption) may qualify for catastrophic coverage. Premiums are the lowest of any tier, but the deductible equals the federal out-of-pocket maximum (~$9,200 in 2025) so it's true emergency-only coverage. Catastrophic plans don't qualify for APTC subsidies.

Inexpensive HMO vs. PPO networks in Delaware (DE)

Network type is one of the biggest levers on price in Delaware. HMO and EPO plans restrict you to an in-network provider list but carry noticeably lower premiums. PPO plans cost more but let you see out-of-network providers, usually at higher cost-sharing. Each plan has its own provider directory, so check whether your doctors are in-network before comparing prices.

Comparing total annual cost in Delaware

The monthly premium is only part of what a plan costs. Total annual cost is the premium × 12, plus the deductible and copays you expect to pay for the care you use. Plans with higher premiums usually have lower deductibles and copays, and the reverse, so the totals shift with how often you see doctors or fill prescriptions. Enter your ZIP, age, and income in our compare tool to sort plans by estimated total cost after subsidies, not just headline premium.

Health insurance companies in Delaware

These are the major health insurers that have offered ACA Marketplace plans to Delaware residents in recent plan years. Carrier participation and the counties each insurer serves change every year, so always confirm current availability for your ZIP code on HealthCare.gov before enrolling. Every plan from every carrier below covers the same federally-required Essential Health Benefits; they differ on premium, provider network, and which doctors and hospitals are in-network.

HBHighmark Blue Cross Blue Shield Delaware
ACAmeriHealth Caritas

When comparing insurers in Delaware, look up each plan's provider directory on HealthCare.gov and confirm whether your doctors, preferred hospitals, and prescription drugs are covered in-network. Out-of-network care can cost far more than a small premium difference.

Delaware health insurance marketplace: how to enroll for 2027

Delaware residents shop for ACA-compliant Marketplace plans through HealthCare.gov. Open Enrollment for plan year 2027 runs from November 1 through January 15. Outside that window, you need a Qualifying Life Event (job loss, marriage, birth, move) to enroll mid-year via a Special Enrollment Period.

Need help choosing? Call the HealthCare.gov Marketplace Call Center at 1-800-318-2596 (TTY 1-855-889-4325), open 24 hours a day, or find a free, certified navigator in Delaware at localhelp.healthcare.gov.

  1. 1

    Gather your household details

    Estimate your 2027 household income (gross, before taxes), everyone you'll claim as a tax dependent, current health insurance status, and your Delaware ZIP code.

  2. 2

    Compare plans across metal tiers

    Use a free comparison tool to see Bronze, Silver, Gold, and Platinum plans side by side. Pay attention to monthly premium, deductible, out-of-pocket maximum, and whether your doctors are in-network.

  3. 3

    Check subsidy eligibility (APTC + CSR)

    Enter your projected household income and HealthCare.gov will calculate your Advance Premium Tax Credit and tell you if you qualify for Cost-Sharing Reductions on Silver plans.

  4. 4

    Enroll directly through HealthCare.gov

    Submit your application at www.healthcare.gov. Coverage starts January 1 if you enroll by December 15; later enrollments start the following month.

  5. 5

    Pay your first premium to activate

    Coverage is not active until your insurer receives your first premium payment. You'll receive payment instructions directly from the carrier within a few business days of enrollment.

Medicaid eligibility in Delaware

Delaware has expanded Medicaid under the ACA. If your household income is at or below 138% of the Federal Poverty Level (about $22,025/year for an individual, $45,540/year for a family of 4), you likely qualify for free or very low-cost Medicaid instead of a Marketplace plan.

Delaware Medicaid is administered through managed care organizations (MCOs) including Highmark Blue Cross Blue Shield Delaware, AmeriHealth Caritas. Which plan is best depends on your county, doctors, and prescriptions, not a single statewide winner.

Medicaid in Delaware covers doctor visits, hospital care, prescription drugs, preventive screenings, mental health care, and more. There's no Open Enrollment window; you can apply year-round. Apply directly through your state Medicaid office or Delaware's marketplace, which will check your eligibility automatically.

APTC subsidy examples for Delaware households

The Advance Premium Tax Credit (APTC) caps what Delaware residents pay for the benchmark Silver plan as a percentage of household income. For 2027 the cap runs from 2.15% of income below 133% of the Federal Poverty Level (FPL) to 10.22% between 300% and 400% FPL (IRS Rev. Proc. 2026-26). Above 400% FPL there is no credit: the enhanced rules that removed that limit expired after 2025.

Household sizeAnnual income% of FPLCapped premium share
1 person$23,940150%4.30% of income
1 person$39,900250%8.66% of income
2 persons$43,280200%6.78% of income
4 persons$82,500250%8.66% of income
4 persons$132,000400%10.22% of income

Federal Poverty Level figures use the 2026 HHS guidelines for the 48 contiguous states & DC. Alaska and Hawaii use higher FPL thresholds. Actual subsidy depends on your county's benchmark Silver premium, household composition, and tax filing status. Always verify with official Marketplace before enrolling. Full chart for households of 1 to 8: ACA income limits.

Top counties in Delaware for ACA plans

Plan availability, premiums, and participating insurers vary by county within Delaware. These are the five most populous counties. Enter the listed ZIP code in our compare tool to see plans for that area.

Frequently asked questions about ACA insurance in Delaware

What is the health insurance marketplace in Delaware?

The Delaware (DE) health insurance marketplace is the federal ACA Marketplace at HealthCare.gov, operated by the federal government. Policymage lists 39 Delaware plans with live marketplace premium data. Open Enrollment runs November 1 through January 15.

How do I compare health insurance plans in Delaware?

Use policymage.com/get-quotes: enter your ZIP code, household ages, and income. Policymage fetches ACA Marketplace plans for your county, calculates APTC subsidies, and lets you compare up to 4 plans side-by-side on premium, deductible, network, and benefits. Free, no account, no broker bias. Plans in Delaware start from $481.65/month before subsidies.

Which Medicaid plan is best in Delaware?

There is no single "best" Medicaid plan in Delaware. Medicaid is administered through MCOs such as Highmark Blue Cross Blue Shield Delaware, AmeriHealth Caritas. The right plan depends on your county, doctors, and prescriptions. Medicaid (income up to 138% FPL, ~$22,025/year for an individual) is separate from ACA Marketplace plans at HealthCare.gov. Apply year-round through your state Medicaid office.

Is short-term health insurance available in Delaware?

Short-term health insurance is sold outside the ACA Marketplace in Delaware by private insurers. These plans are not ACA-compliant: they can exclude pre-existing conditions, skip Essential Health Benefits, and lack guaranteed renewal. For comprehensive coverage with subsidies, enroll in an ACA Marketplace plan at HealthCare.gov during Open Enrollment (November 1 to January 15). See policymage.com/faq for more on short-term vs ACA plans.

How much is health insurance in DE?

Health insurance in DE starts as low as $481.65/month for a 30-year-old on a Bronze plan before subsidies. Most Delaware residents who qualify for APTC pay significantly less, some as low as $0/month for a Bronze plan.

What is the cheapest health insurance option in DE for 2027?

The cheapest ACA option in DE for 2027 is typically a Bronze-tier plan or, for residents under 30, a catastrophic plan. Both carry the lowest monthly premium in exchange for a higher deductible. Compare exact Delaware plans and prices at policymage.com/get-quotes.

How do I get health insurance in Delaware?

To get health insurance in Delaware, enroll in an ACA Marketplace plan through HealthCare.gov during Open Enrollment, which runs November 1 through January 15. Plans start at $481.65/month before subsidies. You need your ZIP code, household size, and estimated annual income to apply. Outside Open Enrollment you need a Qualifying Life Event (job loss, marriage, birth, or a move) to enrol through a Special Enrollment Period.

What is the best health insurance in Delaware?

There is no single best health insurance plan in Delaware; total annual cost depends on your doctors, prescriptions, and how much care you use. Policymage does not recommend plans. It lets you compare 39 Delaware plans on premium, deductible, network, and quality rating. Total annual cost is the premium × 12 plus your expected deductible and copays. Cost-Sharing Reductions lower deductibles and copays for incomes between 100% and 250% FPL, and apply only to Silver plans.

How much is health insurance in Delaware per month?

Health insurance in Delaware starts at $481.65 per month for a Bronze plan for a 30-year-old, before subsidies. Most residents who qualify for APTC tax credits pay considerably less, and some pay $0/month for a Bronze plan. Your exact monthly cost depends on age, county, household size, and tobacco use.

How do I get free health insurance in Delaware?

Free or near-free coverage in Delaware comes from two routes. Medicaid covers adults earning up to 138% of the Federal Poverty Level (roughly $22,025/year for an individual), and you can apply year-round. Above that, APTC subsidies bring many Bronze Marketplace plans to $0/month for Delaware residents on lower incomes.

When does Open Enrollment end in Delaware for ACA plans?

Open Enrollment for Delaware residents runs from November 1 through January 15. Delaware uses the federal Marketplace at HealthCare.gov, which has a January 15 deadline. Outside Open Enrollment, you need a Qualifying Life Event to enroll in a Special Enrollment Period.

How much does health insurance cost in Delaware?

Health insurance in Delaware starts as low as $481.65/month for a 30-year-old on a Bronze plan before subsidies. With APTC tax credits, many Delaware residents pay $0–$50/month for Bronze coverage. Costs vary by age, county, tobacco use, and household size.

Does Delaware use HealthCare.gov or its own state exchange?

Delaware uses the federal Health Insurance Marketplace at HealthCare.gov. The federal government (CMS) operates the exchange, processes applications, and calculates subsidies for Delaware residents.

Has Delaware expanded Medicaid under the ACA?

Yes. Delaware has expanded Medicaid, so adults with household income up to 138% of the Federal Poverty Level (approximately $22,025/year for an individual) qualify for free or very low-cost Medicaid. There's no Open Enrollment window; you can apply year-round.

What are the income limits for ACA subsidies in Delaware?

Premium tax credits cover household income from 100% to 400% of the Federal Poverty Level: about $15,960 to $63,840 a year for an individual, or $33,000 to $132,000 for a family of 4. Below 138% FPL most adults qualify for Medicaid instead. Above 400% FPL there is no credit in 2027: the enhanced rules that removed that limit expired after 2025. Use the HealthCare.gov subsidy calculator for your exact estimate.

What are the metal tiers in Delaware (Bronze, Silver, Gold, Platinum)?

Delaware ACA plans come in four metal tiers based on actuarial value (the percentage of medical costs the plan covers on average): Bronze (~60%), Silver (~70%), Gold (~80%), and Platinum (~90%). Bronze has the lowest premium and highest deductible; Platinum has the highest premium and lowest deductible. Silver is the "benchmark" tier used to calculate APTC subsidies, and it's the only tier eligible for Cost-Sharing Reductions if you qualify by income.

Are HSA-eligible plans available in Delaware?

Yes. HSA-eligible High-Deductible Health Plans (HDHPs) are available in Delaware through HealthCare.gov. For 2026, HDHPs must have a deductible of at least $1,700 (individual) or $3,400 (family), and you can contribute up to $4,400 (individual) or $8,750 (family) to your HSA pre-tax. HSA contributions roll over year-to-year and can be invested.

Do Delaware ACA plans cover dental and vision?

Delaware ACA Marketplace plans for adults include preventive care, mental health, prescriptions, hospitalization, and the 10 Essential Health Benefits, but adult dental and vision are not federally required. Most Delaware plans cover pediatric dental and vision automatically. For adult dental/vision, you typically buy a separate standalone plan through HealthCare.gov or directly from an insurer.

What is a Qualifying Life Event for Special Enrollment in Delaware?

Outside Open Enrollment, Delaware residents can enroll in or change ACA plans within 60 days of a Qualifying Life Event: loss of other health coverage, marriage or divorce, birth or adoption of a child, moving to a new county or state, a change in income that affects subsidy eligibility, becoming a US citizen, or release from incarceration. Have documentation ready when applying through HealthCare.gov.

How do I find in-network doctors and hospitals in Delaware?

Each Delaware ACA plan has its own provider network. Before enrolling, look up the plan on HealthCare.gov, click the carrier name to access their provider directory, and search for your specific doctors and preferred hospitals by name. Out-of-network care typically isn't covered (HMO plans) or costs significantly more (PPO plans). Out-of-network costs can exceed the premium difference between plans.

Get Delaware health insurance quotes

Enter your ZIP code, age, and income for quotes on Marketplace plans sold where you live in Delaware, with your premium tax credit applied.

Compare Plans in Delaware

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Plans shown based on input. Not insurance advice. Policymage is not a licensed broker or agent.