Health Insurance in Pike County, KY

Compare 53 ACA plans and check your subsidy eligibility.

2025 Plan Year Data2026 data from CMS pending
$391/mo
Bronze from
$393/mo
Silver from
$418/mo
Gold from
$393/mo
Benchmark (SLCSP)

What is the Benchmark (SLCSP)? The Second Lowest Cost Silver Plan — the reference plan used to calculate your premium tax credit (subsidy) amount.

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Population
55,430
Median Income
$46k
Poverty Rate
23.4%
Uninsured
5.0%
Est. Uninsured
2,824
Insurers
4

Bronze Plans (1)

Lowest premium, highest cost-sharing. Best if you are healthy and rarely need care.

Anthem Bronze Pathway X Transition HMO 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO · Anthem Health Plans of Kentucky
$391/mo
Age 40 premium

Expanded Bronze Plans (14)

Like Bronze but with some services covered before you meet your deductible.

Everyday Bronze
HMO · CareSource Kentucky
$389/mo
Age 40 premium
Choice Bronze HSA
HMO · CareSource KentuckyHSA
$397/mo
Age 40 premium
Choice Bronze HSA + Vision + Adult Dental
HMO · CareSource KentuckyHSA
$405/mo
Age 40 premium
Anthem Bronze Pathway X Transition HMO 8250 for HSA ( + Incentives)
HMO · Anthem Health Plans of KentuckyHSA
$406/mo
Age 40 premium
Anthem Bronze Pathway X Transition HMO 6000 for HSA ( + Incentives)
HMO · Anthem Health Plans of KentuckyHSA
$411/mo
Age 40 premium
Everyday Bronze + Vision + Adult Dental
HMO · CareSource Kentucky
$411/mo
Age 40 premium
Anthem Bronze Pathway X Transition HMO 7700 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO · Anthem Health Plans of Kentucky
$415/mo
Age 40 premium
Anthem Bronze Pathway X Transition HMO 7300 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO · Anthem Health Plans of Kentucky
$415/mo
Age 40 premium
Anthem Bronze Pathway X Transition HMO 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Rx)
HMO · Anthem Health Plans of Kentucky
$421/mo
Age 40 premium
Anthem Bronze Pathway X Transition HMO 6800 for HSA ( + Incentives)
HMO · Anthem Health Plans of KentuckyHSA
$425/mo
Age 40 premium
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness
HMO · Ambetter of Kentucky
$454/mo
Age 40 premium
Bronze First 7500 $25 Generic Drugs
HMO · Ambetter of Kentucky
$474/mo
Age 40 premium
Anthem Bronze Pathway X HMO 6700 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO · Anthem Health Plans of Kentucky
$485/mo
Age 40 premium
Anthem Bronze Pathway X HMO 6700 for HSA ( + Incentives)
HMO · Anthem Health Plans of KentuckyHSA
$530/mo
Age 40 premium

Silver Plans (22)

Middle ground. Required for cost-sharing reductions if your income is 100-250% FPL.

Complete Silver + Vision + Adult Dental
HMO · CareSource Kentucky
$414/mo
Age 40 premium
Silver 12 250 with First 4 Primary Care Visits Free
HMO · Molina Healthcare of Kentucky
$428/mo
Age 40 premium
Complete Silver
HMO · CareSource Kentucky
$430/mo
Age 40 premium
Silver 1 250
HMO · Molina Healthcare of Kentucky
$432/mo
Age 40 premium
Silver 1 250 with Adult Vision Services
HMO · Molina Healthcare of Kentucky
$436/mo
Age 40 premium
Anthem Silver Pathway X Transition HMO 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO · Anthem Health Plans of Kentucky
$448/mo
Age 40 premium
Anthem Silver Pathway X Transition HMO 4200 for HSA ( + Incentives)
HMO · Anthem Health Plans of KentuckyHSA
$470/mo
Age 40 premium
Anthem Silver Pathway X Transition HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Rx)
HMO · Anthem Health Plans of Kentucky
$471/mo
Age 40 premium
Clear Silver
HMO · CareSource Kentucky
$478/mo
Age 40 premium
Focused Silver
HMO · CareSource Kentucky
$485/mo
Age 40 premium
Focused Silver + Vision + Adult Dental
HMO · CareSource Kentucky
$491/mo
Age 40 premium
Low Premium Silver 6000 $3 Generic Drugs
HMO · Ambetter of Kentucky
$539/mo
Age 40 premium
Silver 5000 $20 Generic Drugs Adult Vision & Fitness
HMO · Ambetter of Kentucky
$558/mo
Age 40 premium
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
HMO · Ambetter of Kentucky
$568/mo
Age 40 premium
Silver 5000 $20 Generic Drugs
HMO · Ambetter of Kentucky
$576/mo
Age 40 premium
Core Silver 5000 $3 Generic Drugs
HMO · Ambetter of Kentucky
$587/mo
Age 40 premium
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
HMO · Ambetter of Kentucky
$588/mo
Age 40 premium
Anthem Silver Pathway X HMO 3500 for HSA ( + Incentives)
HMO · Anthem Health Plans of KentuckyHSA
$588/mo
Age 40 premium
Diabetes Silver 4000 $0 Select Drugs & Specialized Services
HMO · Ambetter of Kentucky
$589/mo
Age 40 premium
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
HMO · Ambetter of Kentucky
$598/mo
Age 40 premium
Anthem Silver Pathway X HMO 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO · Anthem Health Plans of Kentucky
$633/mo
Age 40 premium
HDHP Preventive Silver 5500 $0 Select Drugs
HMO · Ambetter of KentuckyHSA
$824/mo
Age 40 premium

Gold Plans (15)

Higher premium, lower out-of-pocket. Good if you use medical services regularly.

Everyday Gold
HMO · CareSource Kentucky
$496/mo
Age 40 premium
Complete Gold
HMO · CareSource Kentucky
$510/mo
Age 40 premium
Everyday Gold + Vision + Adult Dental
HMO · CareSource Kentucky
$512/mo
Age 40 premium
Complete Gold + Vision + Adult Dental
HMO · CareSource Kentucky
$526/mo
Age 40 premium
Gold 1
HMO · Molina Healthcare of Kentucky
$544/mo
Age 40 premium
Core Gold 1500 $10 Generic Drugs
HMO · Ambetter of Kentucky
$642/mo
Age 40 premium
Gold 1 with Adult Vision Services
HMO · Molina Healthcare of Kentucky
$661/mo
Age 40 premium
Anthem Gold Pathway X Transition HMO 2300 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO · Anthem Health Plans of Kentucky
$664/mo
Age 40 premium
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness
HMO · Ambetter of Kentucky
$685/mo
Age 40 premium
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
HMO · Ambetter of Kentucky
$690/mo
Age 40 premium
Gold 1500 $15 Generic Drugs Adult Vision & Fitness
HMO · Ambetter of Kentucky
$696/mo
Age 40 premium
Gold 1500 $15 Generic Drugs
HMO · Ambetter of Kentucky
$699/mo
Age 40 premium
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services
HMO · Ambetter of Kentucky
$699/mo
Age 40 premium
Diabetes Gold 1100 $0 Select Drugs & Specialized Services
HMO · Ambetter of Kentucky
$714/mo
Age 40 premium
Anthem Gold Pathway X HMO 2300 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO · Anthem Health Plans of Kentucky
$730/mo
Age 40 premium

Catastrophic Plans (1)

Very low premium, very high deductible. Only available to people under 30.

Anthem Catastrophic Pathway Transition X HMO 9200 (+ Incentives)
HMO · Anthem Health Plans of Kentucky
$310/mo
Age 40 premium

Kentucky Expanded Medicaid

Adults with income up to 138% FPL may qualify for Medicaid in Kentucky — often with $0 premiums.

Check Medicaid Eligibility

Calculate Your Costs in Pike County

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Subsidy Calculator

See how much the government will pay toward your premium

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Medicaid Eligibility

Check if you qualify for Kentucky Medicaid program

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True Plan Cost

Compare total annual cost including premiums + expected care

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Is COBRA really better than a subsidized ACA plan?