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Marketplace health plans in Sussex County, DE — 2026
What agents look up before working a county's individual market: plans by metal level, insurers, the benchmark silver premium, the lowest bronze premium, deductible and out-of-pocket floors, the population under 65, and what changed since last year.
In 2026, Sussex County, Delaware has 40 Marketplace health plans from 3 insurers: 13 bronze, 10 silver, 14 gold, 2 platinum, 1 catastrophic. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $691.70 per month; the lowest bronze premium is $542.33.
What changed vs 2025
- Benchmark silver premium up $157.99 a month (+29.6%) from 2025
- 5 fewer plans than 2025
- Insurers exited: Aetna CVS Health
- Lowest bronze premium up $130.58 a month
Market snapshot
- Residents under 65
- 178,377
- Insurers
- 3
- Plans by metal level
- 13 bronze, 10 silver, 14 gold, 2 platinum, 1 catastrophic
- Benchmark silver premium, age 40, before subsidies
- $691.70/mo
- Lowest bronze premium, age 40, before subsidies
- $542.33/mo
- Lowest gold premium, age 40, before subsidies
- $727.21/mo
- Lowest silver deductible
- $0
- Lowest out-of-pocket maximum
- $5,000
Insurers in the county
- Ambetter Health of Delaware — 17 plans (Bronze, Silver, Gold)
- Highmark Blue Cross Blue Shield Delaware — 15 plans (Catastrophic, Bronze, Silver, Gold, Platinum)
- AmeriHealth Caritas Next — 8 plans (Bronze, Silver, Gold)
Lowest age-40 premium per metal level, before subsidies
| Metal level | Plan | Insurer | Plan type | Monthly premium, age 40 | Deductible | Out-of-pocket maximum | Plans at this level |
| Catastrophic | my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits (76168DE0690013) | Highmark Blue Cross Blue Shield Delaware | PPO | $467.86 | $10,600 | $10,600 | 1 |
| Bronze | AmeriHealth Caritas Next Bronze Essential + No Referrals (72760DE0010001) | AmeriHealth Caritas Next | HMO | $542.33 | $10,600 | $10,600 | 13 |
| Silver | Standard Silver (64004DE0090008) | Ambetter Health of Delaware | EPO | $685.23 | $6,000 | $8,900 | 10 |
| Gold | Clear Gold (64004DE0090011) | Ambetter Health of Delaware | EPO | $727.21 | $1,200 | $9,150 | 14 |
| Platinum | my Blue Access Select PPO Standard Platinum 0 (76168DE0690011) | Highmark Blue Cross Blue Shield Delaware | PPO | $1,014.96 | $0 | $5,300 | 2 |
One plan per metal level shown, of 40 plans in the county.
Benchmark silver premium by age
The benchmark plan (Ambetter Health of Delaware) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
| $541.25 | $567.22 | $614.31 | $691.70 | $966.65 | $1,468.92 |
Nearby counties
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About this data
Premiums are individual, non-tobacco, age 40, before any premium tax credit, from the CMS QHP Landscape Individual Market Medical file for plan year 2026; population: U.S. Census Bureau ACS 5-year 2024.
This page summarizes publicly available CMS data. It does not recommend plans and is not an application. To check subsidy eligibility and enroll, use HealthCare.gov or talk to a licensed agent. HealthCare.gov plan preview.