Coverage Atlas

ACA Health Insurance Plans in Iowa (2026)

601 ACA medical marketplace plans from 6 insurers are listed in Iowa for the 2026 plan year, alongside 22 standalone dental plans — per the CMS ACA Plan Attributes Public Use File.

Last updated: June 24, 2026 · Source: CMS ACA Plan Attributes PUF (2026 plan year)

601
Medical plans
6
Medical issuers
4
Metal tiers offered
22
Standalone dental plans
This page is a reference catalog of which plans exist, with sticker (pre-subsidy) premiums where available. It informs and compares; it does not recommend a "best plan" and gives no advice. Plan attributes come from the CMS ACA Plan Attributes PUF; premiums (shown below for federal-marketplace states) come from the separate CMS Rate PUF — sticker prices only, never your net cost after subsidies. For eligibility, subsidies, and to enroll, go to HealthCare.gov or your state marketplace.

How many ACA plans are available in Iowa?

The CMS ACA Plan Attributes Public Use File lists 601 medical plan variants from 6 issuers in Iowa for 2026, plus 22 standalone dental plans from 3 issuers. Counts are plan variants (each cost-sharing variation is a row in the source file).

Segment Plans Issuers
Medical (qualified health plans) 601 6
Standalone dental (SADP) 22 3

Source: CMS ACA Plan Attributes PUF (2026 plan year).

What metal tiers are offered in Iowa?

Iowa medical plans span Silver, Expanded Bronze, Gold, Catastrophic. The most common tier is Silver (287 plans).

Metal tier Plans Share of medical
Silver 287 48%
Expanded Bronze 164 27%
Gold 144 24%
Catastrophic 6 1%

Source: CMS ACA Plan Attributes PUF (2026 plan year).

HMO, PPO, EPO or POS — what plan types are available in Iowa?

EPO is the most common plan type in Iowa (358 plans).

Plan type Plans Share of medical
EPO 358 60%
HMO 185 31%
PPO 58 10%

Source: CMS ACA Plan Attributes PUF (2026 plan year).

Plan features in Iowa

Source: CMS ACA Plan Attributes PUF (2026 plan year).

Which insurers offer ACA plans in Iowa?

9 distinct issuer IDs appear in Iowa across medical and standalone dental plans (6 offer medical, 3 offer standalone dental; some offer both):

9 issuer names are listed below. Some CMS rows carry issuer IDs without a display name in this projection, so the named list can be smaller than the distinct issuer-ID count.

Source: CMS ACA Plan Attributes PUF (2026 plan year).

Sources & provenance

Every figure on this page comes from the CMS ACA Plan Attributes PUF (2026 plan year) (source id src:cms:aca-plan-attributes-puf:2026), published by the Centers for Medicare & Medicaid Services: https://www.cms.gov/marketplace/resources/data/public-use-files.

Medical plans are metal tiers Silver, Gold, Bronze, Expanded Bronze, Platinum and Catastrophic; standalone dental plans (SADPs) use the Low/High tiers and are counted separately. Premiums are not in this file and are not shown here.

Data exported June 24, 2026 · content hash · machine-readable brief: /coverage/states/ia.context.md

Recorded · CMS Rate PUF

What ACA plans cost in Iowa

Read these as sticker prices, not your price.

These are the full premiums before income-based tax credits. Most marketplace enrollees pay far less — a premium tax credit is tied to your income and can bring a plan's cost down sharply, sometimes to near $0 for lower incomes. These figures show how plans compare and what coverage costs unsubsidized — not what you'll pay. For your actual price, enter your income at healthcare.gov.

A typical Silver plan runs $559/month for a 40-year-old, ranging $452–$1,069 across Iowa's 7 rating areas. Silver is the benchmark tier that income-based credits are sized against.

Metal tier Typical (median) Range across rating areas Plans
Catastrophic $356 $300–$414 16
Bronze $420 $338–$731 188
Silver $559 $452–$1,069 182
Gold $584 $432–$1,067 149

Benchmark: a 40-year-old, individual, non-tobacco. Premiums also rise with age and vary by rating area — a 60-year-old pays roughly 3× a 21-year-old for the same plan. "Typical" is the median monthly premium across the state's 7 rating areas and 121 plans; a tier only appears if it is offered in the state. Catastrophic plans are generally available only to enrollees under 30 or with a hardship exemption — the figure is the on-file rate, not an option most 40-year-olds can buy.

RECORDED — the premiums are the CMS Marketplace Rate Public Use File's published figures for the current plan year. INTERPRETATION — "sticker, not your price" and the subsidy note are framing, because net cost depends on your income and current tax-credit rules. Coverage scope is the IA federally-facilitated marketplace; this atlas informs and compares — it is not advice on which plan to buy. Verify and enroll at healthcare.gov.

Iowa across the Atlas Commons

The same state in the other source-backed Atlas Commons domains.