Iowa · 2026 plan year

Health insurance plans in Iowa

Iowa uses the federal Marketplace, with 118 plans across the Bronze, Silver and Gold tiers from up to 6 insurers. Which tier suits you depends far more on how much care you expect to use than on the premium alone.

118
Marketplace plans
6
Insurers
99
Counties covered
$264
Cheapest premium
These are benchmark premiums, not your price. Every dollar figure here is the individual rate at age 21 for a non-tobacco user, before any premium tax credit — the standard way plans are compared like for like. What you actually pay depends on your age, county, household and income. Estimate your real cost.

Every Iowa Bronze plan is HSA-eligible.

All 41 Bronze plans here meet the IRS high-deductible rules, so any of them can be paired with a health savings account — letting you set aside pre-tax money against the deductible, which averages $6,422 in this tier.

By metal tier

The three tiers in Iowa, compared

TierPlansInsurersFrom / moAverage / moAvg deductible
Bronze416$264$332$6,422
Silver416$353$459$4,854
Gold366$338$468$1,651
Also available

Catastrophic and other coverage

Some states also offer Catastrophic plans, which carry very low premiums and very high deductibles and are limited to people under 30 or those with a hardship exemption. They are a small share of the market and are not broken out into their own page here — you can find any available in Iowa on the full Iowa plan list. Platinum plans are rare on the federal Marketplace and are absent from most states.

Other states

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