2026 plan year · Iowa
2026 health insurance plans in Tama County, IA
58 Marketplace plans from 4 insurers. Premiums below are full monthly prices before tax credits. Use the age columns to see how price changes with age.
- $461benchmark silver (age 40)
- $345cheapest bronze (age 40)
- 4insurers
- +13.2%benchmark change vs. 2025
Insurer changes from 2025
- New here: Ambetter Health.
Expanded Bronze plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Bronze Classic Standard | MercyOne Oscar Insurance Company · EPO | $270 | $345 | $732 | $7,500 | $10,000 | $50 |
| Wellmark Bronze Standard | UnityPoint Health Wellmark Health Plan of Iowa, Inc. · HMO | $274 | $350 | $743 | $7,500 | $10,000 | $50 |
| Wellmark Bronze Traditional HMO Wellmark Health Plan of Iowa, Inc. · HMO | $274 | $351 | $745 | $7,200 | $9,900 | $75 |
| Bronze Simple Diabetes | MercyOne Oscar Insurance Company · EPO | $275 | $352 | $748 | $5,500 | $10,150 | $50 |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne Oscar Insurance Company · EPO | $277 | $354 | $752 | $5,500 | $10,150 | $50 |
| Bronze Classic 4700 | MercyOne Oscar Insurance Company · EPO | $278 | $355 | $754 | $4,700 | $9,300 | $70 |
| Wellmark Bronze HDHP HMO HSA Qualified Wellmark Health Plan of Iowa, Inc. · HMO | $280 | $358 | $760 | $8,300 | $8,300 | No Charge after Deductible |
| Bronze Simple Chronic Care CKM | MercyOne Oscar Insurance Company · EPO | $282 | $360 | $765 | $5,500 | $10,150 | $50 |
| Everyday Bronze Ambetter Health · HMO | $282 | $360 | $766 | $8,450 | $10,150 | $40 |
| Standard Expanded Bronze Ambetter Health · HMO | $283 | $361 | $767 | $7,500 | $10,000 | $50 |
| Everyday Bronze + Vision + Adult Dental Ambetter Health · HMO | $294 | $376 | $798 | $8,450 | $10,150 | $40 |
| Wellmark Standard Bronze HMO Wellmark Health Plan of Iowa, Inc. · HMO | $294 | $376 | $798 | $7,500 | $10,000 | $50 |
| Standard Expanded Bronze + Vision + Adult Dental Ambetter Health · HMO | $295 | $377 | $800 | $7,500 | $10,000 | $50 |
| Bronze Elite + PCP Saver Plus | MercyOne Oscar Insurance Company · EPO | $295 | $377 | $801 | $0 | $10,600 | $50 |
| Bronze Classic Standard Oscar Insurance Company · EPO | $320 | $410 | $870 | $7,500 | $10,000 | $50 |
| Elite Bronze Ambetter Health · HMO | $327 | $418 | $887 | $0 | $10,500 | $60 |
| Inspire by Medica Bronze Share Medica · EPO | $332 | $424 | $901 | $8,000 | $10,600 | $50 |
| Elite Bronze + Vision + Adult Dental Ambetter Health · HMO | $341 | $435 | $925 | $0 | $10,500 | $60 |
| Inspire by Medica Bronze $0 Copay PCP Visits Medica · EPO | $361 | $461 | $979 | $7,500 | $10,600 | No Charge |
| Inspire by Medica Expanded Bronze Standard Medica · EPO | $365 | $467 | $991 | $7,500 | $10,000 | $50 |
| Medica Insure Expanded Bronze Standard Medica · EPO | $473 | $605 | $1,285 | $7,500 | $10,000 | $50 |
Silver plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Standard Silver Ambetter Health · HMO | $359 | $459 | $975 | $6,000 | $8,900 | $40 |
| Silver Classic Standard | MercyOne Oscar Insurance Company · EPO | $361 | $461 | $979 | $6,000 | $8,900 | $40 |
| Silver Simple PCP Saver | MercyOne Oscar Insurance Company · EPO | $362 | $462 | $981 | $5,000 | $8,500 | $25 |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne Oscar Insurance Company · EPO | $363 | $463 | $984 | $6,200 | $9,600 | No Charge |
| Focused Silver Ambetter Health · HMO | $363 | $464 | $986 | $6,300 | $8,400 | $40 |
| Silver Classic | MercyOne Oscar Insurance Company · EPO | $365 | $467 | $991 | $5,000 | $8,000 | $65 |
| Silver Simple Diabetes | MercyOne Oscar Insurance Company · EPO | $368 | $470 | $998 | $6,500 | $10,000 | No Charge |
| Silver Simple Chronic Care CKM | MercyOne Oscar Insurance Company · EPO | $371 | $474 | $1,007 | $5,900 | $10,150 | No Charge |
| Silver Simple Women's Health with Menopause Benefits | MercyOne Oscar Insurance Company · EPO | $373 | $476 | $1,011 | $6,000 | $10,150 | No Charge |
| Standard Silver + Vision + Adult Dental Ambetter Health · HMO | $375 | $479 | $1,017 | $6,000 | $8,900 | $40 |
| Focused Silver + Vision + Adult Dental Ambetter Health · HMO | $379 | $484 | $1,028 | $6,300 | $8,400 | $40 |
| Wellmark Silver Primary Care | UnityPoint Health Wellmark Health Plan of Iowa, Inc. · HMO | $381 | $487 | $1,035 | $5,700 | $8,000 | $10 |
| Wellmark Silver Traditional HMO Wellmark Health Plan of Iowa, Inc. · HMO | $411 | $525 | $1,115 | $5,000 | $7,500 | $45 |
| Wellmark Standard Silver HMO Wellmark Health Plan of Iowa, Inc. · HMO | $417 | $533 | $1,131 | $6,000 | $8,900 | $40 |
| Silver Classic Standard Oscar Insurance Company · EPO | $438 | $560 | $1,189 | $6,000 | $8,900 | $40 |
| Inspire by Medica Silver $0 Copay PCP Visits Medica · EPO | $510 | $652 | $1,385 | $3,500 | $10,450 | No Charge |
| Inspire by Medica Silver Share Medica · EPO | $526 | $672 | $1,427 | $3,525 | $8,850 | $30 |
| Inspire by Medica Silver Standard Medica · EPO | $534 | $682 | $1,449 | $6,000 | $8,900 | $40 |
| Medica Insure Silver Standard Medica · EPO | $692 | $885 | $1,879 | $6,000 | $8,900 | $40 |
Gold plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Wellmark Gold Primary Care | UnityPoint Health Wellmark Health Plan of Iowa, Inc. · HMO | $338 | $432 | $917 | $2,300 | $8,000 | $5 |
| Gold Classic Standard | MercyOne Oscar Insurance Company · EPO | $347 | $444 | $942 | $2,000 | $8,200 | $30 |
| Gold Elite | MercyOne Oscar Insurance Company · EPO | $369 | $471 | $1,000 | $550 | $6,000 | $25 |
| Wellmark Gold Traditional HMO Wellmark Health Plan of Iowa, Inc. · HMO | $376 | $481 | $1,021 | $1,750 | $7,500 | $15 |
| Wellmark Standard Gold HMO Wellmark Health Plan of Iowa, Inc. · HMO | $383 | $489 | $1,039 | $2,000 | $8,200 | $30 |
| Standard Gold Ambetter Health · HMO | $384 | $491 | $1,043 | $2,000 | $8,200 | $30 |
| Everyday Gold Ambetter Health · HMO | $390 | $499 | $1,060 | $800 | $7,250 | $35 |
| Standard Gold + Vision + Adult Dental Ambetter Health · HMO | $401 | $512 | $1,087 | $2,000 | $8,200 | $30 |
| Complete Gold Ambetter Health · HMO | $404 | $517 | $1,098 | $1,450 | $7,500 | $15 |
| Everyday Gold + Vision + Adult Dental Ambetter Health · HMO | $407 | $520 | $1,104 | $800 | $7,250 | $35 |
| Gold Classic Standard Oscar Insurance Company · EPO | $415 | $530 | $1,125 | $2,000 | $8,200 | $30 |
| Complete Gold + Vision + Adult Dental Ambetter Health · HMO | $422 | $539 | $1,144 | $1,450 | $7,500 | $15 |
| Inspire by Medica Gold $0 Copay PCP Visits Medica · EPO | $502 | $642 | $1,363 | $1,500 | $8,800 | No Charge |
| Inspire by Medica Gold Share Medica · EPO | $517 | $661 | $1,404 | $2,500 | $5,900 | $30 |
| Inspire by Medica Gold Standard Medica · EPO | $533 | $681 | $1,447 | $2,000 | $8,200 | $30 |
| Medica Insure Gold Standard Medica · EPO | $691 | $883 | $1,875 | $2,000 | $8,200 | $30 |
Catastrophic plans
| Plan | Age 21 | Age 40 | Age 60 | Deductible | Out-of-pocket max | Doctor visit |
|---|---|---|---|---|---|---|
| Secure | MercyOne Oscar Insurance Company · EPO | $240 | $307 | $651 | $10,600 | $10,600 | No Charge after Deductible |
| Secure Oscar Insurance Company · EPO | $287 | $367 | $779 | $10,600 | $10,600 | No Charge after Deductible |
Care quality in Tama County
Marketplace plans use networks. Check that the hospitals and doctors you'd want are in network, and how they're rated.
Turning 65?
Marketplace plans are for people who aren't on Medicare. See Medicare Advantage plans in Tama County.
Frequently asked questions
How many Marketplace health plans are available in Tama County, IA for 2026?
58 plans from 4 insurers: Ambetter Health, Medica, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..
What is the benchmark silver plan premium in Tama County, IA?
For 2026, the second-lowest-cost silver plan costs $461 a month for a 40-year-old before tax credits, up 13.2% from 2025. Tax credits are calculated from this plan, so most people who qualify pay much less.
What is the cheapest health plan in Tama County, IA?
The lowest bronze premium for a 40-year-old is $345 a month before tax credits. Bronze plans have low premiums but high deductibles.