Best Iowa Health Insurance (2024 Plans)


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MoneyGeek Logo IconBest Health InsuranceIowa
2024

Best Health Insurance in Iowa

Why Trust MoneyGeek? We downloaded plan data for Iowa directly from the Centers for Medicare & Medicaid Services (CMS). MoneyGeek’s scoring methodology balances costs, claims approval and plan types to find the best providers in the state.

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Plan data was updated with the CMS exchange data released in October 2023 for the 2024 enrollment period.

85Plans Analyzed
 
3Providers Compared

Best Overall for Health Insurance in Iowa

With a MoneyGeek rating of 90 out of 100, Oscar offers the best health insurance in Iowa. Oscar provides plans with low monthly costs and low MOOP costs. Oscar also has a low chance of denying claims.

For our study, we looked at a total of 30 health insurance plans in Iowa, comprising both EPO and HMO types.

MoneyGeek Pick: Oscar

Oscar

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Offers affordable premium rates

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Low out-of-pocket costs

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Few claims denied

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Limited types of plans offered

COMPANY HIGHLIGHTS

MoneyGeek's top pick for the best health insurance in Iowa is Oscar. The provider offers 10 unique Silver EPO plans, with an average plan rate of $465 per month and an average MOOP cost of $8,550. Oscar has a denial rate of 12%, which is lower than most of the competition.

Its Silver EPO plans allow you to visit specialists without a referral.

Plan Recommendations

MoneyGeek recommends the following Silver plans:

  • Silver Simple PCP Saver | MercyOne: $448 per month; MOOP $8,900
  • Silver Classic Standard | MercyOne: $452 per month; MOOP $9,100
  • Silver Simple Diabetes | MercyOne: $465 per month; MOOP $8,550

Best Health Insurance in Iowa for Low Out-of-Pocket Costs

Oscar is the best health insurance in Iowa for low out-of-pocket costs, with a MoneyGeek score of 89 out of 100. The company provides some of the cheapest plan options available, has low out-of-pocket costs and rarely denies claims compared with other insurers.

For this evaluation, 18 Gold EPO plans and four Gold HMO plans were reviewed.

MoneyGeek Pick: Oscar

Oscar

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Affordable premium rates

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Low out-of-pocket costs

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Few claims denied

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Several types of plans available

COMPANY HIGHLIGHTS

MoneyGeek's top pick for the best health insurance in Iowa for low out-of-pocket costs is Oscar. It offers an average plan rate of $476 and an average MOOP cost of $7,100. Oscar has a denial rate of 12%, which is lower than most of the competition.

It provides four Gold EPO plans. EPO plans typically give you a network of doctors and hospitals to choose from.

Plan Recommendations

MoneyGeek recommends the following Gold and Platinum plans:

  • Gold Elite | MercyOne: $489 per month; MOOP $5,500
  • Gold Elite: $524 per month; MOOP $5,500
  • Gold Classic Standard | MercyOne: $443 per month; MOOP $8,700

Best Cheap Health Insurance in Iowa

Oscar is the best cheap health insurance provider in Iowa with a MoneyGeek score of 91 out of 100. The provider offers the cheapest plan options, has lower out-of-pocket expenses and denies fewer claims than most other providers.

For this category, MoneyGeek evaluated 30 Silver plans in Iowa. They comprise 27 Silver EPO plans and three Silver HMO plans. MoneyGeek placed more importance on plans with lower monthly premiums during our review, but also noted that plans with lower premiums may have higher out-of-pocket costs.

MoneyGeek Pick: Oscar

Oscar

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Exceptionally low premium rates

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Minimal out-of-pocket costs

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Very few claims denied

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Diverse plan options available

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Only offers EPO plan type

COMPANY HIGHLIGHTS

MoneyGeek's top pick for the best cheap health insurance in Iowa is Oscar. They offer an average plan rate of $472 and an average MOOP cost of $8,860. Oscar has a denial rate of 11.7%, which is lower than most of the competition.

Oscar offers Silver EPO plans. EPO plans often have lower costs when you visit doctors or hospitals in the plan's network.

Plan Recommendations

MoneyGeek recommends the following cheap Silver plans:

  • Silver Simple Diabetes | MercyOne: $465 per month; MOOP $8,550
  • Silver Simple PCP Saver | MercyOne: $448 per month; MOOP $8,900
  • Silver Classic | MercyOne: $469 per month; MOOP $8,650

Best Health Insurance for Low Income in Iowa

Oscar offers the best health insurance in Iowa for people with low income, scoring 91 out of 100. It has lower-than-average rates for plans, lower out-of-pocket costs and fewer claim denials.

We evaluated 30 Silver CSR plans in Iowa for this analysis, which included both EPO and HMO plan types.

MoneyGeek placed a greater emphasis on plans with low monthly premiums and included only those with cost-sharing reductions (CSRs). CSRs lower your maximum out-of-pocket and deductible if you earn within certain income brackets, which helps you avoid paying less each month but more when you get care. A regular Silver plan covers about 70% of your health care costs, but with CSR Silver plans the amount covered changes based on your income:

  • If you make between $27,180 and $33,975 a year (201%–250% of the Federal Poverty Level or FPL), you can expect to have 73% of your health costs covered.
  • If your yearly income is between $20,385 and $27,180 (151%–200% of the FPL), then 87% of costs should be covered.
  • For those making less than $20,385 annually (up to 150% of the FPL), about 94% of health expenses should be covered.

These income brackets will change if you have more or fewer people living in your home.

MoneyGeek Pick: Oscar

Oscar

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Low premium rates

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Minimal out-of-pocket costs

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Very few claims denied

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Only offers EPO plans

COMPANY HIGHLIGHTS

MoneyGeek's top pick for the best health insurance in Iowa for those with low income is Oscar. It has cost-effective plans for people who make less than 250% of the FPL. The provider offers 10 Silver CSR plans at an average cost of $472 per month and an average MOOP of $7,180.

The provider only has EPO plans, which typically have lower premiums. Oscar's denial rate is 12%, so it approves claims more frequently than its competitors.

Plan Recommendations

Oscar's top-rated plan offers lower out-of-pocket expenses for the same premium for people in different income brackets. Here are some of the lower overall out-of-pocket costs based on income levels:

  • 151%–200% of the FPL: $448 per month; $3,000 MOOP
  • Up to 150% of the FPL: $448 per month; $1,550 MOOP

Best Health Insurance for Young Adults in Iowa

Blue Cross Blue Shield offers the best health insurance in Iowa for young adults, with a MoneyGeek score of 80 out of 100. The provider offers the most affordable plan options and low out-of-pocket costs. It also has better-than-average denial rates for claims.

For this analysis, we evaluated five Bronze EPO plans; 30 Expanded Bronze plans, including both EPO and HMO types; and two Catastrophic EPO plans. Keep in mind that only individuals under the age of 30 can purchase Catastrophic plans.

MoneyGeek Pick: Blue Cross Blue Shield

Blue Cross Blue Shield

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Exceptionally affordable premium rates

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Minimal out-of-pocket costs

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Infrequent denial of claims

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Limited types of plans offered

COMPANY HIGHLIGHTS

MoneyGeek's top pick for the best health insurance in Iowa for young adults is Blue Cross Blue Shield. It offers an average plan rate of $242 and an average MOOP cost of $8,431. It has a denial rate of about 17%, which is lower than most of the competition.

Blue Cross Blue Shield doesn't offer PPO or POS plans in Iowa. It does offer EPO plans, which often have lower premiums with a requirement to choose providers in-network.

Young adults often choose lower coverage levels because they generally need less medical care. This insurer has one Catastrophic plan and five Expanded Bronze plans.

Plan Recommendations

MoneyGeek recommends the following plans for young adults:

  • Wellmark Bronze HDHP HMO | Farm Bureau: $242 for 18-year-olds and $272 for 26-year-olds; MOOP $7,500
  • Wellmark Bronze HDHP HMO: $242 for 18-year-olds and $272 for 26-year-olds; MOOP $7,500
  • Wellmark Bronze Primary Care | UnityPoint Health: $223 for 18-year-olds and $250 for 26-year-olds; MOOP $9,000

Best Health Insurance by Plan Type in Iowa

Health insurance companies have different plan types. The best providers for all plan categories are:

  • EPO: Oscar (MoneyGeek score: 100 out of 100)
  • HMO: Blue Cross Blue Shield (MoneyGeek score: 100 out of 100)

Only Silver plans were considered in these recommendations. Silver plans are a good choice for people who need to use their health insurance often. They help balance the monthly costs with the costs you pay at the doctor.

In Iowa, there are three Silver HMO plans and 27 Silver EPO plans available.

MoneyGeek Pick for EPO: Oscar

Oscar
COMPANY HIGHLIGHTS

MoneyGeek's top pick for the best health insurance in Iowa for Silver EPO plans is Oscar. It offers 10 such plans, with an average plan rate of $472 and an average MOOP cost of $8,860. The provider denies fewer claims than average.

Silver EPO plans let you see doctors in their network without a referral. But you must pick in-network doctors unless you have an emergency.

Plan Recommendations

We suggest the following Silver EPO plans from Oscar:

  • Silver Simple Diabetes | MercyOne: $465 per month; MOOP $8,550
  • Silver Classic | MercyOne: $469 per month; MOOP $8,650

MoneyGeek Pick for HMO: Blue Cross Blue Shield

Blue Cross Blue Shield
COMPANY HIGHLIGHTS

MoneyGeek's top pick for the best health insurance in Iowa for Silver HMO plans is Blue Cross Blue Shield. It offers an average plan rate of $460 and an average MOOP cost of $8,900. The provider has a lower-than-average denial rate of 17%.

Silver HMO plans can be a good choice because they have lower monthly costs. But you need to stay in your network except for emergencies, and seeing a specialist requires a referral from your primary care doctor. If you have nearby in-network health care providers, Silver HMO plans might work well for you.

Plan Recommendations

We suggest the following Silver HMO plans from Blue Cross Blue Shield:

  • Wellmark Silver Primary Care | UnityPoint Health: $413 per month; MOOP $8,900
  • Wellmark Standard Silver HMO: $466 per month; MOOP $9,100

Best Short-Term Health Insurance in Iowa

National General Accident & Health is MoneyGeek’s top pick for short-term health insurance in Iowa — the company earned a MoneyGeek score of 90 out of 100. Short-term health insurance best suits those who need to bridge brief coverage lapses since it doesn’t cover all essential medical benefits compliant with the Affordable Care Act (ACA).

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MoneyGeek Top Pick: National General Accident & Health
National General Accident & Health

National General Accident & Health is an outstanding health insurance company in Iowa, offering insurance for accidents, critical illness and dental needs. The provider has flexible term lengths and coverage limits as well as low-cost co-insurance and application fees. Most policies even include prescription drugs and out-of-network coverages.

How to Find the Best Health Insurance for You in Iowa

Your budget and health care needs should determine the best private health insurance in Iowa for you. When you’re shopping for health insurance, it’s important to consider how much you’re willing to pay each month based on the amount of medical care you need.

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    Understand when a health insurance plan will cover you

    Some health insurance lets you see doctors in a certain group, or network. When you see a doctor in the network, the cost is usually less. If you see a doctor outside the network, you pay more.

    In Iowa, there are 27 EPO plans, which provide access to network of doctors you can choose from. There are also three HMO plans. With an HMO, you pick one main doctor, and they help you decide when to see other doctors.

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    Weigh the cost of premiums vs. the cost of care

    When looking for health insurance, consider how much you pay each month and how high the MOOP is. Choosing the right balance for you depends on how often you go to the doctor or need medical care.

    Some insurance plans might have a small monthly cost, but you might have to spend more if you get sick or hurt. Plans that cost more each month might have lower out-of-pocket limits, possibly saving you money if you see the doctor often.

    MercyOne's Silver Simple Diabetes plan with the lowest out-of-pocket limit costs $465 each month. This monthly cost is less than that of some other Silver plans from the same company. If this plan offers good service in your area, it's a great choice because it has both a low monthly cost and a low out-of-pocket limit.

Consider Iowa Medicare or Medicaid if You’re Eligible

Medicare is a federal health insurance program that subsidizes medical care for individuals with a qualifying illness or disability as well as adults who are age 65 and older.

Medicare is split into three parts, which are:

  • Part A (Hospital Insurance): Covers care for those who need inpatient hospital, hospice and home medical care. Nursing facilities are also included.
  • Part B (Medical Insurance): Helps pay for doctor’s visits, diagnostic tests and medical supplies.
  • Part D (Prescription drug coverage): This can offset expenses for prescription drugs and vaccines.

MoneyGeek also identified the best Medicare Advantage and best Medicare Supplement plans in Iowa. Medicaid is another government-backed program for those below a state-specific income threshold. Iowans whose incomes are below 138% of the FPL can qualify for affordable, or sometimes free, health insurance.

FAQ About Health Insurance in Iowa

If you’re in the market for health insurance in Iowa, it’s typical to have questions about cost and availability. MoneyGeek answers the most commonly asked questions below.

What is the best health insurance provider in Iowa for 2024?
What should you look for when shopping for the best health insurance plan in Iowa?

About Mark Fitzpatrick


Mark Fitzpatrick headshot

Mark Fitzpatrick is a Licensed Property and Casualty Insurance Producer and MoneyGeek's Head of Insurance. He has analyzed the insurance market for over five years, conducting original research and creating personalized content for every kind of buyer. He has been quoted in several insurance-related publications, including CNBC, NBC News and Mashable.

Fitzpatrick earned a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He is passionate about using his knowledge of economics and insurance to bring transparency around financial topics and help others feel confident in their money moves.