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Marketplace health plans in Black Hawk County, IA — 2027

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 2027, Black Hawk County, Iowa has 43 Marketplace health plans from 3 insurers: 17 bronze, 12 silver, 14 gold. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $494.72 per month; the lowest bronze premium is $359.85.

What changed vs 2026

  • Benchmark silver premium up $17.32 a month (+3.6%) from 2026
  • 1 more plan than 2026
  • Insurers entered: Ambetter Health
  • Insurers exited: Medica
  • Lowest bronze premium up $7.71 a month

Market snapshot

Residents under 65
107,911
Insurers
3
Plans by metal level
17 bronze, 12 silver, 14 gold
Benchmark silver premium, age 40, before subsidies
$494.72/mo
Lowest bronze premium, age 40, before subsidies
$359.85/mo
Lowest gold premium, age 40, before subsidies
$470.62/mo
Lowest silver deductible
$4,700
Lowest out-of-pocket maximum
$7,250

Insurers in the county

  • Ambetter Health — 17 plans (Bronze, Silver, Gold)
  • Oscar Insurance Company — 16 plans (Bronze, Silver, Gold)
  • Wellmark Health Plan of Iowa, Inc. — 10 plans (Bronze, Silver, Gold)

Lowest age-40 premium per metal level, before subsidies

Metal levelPlanInsurerPlan typeMonthly premium, age 40DeductibleOut-of-pocket maximumPlans at this level
BronzeWellmark Bronze Standard | UnityPoint Health (25896IA0370015)Wellmark Health Plan of Iowa, Inc.HMO$359.85$7,500$12,00017
SilverWellmark Silver Primary Care | UnityPoint Health (25896IA0370010)Wellmark Health Plan of Iowa, Inc.HMO$492.52$5,700$8,50012
GoldWellmark Gold Primary Care | UnityPoint Health (25896IA0370011)Wellmark Health Plan of Iowa, Inc.HMO$470.62$2,300$8,50014

One plan per metal level shown, of 43 plans in the county.

Benchmark silver premium by age

The benchmark plan (Oscar Insurance Company) at each age, individual, non-tobacco, before any premium tax credit.

Age 21Age 27Age 30Age 40Age 50Age 60
$387.12$405.69$439.37$494.72$691.37$1,050.61

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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 2027; 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.