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Marketplace health plans in Hamilton 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, Hamilton County, Iowa has 40 Marketplace health plans from 3 insurers: 16 bronze, 11 silver, 13 gold. The benchmark silver plan (second-lowest-cost silver, age 40, before subsidies) is $487.40 per month; the lowest bronze premium is $366.76.
What changed vs 2026
- Benchmark silver premium up $25.31 a month (+5.5%) from 2026
- 4 more plans than 2026
- Insurers entered: Ambetter Health
- Insurers exited: Medica
- Lowest bronze premium up $21.85 a month
Market snapshot
- Residents under 65
- 11,729
- Insurers
- 3
- Plans by metal level
- 16 bronze, 11 silver, 13 gold
- Benchmark silver premium, age 40, before subsidies
- $487.40/mo
- Lowest bronze premium, age 40, before subsidies
- $366.76/mo
- Lowest gold premium, age 40, before subsidies
- $512.70/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. — 7 plans (Bronze, Silver, Gold)
Lowest age-40 premium per metal level, before subsidies
| Metal level | Plan | Insurer | Plan type | Monthly premium, age 40 | Deductible | Out-of-pocket maximum | Plans at this level |
|---|---|---|---|---|---|---|---|
| Bronze | Wellmark Bronze Traditional HMO (25896IA0370005) | Wellmark Health Plan of Iowa, Inc. | HMO | $366.76 | $7,200 | $11,500 | 16 |
| Silver | Streamlined Silver (48286IA0010025) | Ambetter Health | HMO | $475.85 | $4,700 | $11,300 | 11 |
| Gold | Gold Classic Standard | MercyOne (45819IA0010053) | Oscar Insurance Company | EPO | $512.70 | $2,500 | $8,600 | 13 |
One plan per metal level shown, of 40 plans in the county.
Benchmark silver premium by age
The benchmark plan (Ambetter Health) at each age, individual, non-tobacco, before any premium tax credit.
| Age 21 | Age 27 | Age 30 | Age 40 | Age 50 | Age 60 |
|---|---|---|---|---|---|
| $381.39 | $399.69 | $432.87 | $487.40 | $681.14 | $1,035.06 |
Nearby counties
Agent Tools
Free tools for licensed agents working Hamilton County.
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Free tools for licensed insurance agents. Data from CMS public files; verify with plan documents before advising a client.
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.