Country Guide
Best Health Insurance in Iowa (2026)
Iowa expanded Medicaid. Compare ACA marketplace plans to find the right health coverage for Iowa residents.
By Itai Varochik | Updated February 20, 2026
Top Exchanges in Iowa
| # | Exchange | Best For | Fees | Type |
|---|---|---|---|---|
| 1 | Wellmark Blue Cross IA | Widest IA network | $4,800/yr | — |
| 2 | Medica Iowa | Regional coverage | $4,440/yr | — |
| 3 | UnitedHealthcare IA | Plan variety | $5,160/yr | — |
| 4 | Iowa Total Care | Budget plans | $4,080/yr | — |
| 5 | Sanford Health IA | Rural coverage | $4,320/yr | — |