Marketplace health plans in Madison County

Name: Marketplace health plans in Madison County, IA: all 52
Creator: Centers for Medicare & Medicaid Services
License: https://www.usa.gov/publicdomain/label/1.0/

52 plans sold in Madison County, Iowa, from 4 insurers, priced at age 60.

What people in Madison County actually paid

The prices below are the sticker price. Most people do not pay it. In 2026, the average plan in Madison County listed at $610 a month and the average person paid $281 after the advance premium tax credit.

41 of the 778 people who enrolled here — 5.3% — paid $10 a month or less.

What you pay depends on your income and your household, and only HealthCare.gov can work it out for you. These are the county's published averages, not a quote.

Premiums at age 60: 21 27 30 40 50 60

Plan	Metal	Type	Premium at 60	Deductible	Max out of pocket
Secure \| MercyOne Oscar Insurance Company	Catastrophic	EPO	$646.82	$10,600	$10,600
Bronze Classic Standard \| MercyOne Oscar Insurance Company	Expanded Bronze	EPO	$727.58	$7,500	$10,000
Bronze Simple Diabetes \| MercyOne Oscar Insurance Company	Expanded Bronze	EPO	$742.55	$5,500	$10,150
Wellmark Bronze Traditional HMO Wellmark Health Plan of Iowa, Inc.	Expanded Bronze	HMO	$744.83	$7,200	$9,900
Bronze Simple Breathe Easy with Enhanced COPD Benefits \| MercyOne Oscar Insurance Company	Expanded Bronze	EPO	$746.70	$5,500	$10,150
Bronze Classic 4700 \| MercyOne Oscar Insurance Company	Expanded Bronze	EPO	$749.28	$4,700	$9,300
Bronze Simple Chronic Care CKM \| MercyOne Oscar Insurance Company	Expanded Bronze	EPO	$759.97	$5,500	$10,150
Wellmark Bronze HDHP HMO HSA Qualified Wellmark Health Plan of Iowa, Inc.	Expanded Bronze	HMO	$760.43	$8,300	$8,300
Secure Oscar Insurance Company	Catastrophic	EPO	$773.74	$10,600	$10,600
Everyday Bronze Ambetter Health	Expanded Bronze	HMO	$788.14	$8,450	$10,150
Standard Expanded Bronze Ambetter Health	Expanded Bronze	HMO	$789.71	$7,500	$10,000
Bronze Elite + PCP Saver Plus \| MercyOne Oscar Insurance Company	Expanded Bronze	EPO	$795.96	$0	$10,600
Wellmark Standard Bronze HMO Wellmark Health Plan of Iowa, Inc.	Expanded Bronze	HMO	$798.33	$7,500	$10,000
Everyday Bronze + Vision + Adult Dental Ambetter Health	Expanded Bronze	HMO	$821.54	$8,450	$10,150
Standard Expanded Bronze + Vision + Adult Dental Ambetter Health	Expanded Bronze	HMO	$823.18	$7,500	$10,000
Bronze Classic Standard Oscar Insurance Company	Expanded Bronze	EPO	$863.87	$7,500	$10,000
Elite Bronze Ambetter Health	Expanded Bronze	HMO	$913.33	$0	$10,500
Gold Classic Standard \| MercyOne Oscar Insurance Company	Gold	EPO	$936.05	$2,000	$8,200
Elite Bronze + Vision + Adult Dental Ambetter Health	Expanded Bronze	HMO	$952.04	$0	$10,500
Silver Classic Standard \| MercyOne Oscar Insurance Company	Silver	EPO	$972.25	$6,000	$8,900
Silver Simple PCP Saver \| MercyOne Oscar Insurance Company	Silver	EPO	$974.76	$5,000	$8,500
Silver Simple Breathe Easy with Enhanced COPD Benefits \| MercyOne Oscar Insurance Company	Silver	EPO	$977.29	$6,200	$9,600
Silver Classic \| MercyOne Oscar Insurance Company	Silver	EPO	$984.84	$5,000	$8,000
Medica Insure Bronze Share Medica	Expanded Bronze	EPO	$987.62	$8,000	$10,600
Silver Simple Diabetes \| MercyOne Oscar Insurance Company	Silver	EPO	$991.65	$6,500	$10,000
Gold Elite \| MercyOne Oscar Insurance Company	Gold	EPO	$993.60	$550	$6,000
Silver Simple Chronic Care CKM \| MercyOne Oscar Insurance Company	Silver	EPO	$1,000.39	$5,900	$10,150
Standard Silver Ambetter Health	Silver	HMO	$1,003.97	$6,000	$8,900
Silver Simple Women's Health with Menopause Benefits \| MercyOne Oscar Insurance Company	Silver	EPO	$1,004.47	$6,000	$10,150
Focused Silver Ambetter Health	Silver	HMO	$1,015.17	$6,300	$8,400
Wellmark Gold Traditional HMO Wellmark Health Plan of Iowa, Inc.	Gold	HMO	$1,020.54	$1,750	$7,500
Wellmark Standard Gold HMO Wellmark Health Plan of Iowa, Inc.	Gold	HMO	$1,038.77	$2,000	$8,200
Standard Silver + Vision + Adult Dental Ambetter Health	Silver	HMO	$1,046.52	$6,000	$8,900
Focused Silver + Vision + Adult Dental Ambetter Health	Silver	HMO	$1,058.19	$6,300	$8,400
Standard Gold Ambetter Health	Gold	HMO	$1,073.78	$2,000	$8,200
Medica Insure Bronze $0 Copay PCP Visits Medica	Expanded Bronze	EPO	$1,073.79	$7,500	$10,600
Medica Insure Expanded Bronze Standard Medica	Expanded Bronze	EPO	$1,086.78	$7,500	$10,000
Everyday Gold Ambetter Health	Gold	HMO	$1,090.75	$800	$7,250
Wellmark Silver Traditional HMO Wellmark Health Plan of Iowa, Inc.	Silver	HMO	$1,114.90	$5,000	$7,500
Gold Classic Standard Oscar Insurance Company	Gold	EPO	$1,117.94	$2,000	$8,200
Standard Gold + Vision + Adult Dental Ambetter Health	Gold	HMO	$1,119.29	$2,000	$8,200
Complete Gold Ambetter Health	Gold	HMO	$1,130.14	$1,450	$7,500
Wellmark Standard Silver HMO Wellmark Health Plan of Iowa, Inc.	Silver	HMO	$1,131.23	$6,000	$8,900
Everyday Gold + Vision + Adult Dental Ambetter Health	Gold	HMO	$1,136.98	$800	$7,250
Complete Gold + Vision + Adult Dental Ambetter Health	Gold	HMO	$1,178.03	$1,450	$7,500
Silver Classic Standard Oscar Insurance Company	Silver	EPO	$1,181	$6,000	$8,900
Medica Insure Gold $0 Copay PCP Visits Medica	Gold	EPO	$1,494.78	$1,500	$8,800
Medica Insure Silver $0 Copay PCP Visits Medica	Silver	EPO	$1,518.83	$3,500	$10,450
Medica Insure Gold Share Medica	Gold	EPO	$1,539.49	$2,500	$5,900
Medica Insure Silver Share Medica	Silver	EPO	$1,564.43	$3,525	$8,850
Medica Insure Gold Standard Medica	Gold	EPO	$1,586.12	$2,000	$8,200
Medica Insure Silver Standard Medica	Silver	EPO	$1,588.92	$6,000	$8,900

Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.

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When next year’s premiums are posted for Madison County, or an insurer arrives or leaves.

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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. What people actually paid comes from the CMS open-enrollment county public use file for 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.