Wellmark Silver Primary Care | UnityPoint Health
Silver · HMO · Wellmark Health Plan of Iowa, Inc. · Iowa
At age 40 it costs between $487.15 and $567.83 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $5,700 | $8,000 | $10 | $10 |
| up to 150% of the federal poverty level | $0 | $2,000 | No Charge | No Charge |
| 150% to 200% | $400 | $3,500 | $5 | $10 |
| 200% to 250% | $4,500 | $6,600 | $5 | $10 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 25896IA0370010 |
|---|---|
| Insurer | Wellmark Health Plan of Iowa, Inc. |
| Metal level | Silver |
| Plan type | HMO |
| Deductible (individual) | $5,700 |
| Deductible (family) | $11,400 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,000 |
| Family maximum | $16,000 |
| Primary care visit | $10 |
| Specialist visit | $80 |
| Emergency room | 30% Coinsurance after deductible |
| Inpatient stay | 30% Coinsurance after deductible |
| Generic drugs | $10 |
| Preferred brand drugs | 30% Coinsurance after deductible |
| Specialty drugs | 30% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-800-819-0893 · TTY 1-888-781-4262 |
Where it is sold, and what it costs there
23 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Boone County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Dallas County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Grundy County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Jasper County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Marshall County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Polk County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Poweshiek County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Tama County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Warren County | $381.18 | $432.64 | $487.15 | $680.80 | $1,034.53 |
| Benton County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Black Hawk County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Buchanan County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Cedar County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Delaware County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Dubuque County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Jackson County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Jones County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Linn County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Muscatine County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Scott County | $383.77 | $435.58 | $490.46 | $685.42 | $1,041.56 |
| Bremer County | $421.51 | $478.42 | $538.70 | $752.83 | $1,143.99 |
| Butler County | $421.51 | $478.42 | $538.70 | $752.83 | $1,143.99 |
| Woodbury County | $444.31 | $504.29 | $567.83 | $793.54 | $1,205.86 |
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 this plan’s price or benefits change.
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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. 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.