Wellmark Gold Primary Care | UnityPoint Health
Gold · HMO · Wellmark Health Plan of Iowa, Inc. · Iowa
At age 40 it costs between $431.94 and $503.47 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 25896IA0370011 |
|---|---|
| Insurer | Wellmark Health Plan of Iowa, Inc. |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $2,300 |
| Deductible (family) | $4,600 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,000 |
| Family maximum | $16,000 |
| Primary care visit | $5 |
| Specialist visit | $70 |
| Emergency room | 20% Coinsurance after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $5 |
| Preferred brand drugs | 20% Coinsurance after deductible |
| Specialty drugs | 20% 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 | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Dallas County | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Grundy County | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Jasper County | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Marshall County | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Polk County | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Poweshiek County | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Tama County | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Warren County | $337.98 | $383.61 | $431.94 | $603.63 | $917.28 |
| Benton County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Black Hawk County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Buchanan County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Cedar County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Delaware County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Dubuque County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Jackson County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Jones County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Linn County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Muscatine County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Scott County | $340.28 | $386.21 | $434.87 | $607.73 | $923.51 |
| Bremer County | $373.74 | $424.19 | $477.64 | $667.50 | $1,014.33 |
| Butler County | $373.74 | $424.19 | $477.64 | $667.50 | $1,014.33 |
| Woodbury County | $393.95 | $447.13 | $503.47 | $703.59 | $1,069.18 |
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.