2026 data Public-data reference. official source

Black Hawk, Iowa Health Insurance

Open-data reference.

42 ACA plans from 3 issuers - Plan year 2026

Black Hawk, Iowa offers 42 ACA marketplace plans from 3 issuers for plan year 2026. Silver plans start at $390/mo (age 27, before subsidies). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$460
Avg Silver Premium/mo
$391
Benchmark Premium/mo
+26.7%
Year-over-Year Change
$5,349
Avg Deductible

What the Numbers Say About Black Hawk

Black Hawk, Iowa has 42 ACA marketplace plans offered by 3 issuers for plan year 2026. The average Silver-tier premium comes in at $460/mo for a 27-year-old non-tobacco user, with the lowest Silver at $390 and the highest at $727.

The benchmark (second-lowest Silver) premium is $391/mo, the figure used to calculate your Advance Premium Tax Credit (the federal subsidy). Enrollees whose expected income-based contribution falls below this amount receive a subsidy for the difference. Across all plans, the average annual deductible is $5,349 and the average out-of-pocket maximum is $9,139 - numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Black Hawk shifted by +26.7%, a signal of how local issuer pricing and risk-pool dynamics are trending.

Issuer count is one of the strongest predictors of affordability: with 3 issuers active in Black Hawk, consumers have some competitive choice, though narrower than the most competitive counties. The local market is heavily EPO-dominated -- shoppers who specifically want a HMO network have only a handful of plans to choose from here. This page is informational only and is not insurance, medical, or tax advice, verify your eligibility, network coverage, and final pricing at HealthCare.gov before enrolling. Source: CMS Marketplace PUF, plan year 2026.

Premiums by Metal Level

Silver

15 plans
$460/mo avg
$390 - $727

Gold

10 plans
$474/mo avg
$357 - $726

Catastrophic plan available: avg $285/mo (2 plans) - only for individuals under 30 or with a hardship exemption.

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Black Hawk is $391/mo for a 27-year-old. This is the amount used to calculate your premium tax credit. If your expected contribution (based on income) is less than the benchmark, you receive a subsidy for the difference. The higher the benchmark, the larger the potential subsidy.

ACA plans available

42

Plan year 2026

Issuers in market

3

Some competition

Benchmark Silver

$391 /mo

Sets your subsidy ceiling

Avg deductible

$5,349

Across all metal tiers

Black Hawk ACA plans by premium and deductible

Each marker is the Black Hawk average for one metal tier, monthly premium (age 27) plotted against the average annual deductible, both computed directly from this county's plans. The classic ACA tradeoff is visible: lower-premium Bronze tiers carry the highest deductibles, while Gold and Platinum invert it.

Source: CMS Marketplace Public Use Files for Black Hawk, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Source: CMS Marketplace Public Use Files for Black Hawk, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible). Scatter plot of 4 data points. 020004000600080001000012000 250300350400450500 Monthly premium ($, age 27) Avg annual deductible ($) Catastrophic (2 plans)Expanded Bronze (15 plans)Silver (15 plans)Gold (10 plans)
Source: CMS Marketplace Public Use Files for Black Hawk, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Issuers in Black Hawk

Issuer Plans Avg Premium (Age 27)
Oscar Insurance Company 20 $360/mo
Medica 12 $528/mo
Wellmark Health Plan of Iowa, Inc. 10 $362/mo

All Plans in Black Hawk

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
Secure | MercyOne
Oscar Insurance Company
Catastrophic EPO $259.77 $316.79 $10,600 $10,600
Secure
Oscar Insurance Company
Catastrophic EPO $310.75 $378.95 $10,600 $10,600
Wellmark Bronze Standard | UnityPoint Health
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $288.77 $352.14 $7,500 $10,000
Wellmark Bronze Traditional HMO
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $289.57 $353.12 $7,200 $9,900
Bronze Classic Standard | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $292.21 $356.34 $7,500 $10,000
Wellmark Bronze HDHP HMO HSA Qualified
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $295.63 $360.51 $8,300 $8,300
Bronze Simple Diabetes | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $298.22 $363.67 $5,500 $10,150
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $299.89 $365.70 $5,500 $10,150
Bronze Classic 4700 | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $300.92 $366.97 $4,700 $9,300
Bronze Simple Chronic Care CKM | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $305.22 $372.20 $5,500 $10,150
Wellmark Standard Bronze HMO
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $310.37 $378.48 $7,500 $10,000
Bronze Elite + PCP Saver Plus | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $319.67 $389.83 $0 $10,600
Bronze Classic Standard
Oscar Insurance Company
Expanded Bronze EPO $346.95 $423.09 $7,500 $10,000
Inspire by Medica Bronze Share
Medica
Expanded Bronze EPO $348.51 $424.99 $8,000 $10,600
Inspire by Medica Bronze $0 Copay PCP Visits
Medica
Expanded Bronze EPO $378.92 $462.08 $7,500 $10,600
Inspire by Medica Expanded Bronze Standard
Medica
Expanded Bronze EPO $383.50 $467.66 $7,500 $10,000
Medica Insure Expanded Bronze Standard
Medica
Expanded Bronze EPO $497.16 $606.27 $7,500 $10,000
Silver Classic Standard | MercyOne
Oscar Insurance Company
Silver EPO $390.47 $476.17 $6,000 $8,900
Silver Simple PCP Saver | MercyOne
Oscar Insurance Company
Silver EPO $391.48 $477.40 $5,000 $8,500
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
Oscar Insurance Company
Silver EPO $392.50 $478.64 $6,200 $9,600
Silver Classic | MercyOne
Oscar Insurance Company
Silver EPO $395.53 $482.34 $5,000 $8,000
Silver Simple Diabetes | MercyOne
Oscar Insurance Company
Silver EPO $398.26 $485.67 $6,500 $10,000
Silver Simple Chronic Care CKM | MercyOne
Oscar Insurance Company
Silver EPO $401.77 $489.95 $5,900 $10,150
Wellmark Silver Primary Care | UnityPoint Health
Wellmark Health Plan of Iowa, Inc.
Silver HMO $402.20 $490.46 $5,700 $8,000
Silver Simple Women's Health with Menopause Benefits | MercyOne
Oscar Insurance Company
Silver EPO $403.41 $491.95 $6,000 $10,150
Wellmark Silver Traditional HMO
Wellmark Health Plan of Iowa, Inc.
Silver HMO $433.44 $528.57 $5,000 $7,500
Wellmark Standard Silver HMO
Wellmark Health Plan of Iowa, Inc.
Silver HMO $439.79 $536.31 $6,000 $8,900
Silver Classic Standard
Oscar Insurance Company
Silver EPO $474.31 $578.40 $6,000 $8,900
Inspire by Medica Silver $0 Copay PCP Visits
Medica
Silver EPO $535.96 $653.59 $3,500 $10,450
Inspire by Medica Silver Share
Medica
Silver EPO $552.05 $673.21 $3,525 $8,850
Inspire by Medica Silver Standard
Medica
Silver EPO $560.70 $683.75 $6,000 $8,900
Medica Insure Silver Standard
Medica
Silver EPO $726.87 $886.40 $6,000 $8,900
Wellmark Gold Primary Care | UnityPoint Health
Wellmark Health Plan of Iowa, Inc.
Gold HMO $356.61 $434.87 $2,300 $8,000
Gold Classic Standard | MercyOne
Oscar Insurance Company
Gold EPO $375.93 $458.44 $2,000 $8,200
Wellmark Gold Traditional HMO
Wellmark Health Plan of Iowa, Inc.
Gold HMO $396.76 $483.83 $1,750 $7,500
Gold Elite | MercyOne
Oscar Insurance Company
Gold EPO $399.05 $486.62 $550 $6,000
Wellmark Standard Gold HMO
Wellmark Health Plan of Iowa, Inc.
Gold HMO $403.84 $492.47 $2,000 $8,200
Gold Classic Standard
Oscar Insurance Company
Gold EPO $448.98 $547.52 $2,000 $8,200
Inspire by Medica Gold $0 Copay PCP Visits
Medica
Gold EPO $527.47 $643.24 $1,500 $8,800
Inspire by Medica Gold Share
Medica
Gold EPO $543.25 $662.48 $2,500 $5,900
Inspire by Medica Gold Standard
Medica
Gold EPO $559.71 $682.54 $2,000 $8,200
Medica Insure Gold Standard
Medica
Gold EPO $725.59 $884.83 $2,000 $8,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $392/mo $358 $467 14 3
2023 $420/mo $386 $551 12 3
2024 $419/mo $360 $571 13 3
2025 $390/mo $340 $538 10 3
2026 $460/mo $390 $727 15 3

Frequently Asked Questions

How many ACA plans are available in Black Hawk, IA?

There are 42 ACA marketplace plans available in Black Hawk from 3 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Black Hawk?

Silver plans in Black Hawk start at $390/mo (age 27). Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Black Hawk?

The benchmark (second-lowest Silver) premium in Black Hawk is $391/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

How have premiums changed in Black Hawk?

Average premiums in Black Hawk changed by +26.7% year-over-year. Premium trends are tracked from 2022 to 2026 across all metal levels.

What is the average deductible and out-of-pocket maximum in Black Hawk?

The average annual deductible across all plans in Black Hawk is $5,349, and the average out-of-pocket maximum is $9,139. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which insurance companies offer plans in Black Hawk?

There are 3 insurance issuers offering ACA marketplace plans in Black Hawk, including Oscar Insurance Company, Medica, Wellmark Health Plan of Iowa, Inc.. Competition among issuers affects plan variety and pricing. More issuers generally mean more choices and potentially lower premiums.

Disclaimer

This page is for informational purposes only and does not constitute insurance or financial advice. Premiums shown are for a 27-year-old non-tobacco user unless otherwise noted. Your actual premium depends on age, location, tobacco use, and subsidy eligibility. Visit HealthCare.gov for official enrollment. Source: CMS Marketplace PUF, PY2026.

Counties With a Similar Benchmark Premium

The closest counties nationwide to Black Hawk, IA's $391/mo benchmark premium.

Data sources

Data sourced from the CMS Health Insurance Marketplace Public Use Files. See our methodology for details. Retrieved and formatted by PlainHealthPlan Editorial

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