CMS Marketplace county · plan year 2026

Fayette, Iowa ACA premiums

County-level marketplace aggregates from CMS Public Use Files. Listed rates are age-27 premiums unless noted.

Data updated 2026-08-30

$496
Silver avg/mo
55
ACA plans
4
Issuers
+13.2%
YoY premium
Subscribe (RSS)
Silver avg $496/mo

Fayette, Iowa has 55 ACA marketplace plans from 4 issuers (plan year 2026). Average Silver premium is $496/mo; Bronze averages $368/mo and Gold $528/mo. Figures are CMS Marketplace Public Use File county aggregates for age-27 rates.

  • County Silver corpus place #1875 of 2055 (highest = #1)
  • Benchmark (2nd-lowest Silver) $398/mo
  • Plan year 2026 CMS PUF

Silver rank is not plan-count rank

According to CMS Marketplace Public Use Files, Fayette, Iowa ranks #1,875 of 2,055 counties by listed Silver average ($496/mo) and #510 of 2,055 by plan count (55 plans).

#1,875 of 2,055
Silver average among 2,055 counties
$496
Listed Silver average /mo
#510 of 2,055
Plan count among 2,055 counties
55
Listed ACA plans in this county

Highest listed Silver average = #1. Most listed plans = #1. County of residence still governs which plans CMS files for that FIPS.

Fayette, Iowa offers 55 ACA marketplace plans from 4 issuers for plan year 2026. Bronze plans start at $297/mo and Silver plans start at $397/mo (age 27 listed rates). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$496
Avg Silver Premium/mo
$398
Benchmark Premium/mo
+13.2%
Year-over-Year Change
$5,170
Avg Deductible

Lower-premium band

Fayette in the lower-premium third

$496/mo Silver avg sits in the bottom third of tracked federal-marketplace counties. Corpus place #1875 of 2055 (highest Silver = #1).

Floor-to-ceiling Silver runs $397–$877/mo. EPO is the most common network type in Fayette, with HMO rounding out the alternatives.

Source: CMS Marketplace Public Use Files, plan year 2026. Informational only; confirm options at HealthCare.gov. How we place counties.

Premiums by Metal Level

Bronze-tier cards fold CMS Expanded Bronze into Bronze (same population as county_trends and methodology). Plan rows and the premium-vs-deductible chart below keep the CMS source label.

Bronze

20 plans
$368/mo avg
$297 - $600

Silver

18 plans
$496/mo avg
$397 - $877

Gold

15 plans
$528/mo avg
$382 - $875

Catastrophic plan available: avg $290/mo (2 plans) - only for individuals under 30 or with a hardship exemption.

Benchmark premium & subsidies

The benchmark (second-lowest Silver) premium in Fayette is $398/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.

ACA plans available

55

Plan year 2026

Issuers in market

4

Competitive market

Benchmark Silver

$398 /mo

Sets your subsidy ceiling

Avg deductible

$5,170

Across all metal tiers

B
Marketplace Access Score
70/100
Fayette

Based on benchmark premium, plan and issuer counts, and average deductible across 2,055 tracked ACA marketplace counties, not plan quality, network adequacy, or provider access.

Affordability A+
$398/mo
Benchmark Silver premium; rank #1875 of 2055 tracked counties (cheapest first)
Plan Choice B+
55 plans
ACA marketplace plan count; rank #510 of 2055 tracked counties (most first)
Issuer Competition B-
4 issuers
Distinct marketplace issuers; rank #685 of 2055 tracked counties (most first)
Cost Predictability F
$5,170
Average deductible across tracked plans; rank #766 of 2055 tracked counties (lowest first)

Fayette ACA plans by premium and deductible

Each marker is the Fayette 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.

Fayette ACA marketplace plans: premium vs deductible

Source: CMS Marketplace Public Use Files for Fayette, 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 200300400500600 Monthly premium ($, age 27) Avg annual deductible ($) Catastrophic (2 plans), Monthly premium ($, age 27): 290 · Avg annual deductible ($): 10600Catastrophic (2 plans)Expanded Bronze (20 plans), Monthly premium ($, age 27): 368 · Avg annual deductible ($): 6080Expanded Bronze (20 plans)Silver (18 plans), Monthly premium ($, age 27): 496 · Avg annual deductible ($): 5624Silver (18 plans)Gold (15 plans), Monthly premium ($, age 27): 528 · Avg annual deductible ($): 1653Gold (15 plans)
Source: CMS Marketplace Public Use Files for Fayette, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

How Fayette's Silver premium compares nationwide

2,055 federal-marketplace counties with a tracked Silver average, banded by monthly premium.

Fayette vs 2,055 tracked counties

Average Silver premium (age 27), CMS Marketplace Public Use Files

$496 1875th of 2055 higher than 180 of 2,055 counties

Counties, banded by average Silver premium

Each bar is a $1-wide band; taller bars hold more counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source CMS Marketplace Public Use Files · 2026-08-30

Issuers in Fayette

Issuer Plans Avg Premium (Age 27)
Oscar Insurance Company 20 $366/mo
Ambetter Health 16 $438/mo
Medica 12 $637/mo
Wellmark Health Plan of Iowa, Inc. 7 $403/mo

All Plans in Fayette

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
Secure | MercyOne
Oscar Insurance Company
Catastrophic EPO $263.81 $321.70 $10,600 $10,600
Secure
Oscar Insurance Company
Catastrophic EPO $315.57 $384.83 $10,600 $10,600
Bronze Classic Standard | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $296.74 $361.87 $7,500 $10,000
Bronze Simple Diabetes | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $302.85 $369.32 $5,500 $10,150
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $304.55 $371.38 $5,500 $10,150
Bronze Classic 4700 | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $305.60 $372.66 $4,700 $9,300
Bronze Simple Chronic Care CKM | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $309.95 $377.98 $5,500 $10,150
Wellmark Bronze Traditional HMO
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $318.04 $387.84 $7,200 $9,900
Bronze Elite + PCP Saver Plus | MercyOne
Oscar Insurance Company
Expanded Bronze EPO $324.63 $395.88 $0 $10,600
Wellmark Bronze HDHP HMO HSA Qualified
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $324.70 $395.97 $8,300 $8,300
Wellmark Standard Bronze HMO
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $340.89 $415.70 $7,500 $10,000
Everyday Bronze
Ambetter Health
Expanded Bronze HMO $346.33 $422.34 $8,450 $10,150
Standard Expanded Bronze
Ambetter Health
Expanded Bronze HMO $347.03 $423.19 $7,500 $10,000
Bronze Classic Standard
Oscar Insurance Company
Expanded Bronze EPO $352.33 $429.66 $7,500 $10,000
Everyday Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $361.01 $440.24 $8,450 $10,150
Standard Expanded Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $361.73 $441.12 $7,500 $10,000
Elite Bronze
Ambetter Health
Expanded Bronze HMO $401.35 $489.43 $0 $10,500
Elite Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $418.36 $510.17 $0 $10,500
Inspire by Medica Bronze Share
Medica
Expanded Bronze EPO $420.32 $512.57 $8,000 $10,600
Inspire by Medica Bronze $0 Copay PCP Visits
Medica
Expanded Bronze EPO $456.99 $557.29 $7,500 $10,600
Inspire by Medica Expanded Bronze Standard
Medica
Expanded Bronze EPO $462.52 $564.03 $7,500 $10,000
Medica Insure Expanded Bronze Standard
Medica
Expanded Bronze EPO $599.60 $731.19 $7,500 $10,000
Silver Classic Standard | MercyOne
Oscar Insurance Company
Silver EPO $396.54 $483.56 $6,000 $8,900
Silver Simple PCP Saver | MercyOne
Oscar Insurance Company
Silver EPO $397.56 $484.81 $5,000 $8,500
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
Oscar Insurance Company
Silver EPO $398.59 $486.07 $6,200 $9,600
Silver Classic | MercyOne
Oscar Insurance Company
Silver EPO $401.67 $489.82 $5,000 $8,000
Silver Simple Diabetes | MercyOne
Oscar Insurance Company
Silver EPO $404.44 $493.21 $6,500 $10,000
Silver Simple Chronic Care CKM | MercyOne
Oscar Insurance Company
Silver EPO $408.01 $497.55 $5,900 $10,150
Silver Simple Women's Health with Menopause Benefits | MercyOne
Oscar Insurance Company
Silver EPO $409.68 $499.58 $6,000 $10,150
Standard Silver
Ambetter Health
Silver HMO $441.18 $538.00 $6,000 $8,900
Focused Silver
Ambetter Health
Silver HMO $446.10 $544.00 $6,300 $8,400
Standard Silver + Vision + Adult Dental
Ambetter Health
Silver HMO $459.87 $560.80 $6,000 $8,900
Focused Silver + Vision + Adult Dental
Ambetter Health
Silver HMO $465.00 $567.06 $6,300 $8,400
Wellmark Silver Traditional HMO
Wellmark Health Plan of Iowa, Inc.
Silver HMO $476.07 $580.55 $5,000 $7,500
Silver Classic Standard
Oscar Insurance Company
Silver EPO $481.67 $587.38 $6,000 $8,900
Wellmark Standard Silver HMO
Wellmark Health Plan of Iowa, Inc.
Silver HMO $483.04 $589.05 $6,000 $8,900
Inspire by Medica Silver $0 Copay PCP Visits
Medica
Silver EPO $646.40 $788.26 $3,500 $10,450
Inspire by Medica Silver Share
Medica
Silver EPO $665.80 $811.93 $3,525 $8,850
Inspire by Medica Silver Standard
Medica
Silver EPO $676.23 $824.64 $6,000 $8,900
Medica Insure Silver Standard
Medica
Silver EPO $876.65 $1,069.04 $6,000 $8,900
Gold Classic Standard | MercyOne
Oscar Insurance Company
Gold EPO $381.77 $465.56 $2,000 $8,200
Gold Elite | MercyOne
Oscar Insurance Company
Gold EPO $405.24 $494.18 $550 $6,000
Wellmark Gold Traditional HMO
Wellmark Health Plan of Iowa, Inc.
Gold HMO $435.77 $531.41 $1,750 $7,500
Wellmark Standard Gold HMO
Wellmark Health Plan of Iowa, Inc.
Gold HMO $443.55 $540.90 $2,000 $8,200
Gold Classic Standard
Oscar Insurance Company
Gold EPO $455.96 $556.02 $2,000 $8,200
Standard Gold
Ambetter Health
Gold HMO $471.85 $575.41 $2,000 $8,200
Everyday Gold
Ambetter Health
Gold HMO $479.31 $584.50 $800 $7,250
Standard Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $491.85 $599.80 $2,000 $8,200
Complete Gold
Ambetter Health
Gold HMO $496.62 $605.61 $1,450 $7,500
Everyday Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $499.62 $609.27 $800 $7,250
Complete Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $517.67 $631.28 $1,450 $7,500
Inspire by Medica Gold $0 Copay PCP Visits
Medica
Gold EPO $636.16 $775.78 $1,500 $8,800
Inspire by Medica Gold Share
Medica
Gold EPO $655.19 $798.98 $2,500 $5,900
Inspire by Medica Gold Standard
Medica
Gold EPO $675.04 $823.18 $2,000 $8,200
Medica Insure Gold Standard
Medica
Gold EPO $875.10 $1,067.16 $2,000 $8,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $480/mo $443 $521 5 2
2023 $498/mo $430 $614 6 2
2024 $465/mo $397 $636 13 3
2025 $436/mo $386 $598 10 3
2026 $496/mo $397 $877 18 4

What this means for Fayette

Use Fayette's own numbers here, not a national average, before you enroll.

  • $496/mo Silver average sits in the bottom third of tracked counties nationally -- a subsidized Silver plan can already beat Bronze on total cost here. See how subsidies work
  • 55 plans from 4 issuers here -- see how that stacks up against the cheapest counties nationwide. See cheapest counties

Averages and tercile bands are CMS Marketplace Public Use File aggregates for this county; your actual premium depends on your age, household income, and chosen plan.

Frequently Asked Questions

Why is Fayette's Silver premium in the lower band?

Fayette ranks #1875 of 2055 tracked federal-marketplace counties by average Silver premium (highest = #1; CMS PUF sort). Local Silver avg is $496/mo. See /methodology#corpus-placement.

How many ACA plans compete in Fayette?

Fayette carries 55 ACA plans from 4 issuers, putting it in the densest third of county inventories nationwide.

What is the cheapest health insurance plan in Fayette?

The lowest-premium plan in Fayette starts at $297/mo (Bronze tier, age 27). Silver plans start at $397/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Fayette?

The benchmark (second-lowest Silver) premium in Fayette is $398/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

Why did Fayette premiums rise +13.2% year-over-year?

The average age-27 premium in Fayette changed by +13.2% between plan years 2025 and 2026, measured across Bronze, Silver, Gold, Platinum and Catastrophic plans. Premium trends are tracked from 2022 to 2026.

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

The average annual deductible across all plans in Fayette is $5,170, and the average out-of-pocket maximum is $9,085. Bronze plans generally have higher deductibles but lower premiums, while Gold and Platinum plans have lower deductibles but higher monthly costs.

Which issuers compete in Fayette's crowded market?

There are 4 insurance issuers offering ACA marketplace plans in Fayette, including Oscar Insurance Company, Ambetter Health, Medica, and others. 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 Fayette, IA's $398/mo benchmark premium.

One of 2,054 counties nationwide with a tracked benchmark premium, 5 are shown here.

Nationwide counties with similar marketplace profiles

Two CMS Marketplace peer sets for Fayette, IA, both outside IA so the neighborhoods are not state containment (the similar-premium list above may still include same-state rating-area siblings). Peers are drawn from counties with ≥20 plans, the rankings-scale corpus.

Similar benchmark premium

Nearest other-state counties by benchmark premium ($398/mo here).

Similar issuer competition

Nearest other-state counties by issuer count (4 here).

Data sources

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

Verify with CMS →

PlainHealthPlan is rendered directly from CMS Health Insurance Marketplace Public Use Files, no number is typed in by an editor. Plan and premium figures for this county come from the live CMS Marketplace PUF aggregates. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.