CMS Marketplace county · plan year 2026

Lee, 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

$515
Silver avg/mo
32
ACA plans
3
Issuers
+28.9%
YoY premium
Subscribe (RSS)
Silver avg $515/mo

Lee, Iowa has 32 ACA marketplace plans from 3 issuers (plan year 2026). Average Silver premium is $515/mo; Bronze averages $368/mo and Gold $513/mo. Figures are CMS Marketplace Public Use File county aggregates for age-27 rates.

  • County Silver corpus place #1785 of 2055 (highest = #1)
  • Benchmark (2nd-lowest Silver) $430/mo
  • Plan year 2026 CMS PUF

Silver rank is not plan-count rank

According to CMS Marketplace Public Use Files, Lee, Iowa ranks #1,785 of 2,055 counties by listed Silver average ($515/mo) and #1,475 of 2,055 by plan count (32 plans).

#1,785 of 2,055
Silver average among 2,055 counties
$515
Listed Silver average /mo
#1,475 of 2,055
Plan count among 2,055 counties
32
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.

Lee, Iowa offers 32 ACA marketplace plans from 3 issuers for plan year 2026. Bronze plans start at $290/mo and Silver plans start at $425/mo (age 27 listed rates). Use the tables below to compare premiums, deductibles, and issuers across all metal tiers.

$515
Avg Silver Premium/mo
$430
Benchmark Premium/mo
+28.9%
Year-over-Year Change
$4,826
Avg Deductible

Lower-premium band

Lee in the lower-premium third

$515/mo Silver avg sits in the bottom third of tracked federal-marketplace counties. Corpus place #1785 of 2055 (highest Silver = #1).

Floor-to-ceiling Silver runs $425–$687/mo. Plan book is thin (32 plans) relative to other tracked counties. HMO is the most common network type in Lee, with EPO 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

12 plans
$368/mo avg
$290 - $470

Silver

9 plans
$515/mo avg
$425 - $687

Gold

11 plans
$513/mo avg
$397 - $686
Benchmark premium & subsidies

The benchmark (second-lowest Silver) premium in Lee is $430/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

32

Plan year 2026

Issuers in market

3

Some competition

Benchmark Silver

$430 /mo

Sets your subsidy ceiling

Avg deductible

$4,826

Across all metal tiers

C+
Marketplace Access Score
62/100
Lee

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
$430/mo
Benchmark Silver premium; rank #1785 of 2055 tracked counties (cheapest first)
Plan Choice F
32 plans
ACA marketplace plan count; rank #1475 of 2055 tracked counties (most first)
Issuer Competition F
3 issuers
Distinct marketplace issuers; rank #1305 of 2055 tracked counties (most first)
Cost Predictability B
$4,826
Average deductible across tracked plans; rank #1506 of 2055 tracked counties (lowest first)

Lee ACA plans by premium and deductible

Each marker is the Lee 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.

Lee ACA marketplace plans: premium vs deductible

Source: CMS Marketplace Public Use Files for Lee, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible). Scatter plot of 3 data points. 02000400060008000 350400450500550 Monthly premium ($, age 27) Avg annual deductible ($) Expanded Bronze (12 plans), Monthly premium ($, age 27): 368 · Avg annual deductible ($): 6492Expanded Bronze (12 plans)Silver (9 plans), Monthly premium ($, age 27): 515 · Avg annual deductible ($): 5403Silver (9 plans)Gold (11 plans), Monthly premium ($, age 27): 513 · Avg annual deductible ($): 1659Gold (11 plans)
Source: CMS Marketplace Public Use Files for Lee, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

How Lee's Silver premium compares nationwide

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

Lee vs 2,055 tracked counties

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

$515 1785th of 2055 higher than 268 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 Lee

Issuer Plans Avg Premium (Age 27)
Ambetter Health 16 $422/mo
Medica 9 $598/mo
Wellmark Health Plan of Iowa, Inc. 7 $367/mo

All Plans in Lee

Plan Name Metal Type Premium (27) Premium (40) Deductible OOP Max
Wellmark Bronze Traditional HMO
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $289.57 $353.12 $7,200 $9,900
Wellmark Bronze HDHP HMO HSA Qualified
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $295.63 $360.51 $8,300 $8,300
Wellmark Standard Bronze HMO
Wellmark Health Plan of Iowa, Inc.
Expanded Bronze HMO $310.37 $378.48 $7,500 $10,000
Everyday Bronze
Ambetter Health
Expanded Bronze HMO $333.64 $406.86 $8,450 $10,150
Standard Expanded Bronze
Ambetter Health
Expanded Bronze HMO $334.30 $407.67 $7,500 $10,000
Everyday Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $347.78 $424.10 $8,450 $10,150
Standard Expanded Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $348.47 $424.95 $7,500 $10,000
Elite Bronze
Ambetter Health
Expanded Bronze HMO $386.64 $471.49 $0 $10,500
Elite Bronze + Vision + Adult Dental
Ambetter Health
Expanded Bronze HMO $403.02 $491.47 $0 $10,500
Medica Insure Bronze Share
Medica
Expanded Bronze EPO $427.08 $520.81 $8,000 $10,600
Medica Insure Bronze $0 Copay PCP Visits
Medica
Expanded Bronze EPO $464.34 $566.25 $7,500 $10,600
Medica Insure Expanded Bronze Standard
Medica
Expanded Bronze EPO $469.96 $573.10 $7,500 $10,000
Standard Silver
Ambetter Health
Silver HMO $425.01 $518.28 $6,000 $8,900
Focused Silver
Ambetter Health
Silver HMO $429.75 $524.06 $6,300 $8,400
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
Standard Silver + Vision + Adult Dental
Ambetter Health
Silver HMO $443.02 $540.24 $6,000 $8,900
Focused Silver + Vision + Adult Dental
Ambetter Health
Silver HMO $447.96 $546.27 $6,300 $8,400
Medica Insure Silver $0 Copay PCP Visits
Medica
Silver EPO $656.79 $800.94 $3,500 $10,450
Medica Insure Silver Share
Medica
Silver EPO $676.51 $824.98 $3,525 $8,850
Medica Insure Silver Standard
Medica
Silver EPO $687.10 $837.90 $6,000 $8,900
Wellmark Gold Traditional HMO
Wellmark Health Plan of Iowa, Inc.
Gold HMO $396.76 $483.83 $1,750 $7,500
Wellmark Standard Gold HMO
Wellmark Health Plan of Iowa, Inc.
Gold HMO $403.84 $492.47 $2,000 $8,200
Standard Gold
Ambetter Health
Gold HMO $454.56 $554.32 $2,000 $8,200
Everyday Gold
Ambetter Health
Gold HMO $461.74 $563.08 $800 $7,250
Standard Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $473.82 $577.81 $2,000 $8,200
Complete Gold
Ambetter Health
Gold HMO $478.42 $583.41 $1,450 $7,500
Everyday Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $481.31 $586.94 $800 $7,250
Complete Gold + Vision + Adult Dental
Ambetter Health
Gold HMO $498.69 $608.14 $1,450 $7,500
Medica Insure Gold $0 Copay PCP Visits
Medica
Gold EPO $646.39 $788.25 $1,500 $8,800
Medica Insure Gold Share
Medica
Gold EPO $665.73 $811.83 $2,500 $5,900
Medica Insure Gold Standard
Medica
Gold EPO $685.89 $836.42 $2,000 $8,200

Silver Premium Trend (2022-2026)

Year Avg Premium Min Max Plans Issuers
2022 $449/mo $414 $467 3 2
2023 $457/mo $395 $551 4 2
2024 $489/mo $361 $571 6 2
2025 $394/mo $322 $509 10 3
2026 $515/mo $425 $687 9 3

What this means for Lee

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

  • $515/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
  • 32 plans from 3 issuers puts Lee in the thinnest third of tracked counties -- check the rest of Iowa for more options. All of Iowa

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 Lee's Silver premium in the lower band?

Lee ranks #1785 of 2055 tracked federal-marketplace counties by average Silver premium (highest = #1; CMS PUF sort). Local Silver avg is $515/mo. See /methodology#corpus-placement.

Why does Lee carry a thin ACA plan book?

Lee lists 32 marketplace plans from 3 issuers - a bottom-third inventory vs other tracked counties (plan year 2026).

What is the cheapest health insurance plan in Lee?

The lowest-premium plan in Lee starts at $290/mo (Bronze tier, age 27). Silver plans start at $425/mo. Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Lee?

The benchmark (second-lowest Silver) premium in Lee is $430/mo for a 27-year-old. This amount determines how much premium tax credit subsidy you may be eligible for.

Why did Lee premiums rise +28.9% year-over-year?

The average age-27 premium in Lee changed by +28.9% 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 Lee?

The average annual deductible across all plans in Lee is $4,826, and the average out-of-pocket maximum is $8,888. 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 Lee?

There are 3 insurance issuers offering ACA marketplace plans in Lee, including Ambetter Health, 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 Lee, IA's $430/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 Lee, 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 ($430/mo here).

Similar issuer competition

Nearest other-state counties by issuer count (3 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.