CMS Marketplace county · plan year 2026

Mitchell, 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

$526
Silver avg/mo
36
ACA plans
3
Issuers
+11.9%
YoY premium
Subscribe (RSS)
Silver avg $526/mo

Mitchell, Iowa has 36 ACA marketplace plans from 3 issuers (plan year 2026). Average Silver premium is $526/mo; Bronze averages $378/mo and Gold $584/mo. Figures are CMS Marketplace Public Use File county aggregates for age-27 rates.

  • County Silver corpus place #1747 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, Mitchell, Iowa ranks #1,747 of 2,055 counties by listed Silver average ($526/mo) and #1,404 of 2,055 by plan count (36 plans).

#1,747 of 2,055
Silver average among 2,055 counties
$526
Listed Silver average /mo
#1,404 of 2,055
Plan count among 2,055 counties
36
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.

Mitchell, Iowa offers 36 ACA marketplace plans from 3 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.

$526
Avg Silver Premium/mo
$398
Benchmark Premium/mo
+11.9%
Year-over-Year Change
$5,381
Avg Deductible

Lower-premium band

Mitchell in the lower-premium third

$526/mo Silver avg sits in the bottom third of tracked federal-marketplace counties. Corpus place #1747 of 2055 (highest Silver = #1).

Floor-to-ceiling Silver runs $397–$877/mo. Plan book is thin (36 plans) relative to other tracked 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.

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

13 plans
$378/mo avg
$297 - $600

Silver

13 plans
$526/mo avg
$397 - $877

Gold

8 plans
$584/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 Mitchell 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

36

Plan year 2026

Issuers in market

3

Some competition

Benchmark Silver

$398 /mo

Sets your subsidy ceiling

Avg deductible

$5,381

Across all metal tiers

D
Marketplace Access Score
49/100
Mitchell

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 #1747 of 2055 tracked counties (cheapest first)
Plan Choice F
36 plans
ACA marketplace plan count; rank #1404 of 2055 tracked counties (most first)
Issuer Competition F
3 issuers
Distinct marketplace issuers; rank #1375 of 2055 tracked counties (most first)
Cost Predictability F
$5,381
Average deductible across tracked plans; rank #480 of 2055 tracked counties (lowest first)

Mitchell ACA plans by premium and deductible

Each marker is the Mitchell 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.

Mitchell ACA marketplace plans: premium vs deductible

Source: CMS Marketplace Public Use Files for Mitchell, 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 (13 plans), Monthly premium ($, age 27): 378 · Avg annual deductible ($): 6323Expanded Bronze (13 plans)Silver (13 plans), Monthly premium ($, age 27): 526 · Avg annual deductible ($): 5433Silver (13 plans)Gold (8 plans), Monthly premium ($, age 27): 584 · Avg annual deductible ($): 1788Gold (8 plans)
Source: CMS Marketplace Public Use Files for Mitchell, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

How Mitchell's Silver premium compares nationwide

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

Mitchell vs 2,055 tracked counties

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

$526 1747th of 2055 higher than 308 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 Mitchell

Issuer Plans Avg Premium (Age 27)
Oscar Insurance Company 20 $366/mo
Medica 9 $763/mo
Wellmark Health Plan of Iowa, Inc. 7 $403/mo

All Plans in Mitchell

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
Bronze Classic Standard
Oscar Insurance Company
Expanded Bronze EPO $352.33 $429.66 $7,500 $10,000
Medica Insure Bronze Share
Medica
Expanded Bronze EPO $544.89 $664.48 $8,000 $10,600
Medica Insure Bronze $0 Copay PCP Visits
Medica
Expanded Bronze EPO $592.44 $722.46 $7,500 $10,600
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
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
Medica Insure Silver $0 Copay PCP Visits
Medica
Silver EPO $837.98 $1,021.89 $3,500 $10,450
Medica Insure Silver Share
Medica
Silver EPO $863.13 $1,052.56 $3,525 $8,850
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
Medica Insure Gold $0 Copay PCP Visits
Medica
Gold EPO $824.71 $1,005.70 $1,500 $8,800
Medica Insure Gold Share
Medica
Gold EPO $849.38 $1,035.78 $2,500 $5,900
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 $401/mo $353 $521 12 3
2023 $441/mo $379 $614 10 3
2024 $483/mo $397 $636 11 3
2025 $462/mo $386 $598 9 3
2026 $526/mo $397 $877 13 3

What this means for Mitchell

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

  • $526/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
  • 36 plans from 3 issuers puts Mitchell 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 Mitchell's Silver premium in the lower band?

Mitchell ranks #1747 of 2055 tracked federal-marketplace counties by average Silver premium (highest = #1; CMS PUF sort). Local Silver avg is $526/mo. See /methodology#corpus-placement.

Why does Mitchell carry a thin ACA plan book?

Mitchell lists 36 marketplace plans from 3 issuers - a bottom-third inventory vs other tracked counties (plan year 2026).

What is the cheapest health insurance plan in Mitchell?

The lowest-premium plan in Mitchell 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 Mitchell?

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

Why did Mitchell premiums rise +11.9% year-over-year?

The average age-27 premium in Mitchell changed by +11.9% 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 Mitchell?

The average annual deductible across all plans in Mitchell is $5,381, and the average out-of-pocket maximum is $9,188. 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 Mitchell?

There are 3 insurance issuers offering ACA marketplace plans in Mitchell, 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 Mitchell, 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 Mitchell, 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 (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.