2026 data Public-data reference. official source

Washington, Iowa Health Insurance

Open-data reference.

32 ACA plans from 3 issuers - Plan year 2026

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

$515
Avg Silver Premium/mo
$430
Benchmark Premium/mo
+44.4%
Year-over-Year Change
$4,826
Avg Deductible

What the Numbers Say About Washington

Washington, Iowa has 32 ACA marketplace plans offered by 3 issuers for plan year 2026. The average Silver-tier premium comes in at $515/mo for a 27-year-old non-tobacco user, with the lowest Silver at $425 and the highest at $687.

The benchmark (second-lowest Silver) premium is $430/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 $4,826 and the average out-of-pocket maximum is $8,888 - numbers that matter more than the sticker premium once you actually use care. Year-over-year, average premiums in Washington shifted by +44.4%, 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 Washington, consumers have some competitive choice, though narrower than the most competitive counties. HMO is the most common network type in Washington, with EPO rounding out the alternatives. 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

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

Gold

11 plans
$513/mo avg
$397 - $686

Benchmark Premium & Subsidies

The benchmark premium (2nd-lowest Silver plan) in Washington 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. The higher the benchmark, the larger the potential subsidy.

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

Washington ACA plans by premium and deductible

Each marker is the Washington 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 Washington, 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 Washington, 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)Silver (9 plans)Gold (11 plans)
Source: CMS Marketplace Public Use Files for Washington, plan year 2026. Each point is the county average for one metal tier (premium age 27 vs average annual deductible).

Issuers in Washington

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 Washington

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

Frequently Asked Questions

How many ACA plans are available in Washington, IA?

There are 32 ACA marketplace plans available in Washington from 3 insurance issuers for plan year 2026.

What is the cheapest health insurance plan in Washington?

Silver plans in Washington start at $425/mo (age 27). Actual premiums vary by age and may be reduced by premium tax credits.

What is the benchmark premium for Washington?

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

Average premiums in Washington changed by +44.4% 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 Washington?

The average annual deductible across all plans in Washington 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 Washington?

There are 3 insurance issuers offering ACA marketplace plans in Washington, 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 Washington, IA's $430/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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