- Medica leaves Iowa's consumer market effective January 1, 2027. Its individual policyholders must choose a new carrier during open enrollment through HealthCare.gov.
- Avera Health Plans, Bankers Reserve, Iowa Total Care (Ambetter), Oscar, UnitedHealthcare Plan of the River Valley and Wellmark. Wellmark covers all 99 counties; UnitedHealthcare 17; Avera and Bankers Reserve 7 each.
- Pick by December 15, 2026 for January 1 coverage. Picks from December 16 to January 15, 2027 start February 1. After that, only a qualifying life event opens a special enrollment period.
- The year-round special enrollment period for households at or below 150% of the federal poverty level has been removed for plan year 2027, per the division.
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