Iowa Health Insurance

As of 2014, Iowa was among states with the lowest uninsured rates. Health insurance options for Iowans have expanded since Obamacare took effect. Individuals and families who buy their own healthcare benefits—as opposed to getting them from an employer—can purchase coverage on and away from the state’s federally facilitated exchange or, if they qualify, gain access to benefits through public programs such as Medicaid and CHIP.

Iowa and the Affordable Care Act

When the Affordable Care Act’s Health Insurance Marketplace opened for business, Iowa formed a state-federal partnership exchange with the intention of transitioning to a state-based exchange in 2016.

Iowans who buy their health insurance plans from the Health Insurance Marketplace, which is sometimes referred to as HIX, may be eligible for income-based financial assistance. Premium tax credits and cost-sharing subsidies are only available to those who buy their coverage through HIX.

Those who prefer not to buy from the Health Insurance Marketplace or do not qualify for subsidies can explore additional health plan options in the private marketplace. Websites such as provide quotes and may provide access to plans that are not available through Iowa’s exchange.

Iowans can also shop and get quotes for dental benefits, supplemental health plans, Medicare supplement plans, and short term health insurance coverage at

Employers that have 50 or fewer full-time employees can offer healthcare benefits through SHOP, the Small Business Health Options Program.

Medicaid expansion in Iowa

Iowa is among the states that expanded Medicaid to single, low-income adults ages 19 to 64. Iowa’s partnership model for Medicaid expansion requires that the state make final eligibility determinations for applicants.

More information about Iowa Medicaid can be found at


Iowa’s Children’s Health Insurance Program (CHIP) is called hawk-i and eligibility and application information for hawk-i is available online.


Health Information

Iowa was ranked in 2014 as the 24th healthiest state in the country, and a decrease that took them out of the top 15 states after over thirty years of maintaining good health for its residents.

Some of this state’s assets when it comes to healthiness are: having the second lowest infant mortality rate within the US (5 deaths for every 1,000 live births), the high percentage of residents with Health Insurance coverage, and the great percentage of High School graduations (86.6% of incoming ninth graders graduates High School, the third highest percentage in the country).

What can Iowa do to improve its healthiness? Well, Iowa is already a very healthy state. If they can manage to increase the public health funding, and improve the rate of primary care physicians, this state could have a better ready Health Care for its residents.

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Insurance and Department of Health Information

Iowa Department of Insurance
Iowa Insurance Division
601 Locus St., 4th Floor
Des Moines, IA 50309
Phone: (515) 281-5705

Iowa Department of Public Health
321 E. 12th Street
Des Moines, IA, 50319-0075
Phone: (866) 227-9878