Wellmark Silver Primary Care | UnityPoint Health
Starting at
$487
/month before subsidy
Wellmark Silver Primary Care | UnityPoint Health is a 2026 Silver HMO health insurance plan from Wellmark Health Plan of Iowa, Inc., sold on the ACA Marketplace in Iowa under plan ID 25896IA0370010. The monthly premium starts at $487 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $5,700 ($11,400 for a family), and the individual out-of-pocket maximum is $8,000 ($16,000 for a family). After the deductible, coinsurance is 30% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 25896IA0370010
- Plan year
- 2026
- State
- Iowa
- Metal level
- Silver
- Plan type
- HMO
- HSA-eligible
- No
Individual Deductible
$5,700
Family: $11,400
Out-of-Pocket Max
$8,000
Family: $16,000
Coinsurance
30%
You pay after deductible
Network Type
HMO
IAN002
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$6,570
your estimated cost
- Deductible
- $5,700
- Copays
- $10
- Coinsurance
- $800
Managing type 2 diabetes
A year of routine care
$4,620
your estimated cost
- Deductible
- $4,300
- Copays
- $300
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,800
your estimated cost
- Deductible
- $2,600
- Copays
- $200
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
This Silver HMO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.
Consider this plan if you:
- Visit the doctor a few times per year
- Take regular prescription medications
- Want moderate protection against high medical bills
- May qualify for Cost-Sharing Reductions (CSR) to lower deductibles
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,154/month
Annual Premium
$5,844
OOP Maximum
$8,000
💡 What this means:
With a $5,700 deductible, you pay 100% of costs until you've spent that much. After that, you pay 30% (coinsurance) until you hit $8,000 total. Then insurance covers everything else for the year.
More plans from Wellmark Health Plan of Iowa, Inc. in Iowa
- Wellmark Bronze HDHP HMO HSA Qualifiedfrom $358/mo
- Wellmark Bronze Standard | UnityPoint Healthfrom $350/mo
- Wellmark Bronze Traditional HMOfrom $351/mo
- Wellmark Standard Bronze HMOfrom $376/mo
- Wellmark Silver Traditional HMOfrom $525/mo
- Wellmark Standard Silver HMOfrom $533/mo
- Wellmark Gold Primary Care | UnityPoint Healthfrom $432/mo
- Wellmark Gold Traditional HMOfrom $481/mo
Frequently asked questions about Wellmark Silver Primary Care | UnityPoint Health
How much does Wellmark Silver Primary Care | UnityPoint Health cost per month?
Wellmark Silver Primary Care | UnityPoint Health from Wellmark Health Plan of Iowa, Inc. starts at $487 per month before any subsidy in Iowa. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Wellmark Silver Primary Care | UnityPoint Health?
The individual medical deductible is $5,700, and the family deductible is $11,400. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Wellmark Silver Primary Care | UnityPoint Health?
The most you would pay in a year for covered in-network care is $8,000 for an individual and $16,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Wellmark Silver Primary Care | UnityPoint Health HSA-eligible?
No. Wellmark Silver Primary Care | UnityPoint Health is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does Wellmark Silver Primary Care | UnityPoint Health use?
Wellmark Silver Primary Care | UnityPoint Health is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.