Expanded_bronzeHMOHSA Eligible

Elite Bronze + Vision + Adult Dental

Ambetter Health

Starting at

$435

/month before subsidy

Key facts

Elite Bronze + Vision + Adult Dental is a 2026 Expanded_bronze HMO health insurance plan from Ambetter Health, sold on the ACA Marketplace in Iowa under plan ID 48286IA0020013. The monthly premium starts at $435 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $10,500 ($21,000 for a family). After the deductible, coinsurance is 50% for covered in-network care. The plan is HSA-eligible, so it can be paired with a Health Savings Account.

Plan ID
48286IA0020013
Plan year
2026
State
Iowa
Metal level
Expanded_bronze
Plan type
HMO
HSA-eligible
Yes

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$10,500

Family: $21,000

Coinsurance

50%

You pay after deductible

Network Type

HMO

IAN001

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$60.00
Specialist Visit$120.00
Urgent Care$65.00
Emergency Room$2,500.00

Prescription Drugs

Generic Drugs$3.00
Brand Name Drugs45.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$5,060

your estimated cost

Deductible
$0
Copays
$600
Coinsurance
$4,400

Managing type 2 diabetes

A year of routine care

$3,920

your estimated cost

Deductible
$0
Copays
$3,500
Coinsurance
$400

A simple fracture

ER visit + follow-up

$2,000

your estimated cost

Deductible
$0
Copays
$1,100
Coinsurance
$900
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
Check a medication
Check a doctor

Enter your ZIP code first to search nearby doctors.

Who This Plan Is Best For

Review the plan details above to determine if this plan fits your healthcare needs and budget.

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,310/month

Annual Premium

$5,220

OOP Maximum

$10,500

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 50% (coinsurance) until you hit $10,500 total. Then insurance covers everything else for the year.

More plans from Ambetter Health in Iowa

View all Marketplace plans in Iowa

Frequently asked questions about Elite Bronze + Vision + Adult Dental

How much does Elite Bronze + Vision + Adult Dental cost per month?

Elite Bronze + Vision + Adult Dental from Ambetter Health starts at $435 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 Elite Bronze + Vision + Adult Dental?

The individual medical deductible is $0. 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 Elite Bronze + Vision + Adult Dental?

The most you would pay in a year for covered in-network care is $10,500 for an individual and $21,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Elite Bronze + Vision + Adult Dental HSA-eligible?

Yes. Elite Bronze + Vision + Adult Dental is a qualified high-deductible health plan, so you can pair it with a Health Savings Account (HSA) and pay for eligible medical expenses with pre-tax dollars.

What type of network does Elite Bronze + Vision + Adult Dental use?

Elite Bronze + Vision + Adult Dental 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

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.