SilverPPO

ConnectPlus $0 Silver

Avera Health Plans

Starting at

$630

/month before subsidy

Key facts

ConnectPlus $0 Silver is a 2026 Silver PPO health insurance plan from Avera Health Plans, sold on the ACA Marketplace in Iowa under plan ID 74980IA0020025. The monthly premium starts at $630 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 $10,600 ($21,200 for a family). After the deductible, coinsurance is 40% for covered in-network care. The plan is not HSA-eligible.

Plan ID
74980IA0020025
Plan year
2026
State
Iowa
Metal level
Silver
Plan type
PPO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$10,600

Family: $21,200

Coinsurance

40%

You pay after deductible

Network Type

PPO

IAN001

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

Medical Services

Primary Care Visit$50.00
Specialist Visit$100.00
Urgent Care$50.00
Emergency Room$1,000.00

Prescription Drugs

Generic Drugs$20.00
Brand Name Drugs40.00% Coinsurance after deductible
Specialty Drugs40.00% 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

$6,060

your estimated cost

Deductible
$0
Copays
$4,400
Coinsurance
$1,600

Managing type 2 diabetes

A year of routine care

$2,020

your estimated cost

Deductible
$0
Copays
$1,400
Coinsurance
$600

A simple fracture

ER visit + follow-up

$1,700

your estimated cost

Deductible
$0
Copays
$1,400
Coinsurance
$300
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.
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Official Plan Documents
Published by Avera Health Plans. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Silver PPO 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.

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

If you max out this year

$1,513/month

Annual Premium

$7,560

OOP Maximum

$10,600

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 40% (coinsurance) until you hit $10,600 total. Then insurance covers everything else for the year.

More plans from Avera Health Plans in Iowa

View all Marketplace plans in Iowa

Frequently asked questions about ConnectPlus $0 Silver

How much does ConnectPlus $0 Silver cost per month?

ConnectPlus $0 Silver from Avera Health Plans starts at $630 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 ConnectPlus $0 Silver?

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 ConnectPlus $0 Silver?

The most you would pay in a year for covered in-network care is $10,600 for an individual and $21,200 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is ConnectPlus $0 Silver HSA-eligible?

No. ConnectPlus $0 Silver 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 ConnectPlus $0 Silver use?

ConnectPlus $0 Silver is a PPO plan. PPO plans let you see specialists without a referral and use out-of-network providers (at higher cost), offering the most flexibility.

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.