The Iowa Insurance Exchange (Marketplace)
is called the Iowa Health Benefit Marketplace
. The Iowa Health Benefit Exchange is a Partnership Marketplace jointly administered by the State and federal government, under the Department of Health and Human Services (HHS).
The Iowa Health Benefit Exchange is essentially a marketplace for individuals to shop for health insurance if they do not already have insurance coverage from another source. If individuals have insurance from another source such as employment, retirement benefits, or spousal benefits, they do not need to obtain it from the Marketplace.
Providers must contract with each of the Qualified Health Plans offered in the marketplace individually to participate fully in the Iowa Health Benefit Exchange.
This process is similar to enrolling in insurance or managed care organization provider networks. See below the list of insurers participating in the Iowa Health Benefit Exchange, and information about contacting them.
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.
Learn More: Health Reform & My Practice
The state office of insurance is primarily responsible for examining and addressing issues with the plans offered within the state Exchange (Marketplace), and the companies that offer them. If you are experiencing problems as a medical provider
with the plans or companies in the state exchange, or if your patients are experiencing problems
with the plans or companies in the state exchange, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act
, please report these problems to the state office of insurance:
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM
, so that we may track issues affecting our members, and seek additional policies remedies.
Qualified Health Plans Participating In the Exchange:
Below is a list of the Qualified Health Plans that have publically announced that they will offer plans in the Iowa Health Benefit Exchange.
Iowa has established Wellmark- Blue Cross Blue Shield as the “benchmark” plan.
This list is being routinely updated, and may change as insurers join or drop out of the exchange. Please check back for updates.
Avera Health Plans
Coventry Health Care of Iowa Inc.
Provider Enrollment: http://coventryhealthcare.com/providers/network-participation/index.htm
Coventry Healthcare of Iowa
Gundersen Health Plan, Inc.
Health Alliance-Alegent Creighton Health Partner
Provider Enrollment: Not available
Sanford Health Plan