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).
General information about the Iowa Health Benefit Exchange can be found at: http://www.iid.state.ia.us/useexchange.
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 Federally-facilitated Marketplace, and information about contacting them.
As an HIV provider, you may qualify for designation as an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.
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:
Iowa Insurance Division
601 Locust St., 4th Floor
Des Moines, IA 50309-3738
808-955-1212
www.iid.state.ia.us/
Complaints: www.iid.state.ia.us/file_a_complaint
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.
Below is a list of the Qualified Health Plans that have publically announced that they will offer plans in the Iowa Health Benefit Exchange.
Illinois has established Blue Cross Blue Shield of IL 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
Plan Website: http://www.avera.org/
Provider Enrollment: http://www.avera.org/careers/
Plan types offered: Individual, SHOP
CoOportunity Health
Plan Website: http://www.cooportunityhealth.com/default.aspx
Provider Enrollment: http://www.cooportunityhealth.com/aspx/nav.aspx?navid=89#sub94
Plan types offered: Individual, SHOP
Coventry Health Care of Iowa Inc.
Plan Website: http://coventryhealthcare.com/products-and-services/state-serv-overviews/Iowa/index.htm?selectSubCareMgmtSubmit=
Provider Enrollment: http://coventryhealthcare.com/providers/network-participation/index.htm
Plan types offered: Individual
Coventry Healthcare of Iowa
Plan Website: http://chciowa.coventryhealthcare.com/
Provider Enrollment: http://chciowa.coventryhealthcare.com/contact-us/index.htm
Plan types offered: Individual
Gundersen Health Plan, Inc.
Plan Website: https://secure.gundersenhealth.org/marketplace
Provider Enrollment: https://secure.gundersenhealth.org/our-system/contact-us
Plan types offered: Individual, SHOP
Health Alliance Midwest, Inc.
Plan Website: https://www.healthalliance.org/
Provider Enrollment: https://www.healthalliance.org/forms-and-resources#tab-5
Plan types offered: SHOP
Sanford Health Plan
Plan Website: http://sanfordhealthplan.org/healthinsurance101/healthcarereformandyou/
Provider Enrollment: http://sanfordhealthplan.org/images/data/files/IA%20Provider%20App.pdf
Plan types offered: SHOP