What ACA marketplace plans are available in Des Moines County, Iowa in 2026?

Des Moines County, Iowa has 16 ACA marketplace plans from 2 insurers in 2026, with monthly premiums for a 40-year-old ranging from $353 to $838 and a benchmark (second-lowest-cost silver) plan at $536 per month, per the CMS PY2026 QHP Landscape file.

Updated July 21, 2026 · Reviewed by Jason Burns, Editorial Steward

Three lowest-cost silver plans at age 40

Wellmark Health Plan of Iowa, Inc. — Wellmark Silver Traditional HMO · $528.57/mo · deductible $5,000 · MOOP $7,500
Wellmark Health Plan of Iowa, Inc. — Wellmark Standard Silver HMO · $536.31/mo · deductible $6,000 · MOOP $8,900
Medica — Medica Insure Silver $0 Copay PCP Visits · $800.94/mo · deductible $3,500 · MOOP $10,450

See the full Des Moines County plan table with all issuers, metal tiers, and cost-sharing →

Source: PY2026 QHP Landscape, Individual Market Medical (CMS Public Use File, released May 2026).