Iowa · FIPS 19195

Worth County, IA — ACA coverage

Marketplace plans, premium tax credit eligibility, and Medicaid options for residents of Worth County, Iowa. Updated 2026-06-08.

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Worth County coverage highlights

Est. marketplace enrollees
1,382
2025 plan year — Iowa total 136,833 ÷ 99 counties.
Premium tax credit
100–400% FPL *NEW 2027
2027: benchmark Silver capped at 2.15%–10.22% of income; no subsidy above 400% FPL. Sourcei
Medicaid expansion
Adopted
Adults up to 138% FPL eligible. Sourcei
CHIP (Healthy and Well Kids in Iowa (Hawki))
307% FPL
Pregnancy Medicaid to 380% FPL. Sourcei
Carriers on marketplace
6
Statewide issuer count — county availability may vary. Sourcei
Medicare 5★ MA-PD (2026)
Not in county
No CMS 5-star MA-PD contract serves this county. Sourcei

Enrollee count is an estimate derived by evenly distributing the state's CMS plan-select total across counties; actual county enrollment varies with population.

How the Worth County estimate is calculated

Methodology: ACA Beacon does not have county-level enrollment dashboards for every U.S. county. To give you a directional sense of marketplace activity in Worth County, we take the most recent state-wide Open Enrollment Period (OEP) plan-selection total reported by CMSi (or the state-based marketplace) and divide it evenly by the number of counties in Iowa.

Formula used here: 136,833 total state signupsi ÷ 99 Iowa countiesi = ~1,382 estimated enrollees for Worth County.

Uncertainty & limitations: Counties vary widely in population, income, and insurer participation. Urban counties typically enroll far more residents than rural ones. This number is a simple average, not a forecast or official CMS county report. Use it as a rough indicator of statewide penetration, not a precise local count.

Last updated 2026-06-08. Data source: CMS OEP state-level plan-selection reports.

ACA marketplace in Worth County

Residents of Worth County shop and enroll in ACA marketplace plans at www.healthcare.gov. Plans are rated by county, so available carriers and prices in Worth may differ from elsewhere in Iowa.

Carriers currently selling in Iowa include: Ambetter Health, Avera Health Plans, Medica, Oscar Insurance Company, UnitedHealthcare, Wellmark Health Plan of Iowa, Inc.. The final 2027 carrier list for Worth County is confirmed when Iowa filings are finalized before Nov 1, 2026.

Premium tax credit eligibility

*NEW INFORMATION · 2027

For 2027, premium tax credits cap a benchmark Silver plan at 2.15%–10.22% of household income. The enhanced subsidies expired, so households above 400% FPL get no credit.

Cost-sharing reduction (CSR) Silver plans further reduce deductibles for households under 250% FPL.

Use our free subsidy calculator or see the full Iowa subsidy & income tables.

Medicaid & CHIP in Worth County

Worth County residents may qualify for Medicaid up to 138% of the Federal Poverty Level under Iowa's adopted ACA Medicaid expansion.

Healthy and Well Kids in Iowa (Hawki) covers children up to 307% FPL; pregnancy Medicaid covers up to 380% FPL. Apply year-round at dhs.iowa.gov/hawki · 1-800-257-8563.

Open Enrollment & SEP

*NEW INFORMATION · 2027

2027 Open Enrollment in Iowa: November 1, 2026 – January 15, 2027. Missed it? You may still enroll within 60 days of a qualifying life event (job loss, marriage, birth, move, income change). See Iowa OEP & SEP details.

Other Iowa counties

Sources

The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.

The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.