Iowa Marketplace intelligence

Iowa ACA Marketplace coverage, explained with current sources.

Iowa uses HealthCare.gov for Marketplace enrollment. CMS reports 357,144 cumulative 2026 Open Enrollment plan selections across Iowa counties in the 2026 County-Level Public Use File.

Source: Centers for Medicare & Medicaid Services · Verified September 17, 2026

2026 Iowa Marketplace123,304 plan selectionsPolk County leads Iowa with 20,196 selections. CMS county-level OEP data; not a personal quote.

What the Iowa data can tell you

Enrollment

Use current CMS enrollment data to understand Marketplace participation without treating plan selections as active enrollment or a guarantee of coverage.

Financial assistance

Eligibility for premium tax credits depends on current federal rules and household circumstances. CoveragePath verifies rule changes before publishing numeric guidance.

County intelligence

CoveragePath now publishes verified 2026 CMS Marketplace benchmarks for 99 Iowa counties, including enrollment, premium and APTC measures.

2026 ACA Marketplace data by Iowa county

Choose your county to review its verified CMS Marketplace enrollment, premium and financial-assistance benchmarks. County figures are historical measures, not a quote or guarantee of eligibility or plan availability.

Adair County

313 2026 Marketplace plan selections reported by CMS.

Adams County

216 2026 Marketplace plan selections reported by CMS.

Benton County

1,064 2026 Marketplace plan selections reported by CMS.

Boone County

990 2026 Marketplace plan selections reported by CMS.

Bremer County

926 2026 Marketplace plan selections reported by CMS.

Butler County

525 2026 Marketplace plan selections reported by CMS.

Cass County

518 2026 Marketplace plan selections reported by CMS.

Cedar County

672 2026 Marketplace plan selections reported by CMS.

Clarke County

409 2026 Marketplace plan selections reported by CMS.

Clay County

762 2026 Marketplace plan selections reported by CMS.

Dallas County

4,436 2026 Marketplace plan selections reported by CMS.

Davis County

303 2026 Marketplace plan selections reported by CMS.

Emmet County

299 2026 Marketplace plan selections reported by CMS.

Floyd County

470 2026 Marketplace plan selections reported by CMS.

Greene County

374 2026 Marketplace plan selections reported by CMS.

Grundy County

503 2026 Marketplace plan selections reported by CMS.

Hardin County

893 2026 Marketplace plan selections reported by CMS.

Henry County

765 2026 Marketplace plan selections reported by CMS.

Howard County

516 2026 Marketplace plan selections reported by CMS.

Ida County

276 2026 Marketplace plan selections reported by CMS.

Iowa County

664 2026 Marketplace plan selections reported by CMS.

Jasper County

1,261 2026 Marketplace plan selections reported by CMS.

Jones County

795 2026 Marketplace plan selections reported by CMS.

Keokuk County

488 2026 Marketplace plan selections reported by CMS.

Lee County

1,171 2026 Marketplace plan selections reported by CMS.

Linn County

8,512 2026 Marketplace plan selections reported by CMS.

Louisa County

384 2026 Marketplace plan selections reported by CMS.

Lucas County

362 2026 Marketplace plan selections reported by CMS.

Lyon County

694 2026 Marketplace plan selections reported by CMS.

Marion County

1,202 2026 Marketplace plan selections reported by CMS.

Mills County

572 2026 Marketplace plan selections reported by CMS.

Monona County

327 2026 Marketplace plan selections reported by CMS.

Monroe County

317 2026 Marketplace plan selections reported by CMS.

Page County

589 2026 Marketplace plan selections reported by CMS.

Polk County

20,196 2026 Marketplace plan selections reported by CMS.

Sac County

534 2026 Marketplace plan selections reported by CMS.

Scott County

6,340 2026 Marketplace plan selections reported by CMS.

Shelby County

479 2026 Marketplace plan selections reported by CMS.

Sioux County

1,498 2026 Marketplace plan selections reported by CMS.

Story County

2,467 2026 Marketplace plan selections reported by CMS.

Tama County

717 2026 Marketplace plan selections reported by CMS.

Taylor County

300 2026 Marketplace plan selections reported by CMS.

Union County

511 2026 Marketplace plan selections reported by CMS.

Warren County

1,886 2026 Marketplace plan selections reported by CMS.

Wayne County

324 2026 Marketplace plan selections reported by CMS.

Worth County

276 2026 Marketplace plan selections reported by CMS.

Wright County

473 2026 Marketplace plan selections reported by CMS.

Continue your coverage path

Start with eligibility factors, then review savings and Special Enrollment guidance. Final eligibility and plan availability must be verified through the Marketplace.