This explorer provides sample premium information for individual ACA-compliant health insurance plans available to Iowans for 2025 based on age, rating area and metal level. These are premiums for individuals, not families. Please note that not every plan ID is available in every county. On or after November 1, 2024, please go to www.healthcare.gov to determine if your plan is available in the county you reside in.

This dataset provides sample premium information for individual ACA-compliant health insurance plans available to Iowans for 2025 based on age, rating area and metal level. These are premiums for individuals, not families. Explore and drill into the data using the 2025 Sample Premium Explorer. Please note that not every plan ID is available in every county. On or after November 1, 2024, please go to www.healthcare.gov to determine if your plan is available in the county you reside in.

This dataset contains aggregate Medicaid payments, and counts for eligible recipients and recipients served by month and county in Iowa, starting with month ending 1/31/2011. Eligibility groups are a category of people who meet certain common eligibility requirements. Some Medicaid eligibility groups cover additional services, such as nursing facility care and care received in the home. Others have higher income and resource limits, charge a premium, only pay the Medicare premium or cover only expenses also paid by Medicare, or require the recipient to pay a specific dollar amount of their medical expenses. Eligible Medicaid recipients may be considered medically needy if their medical costs are so high that they use up most of their income. Those considered medically needy are responsible for paying some of their medical expenses. This is called meeting a spend down. Then Medicaid would start to pay for the rest. Think of the spend down like a deductible that people pay as part of a private insurance plan.

The total number of Insurance Affordability Programs (IAPs) applications received through County Human Services Agency offices by submission channel (whether submitted online, in-person, phone, e-mail, mail/fax, other, or unknown) during a reporting period. The “outreach” submission channel may be included in the “other” submission channel commencing with 2016 Quarter 3. IAPs include Medi-Cal or subsidized Qualified Health Plans (QHPs) offered through Covered California. This dataset is part of the public reporting requirements set forth in the California Welfare and Institutions Code 14102.5(1)(A).

This dataset contains aggregate Medicaid payments, and counts for recipients, claims and units of service in Iowa by month and category, starting with month ending 1/31/2011.

This dataset includes the number of individuals included on applications and the number of applications received for Insurance Affordability Programs (IAPs) from the California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) by reporting period. Applications reported include applications submitted directly to CalHEERS, to Covered California, and to County Human Services Agencies through the Statewide Automated Welfare System (SAWS) eHIT interface. This dataset is part of public reporting requirements set forth by the California Welfare and Institutions Code 14102.5.

This dataset includes the number of individuals who have filed an appeal for a subsidized Covered California Qualified Health Plan (QHP), Medi-Cal, or a combination of both eligibility determinations by year and quarter. Appeals may be filed by an appellant for determinations that resulted in a denial, eligibility, or discontinuance of coverage. A denial is defined as an eligibility determination at application that resulted in a denial of coverage. An appeal regarding an eligibility determination may be filed when the appellant disputes the type of program eligibility. A discontinuance is when an individual is no longer eligible for Medi-Cal or Covered California QHP. Appeals may be filed for cases involving mixed determinations, such as when household members applied for and/or had eligibility determinations made for the two programs (i.e., parents were eligible for Covered California and the child(ren) were eligible for Medi-Cal). Covered California and Medi-Cal eligibility appeals are processed and adjudicated by Administrative Law Judges and the California Department of Social Services (CDSS) staff who track appeals and hearing results. This dataset is part of the public reporting requirements set forth in California Welfare and Institutions Code 14102.5(a)(6).