Wellmark Silver Primary Care l UnityPoint Health · 25896IA0370010
Wellmark Health Plan of Iowa, Inc offers this marketplace plan (Plan ID 25896IA0370010). Use the modules below to compare premiums, coverage structure, provider access, and formulary context against alternative options in the same market.
Marketplace enrollment for 2027 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Iowa). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
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Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
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Silver-tier CSR plans lower deductibles for households ≤250% FPL.
Thinking about switching?
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Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 29 Sep 2026 06:01 GMT).
All providers in Iowa11813
PCPs in Iowa1571
Telehealth supportData pending
Nationwide providers15213
11,813 doctors statewide1,571 PCPs43 OB/GYN
Provider network(s)
WELLMARK-BLUE-HMO-UNITYPOINT-HEALTH-NETWORK
Providers
Iowa
All US states
All
11813
15213
PCP
1571
2064
Allergy
2
2
OB/GYN
43
63
Dentists
30
35
Drug coverage overview
6,945 drugs tracked
Inspect tier distribution plus authorization, step therapy, and quantity-limit counts sourced from HealthPorta’s formulary import.
Tier
Covered drugs
MEDICAL-SERVICE
5,181
SPECIALTY-BIOSIMILARS-AND-GENERICS
1,416
SPECIALTY-NON-PREFERRED
348
Prior authorization
Drugs
Required
1,359
Not Required
5,586
Step therapy
Drugs
Required
0
Not Required
6,945
Quantity limits
Drugs
Has Limit
1,386
No Limit
5,559
Customer highlights
What stands out for members
Issuer: Wellmark Health Plan of Iowa, Inc · Plan ID 25896IA0370010 · 2027 filing.
Wellmark Silver Primary Care l UnityPoint Health (25896IA0370010) is a marketplace plan from Wellmark Health Plan of Iowa, Inc in Iowa for the 2027 coverage year.
Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.
Does Wellmark Silver Primary Care l UnityPoint Health support telehealth or virtual urgent care?
The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.
Is Wellmark Silver Primary Care l UnityPoint Health HSA-eligible and does it include dental or vision coverage?
HSA eligibility is not published; check the Summary of Benefits or ask the issuer.
Dental coverage is not listed for this plan.
Vision coverage is not listed for this plan.
Does Wellmark Silver Primary Care l UnityPoint Health support mail-order prescriptions?
Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.
How do I enroll in or manage payments for Wellmark Silver Primary Care l UnityPoint Health?
Disclaimer: Based on the Tue, 29 Sep 2026 06:01 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
