ACA Enrollment Opens, 4,000 Iowans Face Plan Changes

Open enrollment for 2027 health coverage is underway, and consumers are being urged to review plans rather than automatically renewing: premiums, provider networks, prescription coverage, deductibles and other costs or benefits can change. Experts recommend comparing coverage with anticipated health needs and household finances, since a lower-premium, high-deductible plan may suit people with savings while those expecting regular care may benefit from a different option. Healthcare costs, including premiums and out-of-pocket expenses, are also expected to rise for employer-based plans and Medicare. In Iowa, about 4,000 people must find new coverage because Medica is leaving the individual market; Wellmark will offer Marketplace plans statewide, while other insurers vary by county. Iowa’s enrollment period runs through Jan. 15, with Dec. 15 the deadline for coverage starting Jan. 1; the year-round enrollment option for some low-income households has also been eliminated for 2027.