Iowa · FIPS 19115
Louisa County, IA — ACA coverage
Marketplace plans, premium tax credit eligibility, and Medicaid options for residents of Louisa County, Iowa. Updated 2026-06-08.
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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 Louisa 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 Louisa 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 Louisa 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 Louisa County
Residents of Louisa County shop and enroll in ACA marketplace plans at www.healthcare.gov. Plans are rated by county, so available carriers and prices in Louisa 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 Louisa County is confirmed when Iowa filings finalize in summer 2026.
Premium tax credit eligibility
Premium tax credits (APTC) cap your monthly premium for a benchmark Silver plan at a percentage of household income — currently 0% at 150% FPL up to 8.5% at 400%+ FPL while Inflation Reduction Act enhancements remain in effect. 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 Louisa County
Louisa 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
2026 OEP in Iowa: November 1, 2026 – December 15, 2026. 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
- Iowa marketplace(opens in a new tab)
- HealthCare.gov subsidies(opens in a new tab)
- KFF Medicaid expansion tracker(opens in a new tab)
- U.S. Census county FIPS reference(opens in a new tab)
- CMS CHIP & Medicaid(opens in a new tab)
- CMS OEP state-level plan-selection reports(opens in a new tab)
- CMS 2026 Star Ratings(opens in a new tab)
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.