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UnityPoint Health Plan Options

2023 ACA PLAN COMPARISON GUIDE | IOWA SMALL GROUP PLANS

One of the greatest benefits you can give your employees is access to health insurance they can trust. And with new Wellmark Blue POS | UnityPoint Health insurance plans, you can help make their health care easier, more affordable, and most importantly, personal.

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Wellmark Blue POS | UnityPoint Health plan details

This plan option is available in the POS network for traditional and primary health plans. Your employees can spend less time worrying about where they can go for health care services and more time on what they value. Your company must be located in one of these counties in order to enroll.

EnhancedBlue 3000 POS | UnityPoint Health EnhancedBlue Primary POS | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $3,000 $2,500
Family $6,000 $5,000
Coinsurance — portion of medical cost you pay after your deductible is met 30% 25%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $6,000 $5,650
Family $12,000 $11,300
Medical benefits
Preventive care screenings Free Free
Virtual visits through in-network providers $0 $0
Primary care office services $30 $10
Non-primary care office services $60 $100
Emergency room visits $400 Deductible plus 25% coinsurance
Outpatient Deductible plus 30% coinsurance
Hospitalization
Pharmacy benefits
Preventive Free Free
Tier 1 $15 $10
Tier 2 $40 Deductible plus 25% coinsurance
Tier 3 $100
Biosimilar and generic specialty $160
Specialty preferred $200
Specialty non-preferred $400
Other benefits
Qualifies for health savings account (HSA) No No
Medicare Part D Creditable Coverage Yes Yes
EnhancedBlue 3000 POS | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $3,000
Family $6,000
Coinsurance — portion of medical cost you pay after your deductible is met 30%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $6,000
Family $12,000
Medical benefits
Preventive care screenings Free
Virtual visits through in-network providers $0
Primary care office services $30
Non-primary care office services $60
Emergency room visits $400
Outpatient Deductible plus 30% coinsurance
Hospitalization
Pharmacy benefits
Preventive Free
Tier 1 $15
Tier 2 $40
Tier 3 $100
Biosimilar and generic specialty $160
Specialty preferred $200
Specialty non-preferred $400
Other benefits
Qualifies for health savings account (HSA) No
Medicare Part D Creditable Coverage Yes
EnhancedBlue Primary POS | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $2,500
Family $5,000
Coinsurance — portion of medical cost you pay after your deductible is met 25%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $5,650
Family $11,300
Medical benefits
Preventive care screenings Free
Virtual visits through in-network providers $0
Primary care office services $10
Non-primary care office services $100
Emergency room visits Deductible plus 25% coinsurance
Outpatient
Hospitalization
Pharmacy benefits
Preventive Free
Tier 1 $10
Tier 2 Deductible plus 25% coinsurance
Tier 3
Biosimilar and generic specialty
Specialty preferred
Specialty non-preferred
Other benefits
Qualifies for health savings account (HSA) No
Medicare Part D Creditable Coverage Yes

CompleteBlue 4000 POS | UnityPoint Health Completeblue Primary POS | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $4,000 $5,800
Family $8,000 $11,600
Coinsurance — portion of medical cost you pay after your deductible is met 30% 30%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $9,000 $8,900
Family $18,000 $17,800
Medical benefits
Preventive care screenings Free Free
Virtual visits through in-network providers $0 $0
Primary care office services $40 $15
Non-primary care office services $100 $100
Emergency room visits $700 Deductible plus 30% coinsurance
Outpatient Deductible plus 30% coinsurance
Hospitalization
Pharmacy benefits
Preventive Free Free
Tier 1 $30 $15
Tier 2 $60 Deductible plus 30% coinsurance
Tier 3 $150
Biosimilar and generic specialty $135
Specialty preferred $150
Specialty non-preferred $500
Other benefits
Qualifies for health savings account (HSA) No No
Medicare Part D Creditable Coverage Yes No
CompleteBlue 4000 POS | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $4,000
Family $8,000
Coinsurance — portion of medical cost you pay after your deductible is met 30%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $9,000
Family $18,000
Medical benefits
Preventive care screenings Free
Virtual visits through in-network providers $0
Primary care office services $40
Non-primary care office services $100
Emergency room visits $700
Outpatient Deductible plus 30% coinsurance
Hospitalization
Pharmacy benefits
Preventive Free
Tier 1 $30
Tier 2 $60
Tier 3 $150
Biosimilar and generic specialty $135
Specialty preferred $150
Specialty non-preferred $500
Other benefits
Qualifies for health savings account (HSA) No
Medicare Part D Creditable Coverage Yes
Completeblue Primary POS | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $5,800
Family $11,600
Coinsurance — portion of medical cost you pay after your deductible is met 30%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $8,900
Family $17,800
Medical benefits
Preventive care screenings Free
Virtual visits through in-network providers $0
Primary care office services $15
Non-primary care office services $100
Emergency room visits Deductible plus 30% coinsurance
Outpatient
Hospitalization
Pharmacy benefits
Preventive Free
Tier 1 $15
Tier 2 Deductible plus 30% coinsurance
Tier 3
Biosimilar and generic specialty
Specialty preferred
Specialty non-preferred
Other benefits
Qualifies for health savings account (HSA) No
Medicare Part D Creditable Coverage No

SimplyBlue 6000 pos | UnityPoint Health SimplyBlue primary POS | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $6,000 $7,000
Family $12,000 $14,000
Coinsurance — portion of medical cost you pay after your deductible is met 50% 50%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $9,000 $9,000
Family $18,000 $18,000
Medical benefits
Preventive care screenings Free Free
Virtual visits through in-network providers $0 $0
Primary care office services $70 $25
Non-primary care office services $150 $120
Emergency room visits Deductible plus 50% coinsurance Deductible plus 50% coinsurance
Outpatient
Hospitalization
Pharmacy benefits
Preventive Free Free
Tier 1 $30 $25
Tier 2 Deductible plus 50% coinsurance Deductible plus 50% coinsurance
Tier 3
Biosimilar and generic specialty
Specialty preferred
Specialty non-preferred
Other benefits
Qualifies for health savings account (HSA) No No
Medicare Part D Creditable Coverage No No
SimplyBlue 6000 pos | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $6,000
Family $12,000
Coinsurance — portion of medical cost you pay after your deductible is met 50%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $9,000
Family $18,000
Medical benefits
Preventive care screenings Free
Virtual visits through in-network providers $0
Primary care office services $70
Non-primary care office services $150
Emergency room visits Deductible plus 50% coinsurance
Outpatient
Hospitalization
Pharmacy benefits
Preventive Free
Tier 1 $30
Tier 2 Deductible plus 50% coinsurance
Tier 3
Biosimilar and generic specialty
Specialty preferred
Specialty non-preferred
Other benefits
Qualifies for health savings account (HSA) No
Medicare Part D Creditable Coverage No
SimplyBlue primary POS | UnityPoint Health
Medical deductible — annual amount you pay before Wellmark pays
Single $7,000
Family $14,000
Coinsurance — portion of medical cost you pay after your deductible is met 50%
Out-of-pocket maximum (OPM) — the most you'll spend in a year
Single $9,000
Family $18,000
Medical benefits
Preventive care screenings Free
Virtual visits through in-network providers $0
Primary care office services $25
Non-primary care office services $120
Emergency room visits Deductible plus 50% coinsurance
Outpatient
Hospitalization
Pharmacy benefits
Preventive Free
Tier 1 $25
Tier 2 Deductible plus 50% coinsurance
Tier 3
Biosimilar and generic specialty
Specialty preferred
Specialty non-preferred
Other benefits
Qualifies for health savings account (HSA) No
Medicare Part D Creditable Coverage No

County Eligibility

This plan is best suited for employers based in the following counties, with employees who also live in these counties, where they will have access to the UnityPoint providers featured within this product. If your workplace is based elsewhere, or your employees live in other counties, this plan may not be the best option for your employer sponsored health coverage.

  • Benton
  • Black Hawk
  • Boone
  • Bremer
  • Buchanan
  • Butler
  • Cedar
  • Dallas
  • Delaware
  • Dubuque
  • Grundy
  • Jackson
  • Jasper
  • Jones
  • Linn
  • Marshall
  • Muscatine
  • Polk
  • Poweshiek
  • Scott
  • Tama
  • Warren
  • Webster

Virtual Visits with Doctor On Demand®

Reduce absenteeism and costs while increasing employee satisfaction with virtual visits, included in all our plans. Offered at a lower cost than an office visit, Doctor On Demand allows employees to connect face-to-face with a board-certified doctor or mental health professional from virtually anywhere.

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