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Your 2020 plan options

Grandfathered/Grandmothered plans

  1. Renew your plan — Wellmark grandfathered and grandmothered members can remain on their plan for 2020. Although premiums are rising, these benefit-rich plans generally cost less than Affordable Care Act (ACA) compliant plans unless you qualify for a significant subsidy.
  2. Choose an ACA-compliant plan — People looking for comprehensive coverage and/or financial assistance may choose one of Wellmark’s ACA-compliant plans issued by Wellmark Health Plan of Iowa, Inc. and Wellmark Value Health Plan, Inc. If you’re interested in a new plan, visit External Site or contact a Wellmark agent.

Affordable Care Act plans

  1. Renew your plan — Wellmark members who purchased an ACA plan in 2019 have the option to keep the plan they currently have in 2020.
  2. Visit — We highly encourage all ACA members to visit External Site annually to ensure their plan is still the right fit. Once on the site, you should update your eligibility status, review your coverage, and shop other Wellmark health plan options.

View Wellmark's rate change justification for ACA-compliant policies effective Jan. 1, 2020.

Should you change plans?

Consider your recent medical history and any potential upcoming medical needs. Did you visit the doctor more than expected last year? A careful review can help you determine if your current plan has the right amount of coverage for the coming year.

If you are looking for a different health plan, you should talk to an agent about your options. Keep in mind, if you cancel your grandfathered or grandmothered plan, that same plan will not be available to enroll in again.

To change plans, you will need to do so during the open enrollment period (Nov. 1 - Dec. 15) or after a qualifying life event.

Frequently asked questions

Here are some frequently asked questions about grandfathered and grandmothered plans:

If you have a grandfathered, grandmothered or Affordable Care Act (ACA) plan, you can keep your current plan through 2020. As a reminder, grandfathered and grandmothered plans may not include all of the essential health benefits of an ACA plan, but that also means you are not paying for extra benefits you may not use.

Grandfathered or grandmothered plans are individual plans that were purchased prior to Jan. 1, 2014. There are two ways you can confirm whether or not your plan is grandfathered or grandmothered:

  1. View your plan information on myWellmark. If you have never logged in, it's easy to register for a myWellmark account with some basic information and a few minutes.
    • Once logged in, click on Coverage in the main menu.
    • Select "Plan Details" and click the "General" box to expand.
    • The information listed here will indicate whether your plan is grandfathered or grandmothered.
  2. Call Customer Service using the phone number on the back of your insurance card.

Grandfathered members: As long as Wellmark continues to offer plans like yours, you can keep it.

Grandmothered members: You are able to keep your current plan through Dec. 31, 2020. If your plan does not get extended past 2020, Wellmark will communicate with you no less than 90 days before your plan is set to end.

ACA members: If your health plan continues to be offered on, you will be able to keep your plan.