Compare Iowa small business health plans
Wellmark has designed comprehensive plan options with your employees in mind. Plus, all small business plans include easy-to-navigate pharmacy benefits with Blue Rx EssentialsSM and virtual care from in-network providers or Doctor On Demand®.
Plans are organized by network and metallic tier. A plan’s network determines where you and your employees can seek care.
- Wellmark Blue HMOSM Network plans give employees access to providers across Iowa with coverage for out-of-state emergency care.
- The Wellmark Blue POSSM Network offers lower cost, in-network coverage from trusted, local doctors and also allows for out-of-network coverage.
- The Wellmark Blue PPOSM Network provides employees with national flexibility when searching for in-network providers.
The metallic tiers describe how much you'll pay versus how much will be covered by your health plan. Gold tier plans will have the lowest out-of-pocket costs with higher monthly premiums, while Bronze tier plans will have the highest out-of-pocket costs with lower monthly premiums.
Download the Iowa plan comparison guide
Wellmark Blue HMO Network/Wellmark Blue POS Network
Gold tier plans
EnhancedBlueSM 1500
Deductible:
Single: $1,500
Family: $3,000
Coinsurance: 20%
Out-of-pocket max:
Single: $6,500
Family: $13,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $25
Other PCP: $40
Non-PCP: $60
Office-administered specialty medical drug: $200
Hospital services
Emergency room: $500
Outpatient / Inpatient: 20% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $15
Tier 2: $50
Tier 3: $100
Specialty
Biosimilar / generic: $150
Preferred: $200
Non-preferred: $500
Medicare Part D Creditable: Yes
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EnhancedBlueSM 3000
Deductible:
Single: $3,000
Family: $6,000
Coinsurance: 30%
Out-of-pocket max:
Single: $5,600
Family: $11,200
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $25
Other PCP: $40
Non-PCP: $60
Office-administered specialty medical drug: $200
Hospital services
Emergency room: $400
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $15
Tier 2: $40
Tier 3: $100
Specialty
Biosimilar / generic: $160
Preferred: $200
Non-preferred: $400
Medicare Part D Creditable: Yes
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EnhancedBlueSM Primary
Deductible:
Single: $2,500
Family: $5,000
Coinsurance: 25%
Out-of-pocket max:
Single: $5,000
Family: $10,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $5
Other PCP: $20
Non-PCP: $90
Office-administered specialty medical drug: 25% after deductible
Hospital services
Emergency room: 25% after deductible
Outpatient / Inpatient: 25% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $10
Tier 2: 25% after deductible
Tier 3: 25% after deductible
Specialty
Biosimilar / generic: 25% after deductible
Preferred: 25% after deductible
Non-preferred: 25% after deductible
Medicare Part D Creditable: Yes
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Silver tier plans
CompleteBlueSM 4000
Deductible:
Single: $4,000
Family: $8,000
Coinsurance: 30%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $35
Other PCP: $50
Non-PCP: $100
Office-administered specialty medical drug: $150
Hospital services
Emergency room: $700
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $30
Tier 2: $60
Tier 3: $150
Specialty
Biosimilar / generic: $135
Preferred: $150
Non-preferred: $500
Medicare Part D Creditable: Yes
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CompleteBlueSM 5000
Deductible:
Single: $5,000
Family: $10,000
Coinsurance: 30%
Out-of-pocket max:
Single: $8,800
Family: $17,600
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $45
Other PCP: $60
Non-PCP: $100
Office-administered specialty medical drug: $200
Hospital services
Emergency room: $600
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $35
Tier 2: $70
Tier 3: $140
Specialty
Biosimilar / generic: $170
Preferred: $200
Non-preferred: $500
Medicare Part D Creditable: Yes
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CompleteBlueSM Primary
Deductible:
Single: $5,750
Family: $11,500
Coinsurance: 30%
Out-of-pocket max:
Single: $8,200
Family: $16,400
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $10
Other PCP: $25
Non-PCP: $80
Office-administered specialty medical drug: 30% after deductible
Hospital services
Emergency room: 30% after deductible
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $15
Tier 2: 30% after deductible
Tier 3: 30% after deductible
Specialty
Biosimilar / generic: 30% after deductible
Preferred: 30% after deductible
Non-preferred: 30% after deductible
Medicare Part D Creditable: No
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CompleteBlueSM 6000
Deductible:
Single: $6,000
Family: $12,000
Coinsurance: 0%
Out-of-pocket max:
Single: $6,000
Family: $12,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: Deductible applies
Office services
Deductible applies
Office-administered specialty medical drug: Deductible applies
Hospital services
Deductible applies
Emergency room: Deductible applies
Blue Rx Essentials
All tiers: Deductible applies
Medicare Part D Creditable: Yes
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Bronze tier plans
SimplyBlueSM 6000
Deductible:
Single: $6,000
Family: $12,000
Coinsurance: 50%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $65
Other PCP: $80
Non-PCP: $150
Office-administered specialty medical drug: 50% after deductible
Hospital services
Emergency room: 50% after deductible
Outpatient / Inpatient: 50% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $30
Tier 2: 50% after deductible
Tier 3: 50% after deductible
Specialty
Biosimilar / generic: 50% after deductible
Preferred: 50% after deductible
Non-preferred: 50% after deductible
Medicare Part D Creditable: No
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SimplyBlueSM Primary
Deductible:
Single: $7,000
Family: $14,000
Coinsurance: 50%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $20
Other PCP: $35
Non-PCP: $120
Office-administered specialty medical drug: 50% after deductible
Hospital services
Emergency room: 50% after deductible
Outpatient / Inpatient: 50% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $25
Tier 2: 50% after deductible
Tier 3: 50% after deductible
Specialty
Biosimilar / generic: 50% after deductible
Preferred: 50% after deductible
Non-preferred: 50% after deductible
Medicare Part D Creditable: No
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MyBlue HDHPSM 8050
Deductible:
Single: $8,050
Family: $16,100
Coinsurance: 0%
Out-of-pocket max:
Single: $8,050
Family: $16,100
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: Deductible applies
Office services
Deductible applies Office-administered specialty medical drug: Deductible applies
Hospital services
Deductible applies
Emergency room: Deductible applies
Blue Rx Essentials
All tiers: Deductible applies
Medicare Part D Creditable: No
Health savings account (HSA) eligible
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Wellmark Blue PPOSM Network
Gold tier plans
EnhancedBlueSM 1500
Deductible:
Single: $1,500
Family: $3,000
Coinsurance: 20%
Out-of-pocket max:
Single: $6,500
Family: $13,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
PCP: $30
Non-PCP: $60
Office-administered specialty medical drug: $200
Hospital services
Emergency room: $500
Outpatient / Inpatient: 20% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $15
Tier 2: $50
Tier 3: $100
Specialty
Biosimilar / generic: $150
Preferred: $200
Non-preferred: $500
Medicare Part D Creditable: Yes
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EnhancedBlueSM 3000
Deductible:
Single: $3,000
Family: $6,000
Coinsurance: 30%
Out-of-pocket max:
Single: $5,600
Family: $11,200
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
PCP: $30
Non-PCP: $60
Office-administered specialty medical drug: $200
Hospital services
Emergency room: $400
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $15
Tier 2: $40
Tier 3: $100
Specialty
Biosimilar / generic: $160
Preferred: $200
Non-preferred: $400
Medicare Part D Creditable: Yes
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EnhancedBlueSM Primary
Deductible:
Single: $2,500
Family: $5,000
Coinsurance: 25%
Out-of-pocket max:
Single: $5,000
Family: $10,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
PCP: $10
Non-PCP: $90
Office-administered specialty medical drug: 25% after deductible
Hospital services
Emergency room: 25% after deductible
Outpatient / Inpatient: 25% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $10
Tier 2: 25% after deductible
Tier 3: 25% after deductible
Specialty
Biosimilar / generic: 25% after deductible
Preferred: 25% after deductible
Non-preferred: 25% after deductible
Medicare Part D Creditable: Yes
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Silver tier plans
CompleteBlueSM 4000
Deductible:
Single: $4,000
Family: $8,000
Coinsurance: 30%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
PCP: $40
Non-PCP: $100
Office-administered specialty medical drug: $150
Hospital services
Emergency room: $700
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $30
Tier 2: $60
Tier 3: $150
Specialty
Biosimilar / generic: $135
Preferred: $150
Non-preferred: $500
Medicare Part D Creditable: Yes
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CompleteBlueSM 5500
Deductible:
Single: $5,000
Family: $10,000
Coinsurance: 30%
Out-of-pocket max:
Single: $8,800
Family: $17,600
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
PCP: $50
Non-PCP: $100
Office-administered specialty medical drug: $200
Hospital services
Emergency room: $600
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $35
Tier 2: $70
Tier 3: $140
Specialty
Biosimilar / generic: $170
Preferred: $200
Non-preferred: $500
Medicare Part D Creditable: Yes
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CompleteBlueSM Primary
Deductible:
Single: $5,750
Family: 11,500
Coinsurance: 30%
Out-of-pocket max:
Single: $8,200
Family: $16,400
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
PCP: $15
Non-PCP: $80
Office-administered specialty medical drug: 30% after deductible
Hospital services
Emergency room: 30% after deductible
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $15
Tier 2: 30% after deductible
Tier 3: 30% after deductible
Specialty
Biosimilar / generic: 30% after deductible
Preferred: 30% after deductible
Non-preferred: 30% after deductible
Medicare Part D Creditable: No
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MyBlue HDHPSM 6000
Deductible:
Single: $6,000
Family: $12,000
Coinsurance: 0%
Out-of-pocket max:
Single: $6,000
Family: $12,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand®: Deductible applies
Office services
Deductible applies
Office-administered specialty medical drug: Deductible applies
Hospital services
Deductible applies
Blue Rx Essentials
All tiers: Deductible applies
Medicare Part D Creditable: Yes
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Bronze tier plans
SimplyBlueSM 6000
Deductible:
Single: $6,000
Family: $12,000
Coinsurance: 50%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
PCP: $70
Non-PCP: $150
Office-administered specialty medical drug: 50% after deductible
Hospital services
Emergency room: 50% after deductible
Outpatient / Inpatient: 50% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $30
Tier 2: 50% after deductible
Tier 3: 50% after deductible
Specialty
Biosimilar / generic: 50% after deductible
Preferred: 50% after deductible
Non-preferred: 50% after deductible
Medicare Part D Creditable: No
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SimplyBlueSM Primary
Deductible:
Single: $7,000
Family: $14,000
Coinsurance: 50%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
PCP: $25
Non-PCP: $120
Office-administered specialty medical drug: 50% after deductible
Hospital services
Emergency room: 50% after deductible
Outpatient / Inpatient: 50% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $25
Tier 2: 50% after deductible
Tier 3: 50% after deductible
Specialty
Biosimilar / generic: 50% after deductible
Preferred: 50% after deductible
Non-preferred: 50% after deductible
Medicare Part D Creditable: No
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MyBlue HDHPSM 8050
Deductible:
Single: $8,050
Family: $17,100
Coinsurance: 0%
Out-of-pocket max:
Single: $8,050
Family: $17,100
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: Deductible applies
Office services
Deductible applies
Office-administered specialty medical drug: Deductible applies
Hospital services
Deductible applies
Emergency room: Deductible applies
Blue Rx Essentials
All tiers: Deductible applies
Medicare Part D Creditable: No
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Wellmark Blue POS | UnityPoint Health Network plan options
This plan is best suited for employers based in the following counties, with employees who also live in these counties and have access to the UnityPoint Health network.
- Benton
- Black Hawk
- Boone
- Bremer
- Buchanan
- Butler
- Cedar
- Dallas
- Delaware
- Dubuque
- Grundy
- Jackson
- Jasper
- Jones
- Linn
- Marshall
- Muscatine
- Polk
- Poweshiek
- Scott
- Tama
- Warren
- Webster
Gold tier plans
EnhancedBlue 3000 POS | UnityPoint Health
Deductible:
Single: $3,000
Family: $6,000
Coinsurance: 30%
Out-of-pocket max:
Single: $5,600
Family: $11,200
Medical benefits
Preventive: Free
Virtual visit through in-network providers: $0
Office services
Designated PCP: $25
Other PCP: $40
Non-PCP: $60
Hospital services
Emergency room: $400
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $15
Tier 2: $40
Tier 3: $100
Specialty
Biosimilar / generic: $160
Preferred: $200
Non-preferred: $400
Medicare Part D Creditable: Yes
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EnhancedBlue Primary POS | UnityPoint Health
Deductible:
Single: $2,500
Family: $5,000
Coinsurance: 25%
Out-of-pocket max:
Single: $5,000
Family: $10,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $5
Other PCP: $20
Non-PCP: $90
Hospital services
Emergency room: 25% after deductible
Outpatient / Inpatient: 25% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $10
Tier 2: 25% after deductible
Tier 3: 25% after deductible
Specialty
Biosimilar / generic: 25% after deductible
Preferred: 25% after deductible
Non-preferred: 25% after deductible
Medicare Part D Creditable: Yes
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Silver tier plans
CompleteBlue 4000 POS | UnityPoint Health
Deductible:
Single: $4,000
Family: $8,000
Coinsurance: 30%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit through in-network providers: $0
Office services
Designated PCP: $35
Other PCP: $50
Non-PCP: $100
Hospital services
Emergency room: $700
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $30
Tier 2: $60
Tier 3: $150
Specialty
Biosimilar / generic: $135
Preferred: $150
Non-preferred: $500
Medicare Part D Creditable: Yes
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CompleteBlue Primary POS | UnityPoint Health
Deductible:
Single: $5,750
Family: $11,500
Coinsurance: 30%
Out-of-pocket max:
Single: $8,200
Family: $16,400
Medical benefits
Preventive: Free
Virtual visit through in-network providers: $0
Office services
Designated PCP: $10
Other PCP: $25
Non-PCP: $80
Hospital services
Emergency room: 30% after deductible
Outpatient / Inpatient: 30% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $15
Tier 2: 30% after deductible
Tier 3: 30% after deductible
Specialty
Biosimilar / generic: 30% after deductible
Preferred: 30% after deductible
Non-preferred: 30% after deductible
Medicare Part D Creditable: Yes
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Bronze tier plans
SimplyBlue 6000 POS | UnityPoint Health
Deductible:
Single: $6,000
Family: $12,000
Coinsurance: 50%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit through in-network providers: $0
Office services
Designated PCP: $65
Other PCP: $80
Non-PCP: $150
Hospital services
Emergency room: 50% after deductible
Outpatient / Inpatient: 50% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $30
Tier 2: 50% after deductible
Tier 3: 50% after deductible
Specialty
Biosimilar / generic: 50% after deductible
Preferred: 50% after deductible
Non-preferred: 50% after deductible
Medicare Part D Creditable: Yes
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SimplyBlue Primary POS | UnityPoint Health
Deductible:
Single: $7,750
Family: $14,000
Coinsurance: 50%
Out-of-pocket max:
Single: $9,000
Family: $18,000
Medical benefits
Preventive: Free
Virtual visit with Doctor On Demand: $0
Office services
Designated PCP: $20
Other PCP: $35
Non-PCP: $120
Hospital services
Emergency room: 50% after deductible
Outpatient / Inpatient: 50% after deductible
Blue Rx Essentials
Preventive: Free
Tier 1: $25
Tier 2: 50% after deductible
Tier 3: 50% after deductible
Specialty
Biosimilar / generic: 50% after deductible
Preferred: 50% after deductible
Non-preferred: 50% after deductible
Medicare Part D Creditable: Yes
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How to enroll in a small business health plan from Wellmark
Enroll your small business in health coverage in just two simple steps.
Get a quote
Start the process by submitting your information to get connected with a Wellmark representative.
Enroll
A Wellmark representative can help you choose a plan that will work for you and your employees.
The metallic tiers describe how much your employees will pay versus how much will be covered by their health plan. The percentage their health plan pays for covered services increases with each tier — gold being the lowest amount paid out of pocket by your employees, bronze being the highest and silver falling somewhere in the middle.
To determine which health plan is the best fit for your small business, you’ll need to consider your employees’ needs and your budget. A Wellmark representative can walk you through your options and help you find your best fit.
Simply request a quote, and we’ll be in contact soon.
Your small business may qualify for a health care tax credit.
Visit IRS.gov to learn more about the specific requirements and qualifications for this credit.