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A relationship
built on keeping
you healthy.

New plans from Wellmark featuring UnityPoint Health connect coverage and care to put you first.

When you buy your own health insurance, you deserve a doctor who’s your biggest champion and coverage you can be confident in. And with new Wellmark Blue HMO | UnityPoint Health insurance plans, that’s what you can expect.

Wellmark Blue HMO | UnityPoint Health Plans

These plans encourage you to build a relationship with your primary care provider to help you stay on top of your health and identify issues early. They also provide predictable copays for many common health care expenses. You must live in Iowa and reside in one of these counties to enroll.

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Wellmark Bronze Primary Care | UnityPoint Health Wellmark Silver Primary Care | UnityPoint Health Wellmark Gold primary care | UnityPoint Health
Preventive care Free Free Free
Medical deductible annual amount you pay before Wellmark pays
Single $7,800 $5,700 $2,000
Family $15,600 $11,400 $4,000
Coinsurance member pays 50% 30% 20%
Out-of-pocket maximum (OPM)  the most you'll spend in a year
Single $9,000 $8,900 $8,700
Family $18,000 $17,800 $17,400
Virtual visits through in-network providers $0 $0 $0
Primary care office services $25 copay $15 copay $10 copay
Non-primary care office services $110 copay $95 copay $95 copay
Emergency room care 50% coinsurance after deductible $750 copay$600 copay
Pharmacy Benefits —Blue Rx Essentials Formulary/CVS Specialty Program
Tier 1 $35 $10 $5
All other tiers Deductible/ coinsurance applies (medical/drug deductible combine) Deductible/ coinsurance applies (medical/drug deductible combine) Deductible/ coinsurance applies (medical/drug deductible combine)
Wellmark Bronze Primary Care | UnityPoint Health
Preventive care Free
Medical deductible annual amount you pay before Wellmark pays
Single $7,800
Family $15,600
Coinsurance member pays 50%
Out-of-pocket maximum (OPM)  the most you'll spend in a year
Single $9,000
Family $18,000
Virtual visits through in-network providers $0
Primary care office services $25 copay
Non-primary care office services $110 copay
Emergency room care 50% coinsurance after deductible
Pharmacy Benefits —Blue Rx Essentials Formulary/CVS Specialty Program
Tier 1 $35
All other tiers Deductible/ coinsurance applies (medical/drug deductible combine)
Wellmark Silver Primary Care | UnityPoint Health
Preventive care Free
Medical deductible annual amount you pay before Wellmark pays
Single $5,700
Family $11,400
Coinsurance member pays 30%
Out-of-pocket maximum (OPM)  the most you'll spend in a year
Single $8,900
Family $17,800
Virtual visits through in-network providers $0
Primary care office services $15 copay
Non-primary care office services $95 copay
Emergency room care $750 copay
Pharmacy Benefits —Blue Rx Essentials Formulary/CVS Specialty Program
Tier 1 $10
All other tiers Deductible/ coinsurance applies (medical/drug deductible combine)
Wellmark Gold Primary Care | UnityPoint Health
Preventive care Free
Medical deductible annual amount you pay before Wellmark pays
Single $2,000
Family $4,000
Coinsurance member pays 20%
Out-of-pocket maximum (OPM)  the most you'll spend in a year
Single $8,700
Family $17,400
Virtual visits through in-network providers $0
Primary care office services $10 copay
Non-primary care office services $95 copay
Emergency room care $600 copay
Pharmacy Benefits —Blue Rx Essentials Formulary/CVS Specialty Program
Tier 1 $5
Tier All other tiers Deductible/ coinsurance applies (medical/drug deductible combine)

County Eligibility

You must live in Iowa and reside in one of the following counties in order to enroll in the Wellmark Blue HMO | UnityPoint Health network:

  • Benton
  • Boone
  • Buchanan
  • Cedar
  • Dallas
  • Delaware
  • Dubuque
  • Grundy
  • Jackson
  • Jasper
  • Jones
  • Linn
  • Marshall
  • Muscatine
  • Polk
  • Poweshiek
  • Scott
  • Tama
  • Warren
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More For Your Money

Plans Prioritizing Health

Free preventive care and virtual care through myUnityPoint plus low copays for primary care visits mean you can get the care you need, when you need it.

Providing Predictability

These plans provide predictable copays for many common health care expenses like visits to UnityPoint doctors and getting Tier 1 prescription drugs.

Foundation of Relationship

Wellmark Blue HMO | UnityPoint Health plans encourage you to build a relationship with your primary care provider to help you stay on top of your health and identify issues early.

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