What Is the Iowa Health and Wellness Plan?
The Iowa Health and Wellness Plan is a new Medicaid program that has been created to provide comprehensive health care coverage to qualified Iowans. The plan will replace the IowaCare program, which ends on December 31, 2013.
One Program, Two Options
• Iowa Wellness Plan: Covers adults ages 19-64 with income up to and including 100 percent of the Federal Poverty Level. The Wellness Plan will be administered by Iowa Medicaid and members will have access to the Medicaid provider network.
• Iowa Marketplace Choice Plan: Covers adults 19-64 with income 101 percent up to and including 133 percent of the Federal Poverty Level. The Marketplace Choice Plan allows members to select certain commercial health plans available on the Health Insurance Marketplace. Medicaid pays the premiums for the commercial health plan on behalf of the member.
Current IowaCare Members
The Department of Human Services will check to see if all IowaCare members can get coverage from the Iowa Health and Wellness Plan by verifying member income. IowaCare members should have received a letter in late October 2013 informing them of eligibility. If a member is eligible, he or she does not need to apply for the Iowa Health and Wellness Plan. If a member is not eligible, he or she will receive instructions on how to apply for coverage.
Who Can Enroll?
To be eligible for the Iowa Health and Wellness Plan, you must:
• Be an adult age 19-64
• Have income that does not exceed 133 percent of the Federal Poverty Level ($15,282 for a family of 1 person,
$20,628 for a family with 2 people)
• Live in Iowa and be a U.S. citizen
• Not be otherwise eligible for Medicaid or Medicare
We Can Help
People who are not current IowaCare members can apply for the Iowa Health and Wellness Plan several ways and we can help. Please call 515-382-2111 for assistance.