This dataset provides sample premium information for individual ACA-compliant health insurance plans available to Iowans for 2023 based on age, rating area and metal level. These are premiums for individuals, not families. Explore and drill into the data using the <a href="/stories/s/p3t7-r486/" target="_blank" rel="nofollow external">2023 Sample Premium Explorer</a>. <br><br>Please note that not every plan ID is available in every county. On or after November 1, 2022, please go to <a href="https://www.healthcare.gov/" target="_blank" rel="nofollow external">www.healthcare.gov</a> to determine if your plan is available in the county you reside in.
This dataset has the following 11 columns:
| Column Name | API Column Name | Data Type | Description | Sample Values |
|---|---|---|---|---|
| Plan ID | plan_id | text | ID give for the plan the premiums are associated with. | 25896IA0370013 25896IA0370002 25896IA0370005 93078IA0060013 93078IA0060027 view top 100 |
| Carrier | carrier | text | Name of insurance company offering the plan. | Medica Insurance Company Wellmark Health Plan of Iowa Oscar Insurance Company CareSource Iowa Company view top 100 |
| Plan Name | plan_name | text | Name of the insurance plan for which premiums are associated with | Medica Insure Bronze Standard Wellmark Standard Silver HMO Medica Insure Gold Copay 0 Primary Care Wellmark Bronze HDHP HMO | Farm Bureau Medica Insure Silver Share view top 100 |
| Plan Type | plan_type | text | Health Maintenance Organization (HMO) or Exclusive Provider Organization (EPO) | EPO HMO view top 100 |
| Metal Level | metal_level | text | Plan choices under the Affordable Care Act fall into five different categories or metal levels, i.e., bronze (60%), silver (70%), gold (80%), platinum (90%), and catastrophic (less than 60% -- generally limited to those under the age of 30). A silver plan (on average) would be expected to pay around 70% of healthcare expenses for a standard population. The individual, therefore, would pay about 30%. | Bronze Silver Gold Catastrophic view top 100 |
| Rating Area | rating_area | text | A geographic area that all issuers in the state must uniformly use as part of their rate setting. Counties within the rating area are listed in the counties column. | Rating Area 2 Rating Area 6 Rating Area 7 Rating Area 3 Rating Area 4 view top 100 |
| Age | age | number | The age of the individual for which the premium applies. "14" means ages 0-14; "64" means ages 64 and older; the others mean the specific age listed. | 40 36 35 57 45 view top 100 |
| Non-Tobacco | non_tobacco | number | Premium for Non-Tobacco Users | 401.81 311.31 362.06 364.05 280.52 view top 100 |
| Tobacco | tobacco | number | Premium for Tobacco Users | 416.37 321.75 418.65 358.01 462.08 view top 100 |
| Counties | counties | text | Counties within the rating area. | Dallas, Jasper, Madison, Marion, Polk, and Warren Benton, Black Hawk, Buchanan, Cedar, Clayton, Clinton, Delaware, Dubuque, Iowa, Jackson, Johnson, Jones, Linn, and Scott Allamakee, Bremer, Butler, Cerro Gordo, Chickasaw, Emmet, Fayette, Floyd, Franklin, Hancock, Howard, Humboldt, Kossuth, Mitchell, Winnebago, Winneshiek, Worth, and Wright Buena Vista, Cherokee, Clay, Crawford, Dickinson, Ida, Lyon, Monona, O'Brien, Osceola, Palo Alto, Plymouth, Pocahontas, Sac, Sioux, and Woodbury Adair, Adams, Audubon, Cass, Clarke, Decatur, Fremont, Guthrie, Harrison, Mills, Montgomery, Page, Pottawattamie, Ringgold, Shelby, Taylor, and Union view top 100 |
| Rating Area Centroid | rating_area_centroid | point | Location associated with the center of the plan's rating area. | {"coordinates":[-93.54,41.52],"type":"Point"} {"coordinates":[-91.37,42.15],"type":"Point"} {"coordinates":[-95.58,42.75],"type":"Point"} {"coordinates":[-92.99,43.08],"type":"Point"} {"coordinates":[-94.91,41.18],"type":"Point"} view top 100 |