Background Information

What is the Iowa Health and Wellness Plan?

The Iowa Health and Wellness Plan program provides health coverage at low or no cost to Iowans between the ages of 19 and 64. It is one plan that includes two separate eligibility groups. All Iowa Health and Wellness Plan members are covered for the same types of health benefits. Eligibility is based on household income. 
 

What will it cost me to be in the Iowa Health and Wellness Plan program?

Members in the Iowa Health and Wellness Plan receive *free health coverage in their first year of eligibility. Members must complete their Healthy Behaviors in their first year, and every year after, to avoid paying a monthly contribution after the first year of coverage. To participate in the Healthy Behaviors program, members must get a wellness exam or dental exam, and must complete a Health Risk Assessment.
 
Members who do not complete their Healthy Behaviors every year may be required to pay a small monthly contribution of either $5 or $10 depending on their family income. 
 
Members who do not complete their Healthy Behaviors and do not pay their monthly bill after 90 days, depending on their income, may be disenrolled from the Iowa Health and Wellness Plan.
 
*There are no copayments for health care services and prescriptions. There is an $8 copay for using the emergency room for non-emergency services. However, this charge may vary slightly depending on your MCO. 
 

Are there copays?

There are no copayments for health care services and prescriptions. There is an $8 copay for using the emergency room for non-emergency services. However, this charge may vary slightly depending on your MCO.

 


Iowa Medicaid Member Services (Monday to Friday from 8 a.m. to 5 p.m.)
1-800-338-8366 (Toll Free) 
515-256-4606 (Des Moines Area)
515-725-1351 (Fax)
 
For telephone accessibility assistance if you are deaf, hard-of-hearing, deaf-blind, or have difficulty speaking, call Relay Iowa TTY at 1-800-735-2942.
 
Llame al 1-800-735-2942, a Relay Iowa TTY (teléfono de texto para personas con problemas de audición, del habla y ceguera) si necesita asistencia telefónicamente.