Benefits


Membership in the Iowa Health and Wellness Plan include many benefits such as the ones outlined below:

Benefits:

  • Doctor visits
  • Women's health
  • Prescription drugs
  • Dental care
  • Preventive health services (vaccinations, blood pressure, and cancer screenings)
  • Hospitalizations
  • Emergency services
  • Mental health and substance use services

There are no costs for health services during the first year and limited costs after that based on completion of Healthy Behaviors. Read more about Healthy Behaviors.

Costs:

  • No charges for office visits, prescription drugs, preventive services, mental health services, or hospitalization.
  • Members could be required to pay $8 for using the emergency room when it is not an emergency.
  • Some members in their second year of Iowa Health and Wellness Plan eligibility may be required to pay a small monthly contribution, or premium. The payment amount will be based on member income. Members can complete Healthy Behaviors and have the contributions waived for the next eligibility year.

The Iowa Health and Wellness Plan is administered by Iowa Medicaid and all members within this plan will receive their medical care through a Managed Care Organization (MCO). The IA Health Link Managed Care Handbook provides more detailed information about plan benefits and how to access services.