NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
STATE

Provider networks in Iowa.

InPlan holds provider listings for 82 marketplace (ACA) and Medicare Advantage plans that serve Iowa. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.

MARKETPLACE PLANS
73
MEDICARE ADVANTAGE PLANS
9
INSURERS AND PLAN ORGANIZATIONS
8
LATEST READ
2026-10-29

What we hold in Iowa.

Plans whose provider directories list providers in our data. Together the marketplace plans hold more than 9.7 million provider-plan links.

Plans with provider listings in Iowa, by market
MARKETPLANSINSURERSPLAN YEARSLATEST READ
Marketplace (ACA)73520262026-10-29
Medicare Advantage9320272026-10-29

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Insurers in Iowa.

Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.

Insurers with plans that list providers in Iowa
INSURERMARKETPLANS
Oscar HealthMarketplace (ACA)26
Ambetter HealthMarketplace (ACA)16
Avera Health PlansMarketplace (ACA)12
UnitedHealthcareMarketplace (ACA)12
WellmarkMarketplace (ACA)7
Devoted HealthMedicare Advantage5
Align Senior CareMedicare Advantage2
Molina HealthcareMedicare Advantage2

Who the Medicare Advantage directories list.

More than 14,000 providers who practise in Iowa appear in the Medicare Advantage plans we hold. The most common primary specialties among them:

  • Nurse Practitioner2,540
  • Chiropractic967
  • Family Practice963
  • Physician Assistant853
  • Dentist754
  • Clinical Social Worker707
  • Mental Health Counselor629
  • Physical Therapist in Private Practice608

Specialties as the national provider registries record them. A provider counts once per specialty.

Example plans in Iowa.

Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPEPROVIDER-PLAN LINKS
Bronze Elite + PCP Saver PlusOscar Insurance Company45819IA00100562026Marketplace (ACA)Expanded Bronze · EPO273,745
Devoted Core 034 IA (HMO)Devoted HealthH7993-034-0002027Medicare AdvantageHMO81,607
Bronze Classic 4700Oscar Insurance Company45819IA00100602026Marketplace (ACA)Expanded Bronze · EPO273,745
Silver Simple PCP SaverOscar Insurance Company45819IA00100612026Marketplace (ACA)Silver · EPO273,745
Gold Classic StandardOscar Insurance Company45819IA00100672026Marketplace (ACA)Gold · EPO273,745
SAMPLE ANSWER

A real Iowa answer.

Emily C. Chang, DO, who practises in Atlantic, is listed in 45819IA0010056. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003011560&plan_id=45819IA0010056"
Response, trimmed200 OK
{
  "npi": "1003011560",
  "plan_id": "45819IA0010056",
  "market": "aca",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2026,
  "source": { "type": "insurer_directory", "as_of": "2026-10-29" }
}
NPI 1003011560PLAN 45819IA0010056

Emily C. Chang, DO

Obstetrics/Gynecology · Atlantic, IA

Listed

PLAN
Bronze Elite + PCP Saver Plus
INSURER
Oscar Insurance Company
MARKET
Marketplace (ACA), plan year 2026
PLAN TYPE
Expanded Bronze · EPO
NETWORK TIER
PREFERRED
SOURCE
insurer_directory · read 2026-10-29
One real answer, as the API returns itCheck another pair
DATA FILE

Every Iowa provider, with every plan that lists them.

The Iowa data file is one CSV: one row for each provider and plan pair, for every provider practising in Iowa, with the source type and read date on each row.

FREE API KEY

Check Iowa providers in your own product.

Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.