Iowa: Start Here
Beginner guide for Iowa—HealthCare.gov Marketplace, IID external review, PA deadlines, and what to open next.
Read guideState playbook
Iowa
State insurers, legislation, and appeal resources for patients and advocates in Iowa.
4 guides
Iowa Prior Authorization Law
514F.8 and IAC 191-79.3—48-hour/10-day PA, deemed granted, 5-day carrier rules, and 12-month approvals.
Read guideIowa Health Insurance Appeals and Grievances
180-day filing, 30-day plan decisions, exhaustion to IID—Iowa Code 514J and managed-care Medicaid paths.
Read guideIowa External Review (IID)
Binding IRO review—4-month filing, 45-day standard, 72-hour expedited, Iowa Code chapter 514J.
Read guidePrior auth & internal appeals
Match the plan on the member ID card. Use the denial letter for where to file appeals.
- Wellmark
- Medica
- UnitedHealthcare
- Oscar Health
- Avera Health Plans
- Ambetter / Iowa Total Care
- HealthCare.gov (Iowa Marketplace)
- Iowa Medicaid (HHS)
External appeals
After internal appeal, for eligible Iowa fully insured plans only.
- IID — External Review
- Medicaid — State fair hearing