Bridgespan Health Insurance in San Juan County, Utah
- Bridgespan health insurance plans are not available on the HealthCare.gov marketplace in San Juan County, Utah for 2026.
- San Juan County residents can choose from 2 confirmed carriers offering marketplace plans: Select Health and University of Utah Health Plans.
- Utah's marketplace offers HMO and EPO plans only; PPO plans are not available on-exchange in the state.
- Utah expanded Medicaid in 2020, covering adults up to 138% FPL and pregnant women up to 144% FPL.
- San Juan County has a population of 14,483 and an uninsured rate of 17.5%, per U.S. Census Bureau ACS 2024 5-year estimates.
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What Health Insurance Options Are Available in San Juan County?
For 2026, residents of San Juan County seeking health insurance through HealthCare.gov have access to plans from two confirmed carriers: Select Health and University of Utah Health Plans. These carriers offer a range of plans across different metal tiers (Bronze, Silver, Gold), each designed to balance monthly premiums with out-of-pocket costs. All plans sold on HealthCare.gov cover essential health benefits, including doctor visits, prescription drugs, emergency care, and maternity services. San Juan County is a sparsely populated area with 14,483 residents and an uninsured rate of 17.5%, per U.S. Census Bureau ACS 2024 5-year estimates. The county is part of Rating Area 6, which covers Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Juab, Kane, Millard, Piute, San Juan, Sanpete, Sevier, Uintah, Wayne counties. This multi-county rating area determines the specific plans and pricing available to residents across this broad region. Given that San Juan County has no acute care hospitals within its boundaries, residents often travel to neighboring counties for hospital services, making comprehensive network coverage a significant consideration.Understanding Plan Types: HMO and EPO
In Utah, the marketplace choice for shoppers is between HMO and EPO network structures.- HMO (Health Maintenance Organization): These plans generally require you to choose a primary care provider (PCP) within the network, who then refers you to specialists. Except for emergencies, services from out-of-network providers are typically not covered.
- EPO (Exclusive Provider Organization): EPO plans offer a network of doctors and hospitals, and you generally don't need a referral to see a specialist. However, like HMOs, they typically do not cover care from out-of-network providers, except in emergencies.
Can You Get Financial Help with Health Insurance Costs in San Juan County?
Many San Juan County residents qualify for significant financial assistance to make health insurance more affordable. This assistance comes in two main forms through HealthCare.gov: Premium Tax Credits and Cost-Sharing Reductions.Premium Tax Credits (Subsidies)
Premium Tax Credits (also known as subsidies) reduce your monthly premium payments. Eligibility is based on your household income relative to the Federal Poverty Level (FPL). Under current law, individuals and families with incomes between 100% and 400% FPL are eligible. Due to enhanced subsidies from the American Rescue Plan Act, many people pay a much smaller percentage of their income towards premiums.Cost-Sharing Reductions (CSRs)
Cost-Sharing Reductions help lower your out-of-pocket costs, such as deductibles, co-pays, and co-insurance. These are automatically applied to Silver-tier plans for individuals and families with incomes up to 250% FPL. If you qualify for CSRs, choosing a Silver plan will provide you with better benefits for the same premium as a standard Silver plan, or sometimes even a Bronze plan.Utah Medicaid Expansion
Utah expanded its Medicaid program in 2020 through Proposition 3. This means that adults with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for comprehensive Utah Medicaid coverage. Unlike states without Medicaid expansion, individuals in this income range in Utah are not in a "coverage gap" and have access to affordable healthcare. Utah Medicaid also covers pregnant women with incomes up to 144% FPL and children through CHIP up to 200% FPL. If your income falls within these thresholds, applying for Utah Medicaid through medicaid.utah.gov may be your best option for coverage.Health Insurance Carriers in San Juan County
As of the 2026 plan year, for individuals and families seeking health insurance through HealthCare.gov in San Juan County, Utah (Rating Area 6), there are 2 confirmed carriers offering plans:- Select Health: A Utah-based insurer offering a variety of HMO and EPO plans.
- University of Utah Health Plans: Provides HMO and EPO options, often integrated with the University of Utah Health system.
Choosing the Right Plan for Your Needs
Selecting the best health insurance plan in San Juan County depends on several factors, including your income, health needs, and preferred medical providers.- If your income is below 138% FPL: You likely qualify for Utah Medicaid. This offers comprehensive coverage with minimal or no out-of-pocket costs. Apply through Utah's Medicaid portal.
- If your income is between 100% and 250% FPL: You are eligible for both Premium Tax Credits and Cost-Sharing Reductions. A Silver plan will offer the best value, significantly reducing your deductible and other out-of-pocket expenses.
- If your income is between 250% and 400% FPL: You are eligible for Premium Tax Credits. Consider a Bronze plan if you want the lowest monthly premium and are comfortable with higher out-of-pocket costs, or a Gold plan if you prefer lower out-of-pocket costs for medical care.
- If your income is above 400% FPL: You are still eligible for Premium Tax Credits under current law, which can significantly reduce your monthly premiums. Compare Bronze, Silver, and Gold plans based on your expected healthcare usage.
Frequently Asked Questions
Is Bridgespan health insurance available in San Juan County, Utah?
No, Bridgespan is not among the carriers offering plans on HealthCare.gov in San Juan County, Utah's Rating Area 6 for 2026. Residents have options from Select Health and University of Utah Health Plans.
What types of health insurance plans are available in San Juan County, Utah?
In San Juan County, marketplace plans available through HealthCare.gov are exclusively HMO and EPO network structures. PPO plans are not offered on-exchange in Utah.
Can I get help paying for health insurance in San Juan County?
Yes, many San Juan County residents qualify for federal subsidies (Premium Tax Credits) to lower their monthly premiums, especially those with incomes between 100% and 400% of the Federal Poverty Level. Enhanced subsidies under the American Rescue Plan Act remain in effect, making coverage more affordable.
Does Utah have expanded Medicaid?
Yes, Utah expanded Medicaid in 2020. Adults with incomes up to 138% of the Federal Poverty Level may qualify for comprehensive Utah Medicaid coverage. Pregnant women have an even higher income threshold, up to 144% FPL.
How do I find a doctor if there are no hospitals in San Juan County?
San Juan County does not have acute care hospitals within its borders. Residents typically travel to neighboring counties for hospital services. When choosing a health plan, carefully review the provider networks of Select Health and University of Utah Health Plans to ensure access to necessary medical facilities and specialists in nearby areas.