Updated July 2026 · UtahPlanFinder.com — Licensed Health Insurance Producer (NPN #21249133)

Imperial Health Plan Health Insurance in Carbon County, Utah

Imperial Health Plan is not listed among the 4 confirmed carriers offering marketplace plans in Carbon County, Utah, for the 2026 plan year.
Carbon County is part of Utah's Rating Area 6, which covers 16 counties, including Beaver, Daggett, and Emery.
Utah expanded Medicaid in 2020, making adults with incomes up to 138% of the Federal Poverty Level eligible for coverage.
Marketplace plans in Carbon County are primarily Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans, as PPOs are not available on-exchange in Utah.
Carbon County's uninsured rate is 6.2%, significantly lower than the national average, per U.S. Census Bureau ACS 2024 5-year estimates.

Navigating health insurance options in Carbon County, Utah, requires understanding local availability and state-specific regulations. For the 2026 plan year, Imperial Health Plan is not among the confirmed health insurance carriers offering plans through HealthCare.gov in Utah's Rating Area 6, which includes Carbon County. Residents seeking coverage will instead find options from other carriers such as BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health, and University of Utah Health Plans. These plans are available through the federal marketplace, HealthCare.gov, and may be eligible for subsidies based on household income. Utah expanded its Medicaid program in 2020, providing coverage for adults with incomes up to 138% of the Federal Poverty Level, which is a key consideration for many residents.

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What Health Insurance Options Are Available in Carbon County?

Residents of Carbon County, Utah, have several avenues for obtaining health insurance, primarily through HealthCare.gov. The marketplace offers a range of plans from multiple carriers, all of which must cover essential health benefits. Carbon County is situated within Utah's Rating Area 6, which covers Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Juab, Kane, Millard, Piute, San Juan, Sanpete, Sevier, Uintah, and Wayne counties. For individuals and families, the main options include:

Marketplace Plans (ACA Plans): These plans are purchased through HealthCare.gov and may qualify for premium tax credits and cost-sharing reductions based on income. In Utah, marketplace plans are structured as Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) networks; PPO plans are not available on-exchange.
Utah Medicaid: Expanded in 2020, Utah Medicaid covers adults with incomes up to 138% of the Federal Poverty Level. This is a critical safety net for many low-income residents, ensuring access to comprehensive medical care without premiums.
Children's Health Insurance Program (CHIP): Uninsured children in households with incomes up to 200% FPL may qualify for CHIP, providing affordable coverage for vital health services.
Employer-Sponsored Plans: Many Carbon County residents receive health insurance through their employers. These plans often offer a wider range of network types and benefits.
Off-Marketplace Plans: Plans purchased directly from an insurer outside of HealthCare.gov. These plans are not eligible for subsidies, but can be an option for those who do not qualify for assistance or prefer specific benefits not found on the exchange.

Carbon County's 20,517 residents, with a median income of $58,377 and an uninsured rate of 6.2% per U.S. Census Bureau ACS 2024 5-year estimates, benefit from the availability of both subsidized marketplace plans and expanded Medicaid. Castleview Hospital in Price is the primary acute care facility serving the county, making it important for residents to consider its network inclusion when choosing a plan.

Understanding Marketplace Plan Types in Utah

When shopping for health insurance on HealthCare.gov in Carbon County, you will primarily encounter two types of plans:

Health Maintenance Organization (HMO) Plans: These plans typically have lower premiums and require you to choose a primary care provider (PCP) within the network. Your PCP coordinates most of your care and provides referrals to specialists. HMOs generally do not cover out-of-network care, except in emergencies.
Exclusive Provider Organization (EPO) Plans: EPO plans offer a network of doctors and hospitals you can use without a referral. Unlike HMOs, you usually don't need a PCP. However, like HMOs, EPOs generally do not cover out-of-network care except for emergencies.

It is important to note that PPO (Preferred Provider Organization) plans are not available on-exchange in Utah. While PPOs may be available off-marketplace, they will not qualify for federal subsidies. When evaluating HMO and EPO plans, consider your preferred doctors, specialists, and Castleview Hospital to ensure they are included in the plan's network.

Health Insurance Carriers in Carbon County

In 2026, 4 carriers offer marketplace plans in Rating Area 6, which includes Carbon County. These carriers provide a range of HMO and EPO options to suit different healthcare needs and budgets. It is important to compare plans from each of these providers to find the best fit for your specific situation. The confirmed local carriers for Carbon County's Rating Area 6 are:

BridgeSpan Health Company
Regence BlueCross BlueShield of Utah
Select Health
University of Utah Health Plans

When reviewing plans, pay close attention to the network of providers, the deductibles, copayments, coinsurance, and out-of-pocket maximums. Each carrier will offer plans across different metallic tiers (Bronze, Silver, Gold), which reflect the balance between premiums and out-of-pocket costs.

Utah Medicaid and CHIP Eligibility in Carbon County

Utah expanded its Medicaid program in 2020, significantly broadening access to affordable healthcare for many residents. For adults in Carbon County, eligibility for Utah Medicaid extends to those with household incomes up to 138% of the Federal Poverty Level (FPL). This means that individuals and families who previously might have been uninsured due to income levels now have a pathway to comprehensive coverage. Specific FPL thresholds for other populations include:

Pregnant Women: Up to 144% FPL for pregnancy-specific Medicaid coverage, including prenatal, delivery, and postpartum care.
Children (CHIP): Uninsured children in households with incomes up to 200% FPL are eligible for the Children's Health Insurance Program (CHIP).

If your income falls within these ranges, applying for Utah Medicaid or CHIP should be your first step. These programs offer robust benefits with minimal or no cost-sharing, providing essential healthcare access. Applications can be submitted directly through Utah's Medicaid portal (medicaid.utah.gov).

Making Your Health Insurance Decision in Carbon County

Choosing the right health insurance plan in Carbon County involves assessing your financial situation, health needs, and preferred medical providers. Here's a guide to help you make an informed decision:

If your income is below 138% FPL: You likely qualify for Utah Medicaid. This offers comprehensive, low-cost coverage. Apply through the Utah Medicaid portal.
If your income is between 100% and 400% FPL: You are eligible for significant premium tax credits on HealthCare.gov, which can drastically reduce your monthly premium. If your income is also below 250% FPL, you may qualify for extra savings called cost-sharing reductions (CSRs) on Silver plans, lowering your deductibles and copayments.
If your income is above 400% FPL: You can still purchase plans through HealthCare.gov or directly from carriers. While not eligible for premium tax credits, you benefit from the consumer protections of the Affordable Care Act.

Regardless of your income, it's crucial to compare plan details from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health, and University of Utah Health Plans. Verify that your preferred doctors and Castleview Hospital are in-network for any plan you consider. A licensed health insurance producer can provide personalized guidance at no cost to you, helping you navigate these choices and enroll in a plan that meets your needs.

Frequently Asked Questions

Is Imperial Health Plan available in Carbon County, Utah?

Imperial Health Plan is not among the confirmed carriers offering marketplace plans in Utah's Rating Area 6, which includes Carbon County, for the 2026 plan year. Residents should explore options from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health, and University of Utah Health Plans.

What are the income limits for Utah Medicaid in Carbon County?

Utah expanded Medicaid in 2020, making adults with household incomes up to 138% of the Federal Poverty Level (FPL) eligible. For pregnant women, the threshold is 144% FPL, and for children via CHIP, it's 200% FPL. You can apply through Utah's Medicaid portal.

What type of health plans can I find in Carbon County, Utah?

In Carbon County, which is part of Utah's Rating Area 6, marketplace shoppers primarily choose between Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. PPO plans are not available on-exchange in Utah. These plans are offered by carriers like BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health, and University of Utah Health Plans.

Where can I get medical care in Carbon County?

Carbon County is served by Castleview Hospital in Price, which provides acute care services. When selecting a health plan, it is important to verify that your preferred providers and facilities, including Castleview Hospital, are within the plan's network.