Imperial Health Plan Health Insurance in Clearfield, Utah
- Imperial Health Plan does not offer health insurance coverage in Clearfield, Utah, for the 2026 plan year.
- Four confirmed carriers offer marketplace plans in Clearfield's Rating Area 3, including Select Health and Regence BlueCross BlueShield of Utah.
- Utah uses HealthCare.gov for marketplace enrollment, offering HMO and EPO plans; PPO plans are not available on-exchange.
- Utah expanded Medicaid, meaning adults up to 138% FPL, pregnant women up to 144% FPL, and children up to 200% FPL may qualify for coverage.
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What Health Insurance Options Are Available in Clearfield, Utah?
Residents of Clearfield, Utah, have several avenues for obtaining health insurance, primarily through HealthCare.gov, Utah's official health insurance marketplace. Eligibility for subsidies, which can significantly reduce monthly premiums and out-of-pocket costs, is determined by household income relative to the Federal Poverty Level (FPL). On HealthCare.gov, plans are categorized into metal tiers: Bronze, Silver, Gold, and Platinum. These tiers reflect the actuarial value of the plan, indicating the average percentage of healthcare costs the plan is expected to cover.- Bronze plans: Cover approximately 60% of costs, with higher deductibles and out-of-pocket maximums. Best for those who expect minimal healthcare use or want low monthly premiums.
- Silver plans: Cover approximately 70% of costs. These plans are particularly valuable for individuals and families with lower incomes, as they may qualify for Cost-Sharing Reductions (CSRs) that further reduce deductibles, copayments, and coinsurance.
- Gold plans: Cover approximately 80% of costs, featuring higher monthly premiums but lower deductibles and out-of-pocket maximums. Ideal for those who anticipate more frequent medical care.
Understanding Medicaid and CHIP Eligibility in Utah
Utah expanded its Medicaid program in 2020 through a ballot initiative (Proposition 3), providing crucial coverage for many residents. This expansion means that adults with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. This is a critical difference from states that have not expanded Medicaid, ensuring that low-income adults in Clearfield have access to affordable healthcare without falling into a "coverage gap." Beyond standard adult Medicaid, Utah offers specific programs to support vulnerable populations:- Pregnant Women Medicaid: Covers pregnant individuals with incomes up to 144% FPL. This comprehensive coverage includes prenatal care, labor and delivery services, and postpartum care. Applications can be made through Utah's Medicaid portal (medicaid.utah.gov).
- Children's Health Insurance Program (CHIP): Uninsured children in households with incomes up to 200% FPL may qualify for Utah CHIP, providing essential health services for younger residents.
Health Insurance Carriers in Clearfield, Utah
Clearfield is located in Davis County, which is part of Utah Rating Area 3. This rating area also covers Salt Lake, Summit, Tooele, and Wasatch counties. For the 2026 plan year, four carriers offer marketplace health insurance plans in Rating Area 3. These carriers provide a range of HMO and EPO options for residents. The confirmed carriers for Clearfield and Rating Area 3 are:- BridgeSpan Health Company
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
How to Choose the Right Health Plan in Clearfield
Selecting the best health insurance plan in Clearfield depends on your individual health needs, financial situation, and preferences. Consider the following steps and factors:| Income Level Relative to FPL | Key Action/Recommendation | Details |
|---|---|---|
| Below 138% FPL | Apply for Utah Medicaid | You likely qualify for comprehensive, low-cost coverage. Pregnant women up to 144% FPL, children up to 200% FPL for CHIP. |
| 100% - 250% FPL | Consider Silver plans with Cost-Sharing Reductions (CSRs) | You qualify for significant subsidies, including reduced deductibles and copayments, making Silver plans very affordable. |
| 138% - 400% FPL (or higher, depending on household size) | Explore Bronze, Silver, or Gold plans with Premium Tax Credits | You may qualify for federal subsidies to lower your monthly premiums. Bronze plans offer lowest premiums, Gold plans offer lower out-of-pocket costs. |
| Above subsidy eligibility thresholds | Compare all available plans on HealthCare.gov | You will pay full price for premiums but can still choose the plan that best fits your medical needs and budget. |
Frequently Asked Questions
Can I get Imperial Health Plan coverage in Clearfield, Utah?
No, Imperial Health Plan does not offer health insurance plans in Clearfield, Utah, or any part of Rating Area 3 for the 2026 plan year. Residents of Clearfield must choose from other confirmed carriers available on HealthCare.gov.
What types of health plans are available on HealthCare.gov in Clearfield?
In Clearfield, Utah, marketplace shoppers can choose between Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. PPO plans are not available on-exchange in Utah.
Am I eligible for Medicaid in Clearfield, Utah?
Yes, Utah expanded Medicaid in 2020. Adults with income up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. Pregnant women may qualify with incomes up to 144% FPL, and children up to 200% FPL for CHIP.
How many health insurance carriers offer plans in Clearfield's rating area?
For the 2026 plan year, four carriers offer marketplace health insurance plans in Rating Area 3, which includes Clearfield and other surrounding counties. These include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health, and University of Utah Health Plans.