Imperial Health Plan Health Insurance in Davis County, Utah
- Imperial Health Plan is NOT available on the HealthCare.gov marketplace in Davis County, Utah for the 2026 plan year.
- Four other confirmed carriers offer marketplace plans in Davis County's Rating Area 3.
- Utah residents can choose between HMO and EPO plan types on-exchange; PPO plans are not available.
- Utah expanded Medicaid in 2020, covering adults up to 138% FPL, pregnant women up to 144% FPL, and children up to 200% FPL.
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What Health Insurance Options Are Available in Davis County, Utah?
Even though Imperial Health Plan does not offer marketplace plans in Davis County, you have access to a variety of comprehensive health insurance options through HealthCare.gov. In Utah Rating Area 3, which covers Davis, Salt Lake, Summit, Tooele, and Wasatch counties, four different health insurance carriers participate in the federal marketplace. These carriers offer plans with network structures primarily as Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. It's important to note that PPO plans are not available on-exchange in Utah, meaning your marketplace choice will focus on HMO and EPO network structures. These plans cover essential health benefits, including doctor visits, hospital care, prescription drugs, mental health services, and maternity care, without annual or lifetime limits. Financial assistance, such as premium tax credits and cost-sharing reductions, is available to eligible individuals and families based on household income, making coverage more affordable.Who Qualifies for Financial Assistance or Medicaid in Utah?
Accessing affordable health insurance in Davis County is often made possible through financial assistance programs. These subsidies are crucial for many residents to afford comprehensive health coverage.| Income Level (as % FPL) | Assistance Type | Details for Davis County Residents |
|---|---|---|
| Below 138% FPL | Utah Medicaid | Adults with income up to 138% FPL may qualify for Utah Medicaid, which provides comprehensive, low-cost coverage. Utah expanded Medicaid in 2020, eliminating a coverage gap for low-income adults. |
| 100% - 400% FPL | Premium Tax Credits (Subsidies) | Eligible individuals and families can receive tax credits to reduce their monthly health insurance premiums on HealthCare.gov. The amount depends on household size and income. |
| Up to 250% FPL | Cost-Sharing Reductions (CSRs) | Available for those who enroll in a Silver-tier plan and have incomes up to 250% FPL. CSRs reduce deductibles, copayments, and out-of-pocket maximums, making care more affordable when you use it. |
| Pregnant Women (Up to 144% FPL) | Utah Medicaid for Pregnant Women | Provides comprehensive prenatal, delivery, and postpartum care. This is a specific extension above the standard adult Medicaid threshold. |
| Children (Up to 200% FPL) | Children's Health Insurance Program (CHIP) | Covers uninsured children in households up to 200% FPL, providing essential health services. |
Health Insurance Carriers in Davis County
While Imperial Health Plan is not an option on the marketplace, residents of Davis County have choices from established carriers. In 2026, 4 carriers offer marketplace plans in Rating Area 3, which covers Davis, Salt Lake, Summit, Tooele, and Wasatch counties. These include:- BridgeSpan Health Company
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
Choosing the Right Plan for Your Needs
Selecting the best health insurance plan involves considering your health needs, financial situation, and preferred doctors or hospitals.- Consider your budget: Bronze plans typically have lower monthly premiums but higher deductibles and out-of-pocket costs, suitable for those who anticipate minimal healthcare use. Gold plans offer higher premiums but lower out-of-pocket costs, ideal for those who expect more frequent medical care.
- Maximize subsidies with Silver plans: If your income qualifies for cost-sharing reductions (up to 250% FPL), Silver plans offer the best value, providing enhanced benefits and lower out-of-pocket expenses beyond just premium subsidies.
- Check doctor and hospital networks: Since HMO and EPO plans are the primary options, ensure your preferred doctors, specialists, and facilities, such as the local hospitals in Davis County, are in-network for any plan you consider. You can typically verify this directly on the carrier's website or by contacting them.
- Evaluate plan type: HMOs generally require you to choose a primary care provider (PCP) and get referrals for specialists, while EPOs offer more flexibility to see specialists without a referral, as long as they are within the plan's network.
Frequently Asked Questions
Is Imperial Health Plan available on HealthCare.gov in Davis County, Utah?
No, Imperial Health Plan is not among the carriers offering plans on the HealthCare.gov marketplace in Davis County, Utah for the 2026 plan year. Residents can choose from four other confirmed carriers.
What type of health plans are available in Davis County, Utah?
In Davis County, as part of Utah Rating Area 3, consumers can choose between Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans on the HealthCare.gov marketplace. PPO plans are not available on-exchange in Utah.
How do I know if I qualify for Medicaid in Utah?
Utah expanded Medicaid in 2020, making adults with household incomes up to 138% of the Federal Poverty Level (FPL) eligible. Pregnant women can qualify with incomes up to 144% FPL, and children through CHIP up to 200% FPL. You can apply through Utah's Medicaid portal (medicaid.utah.gov).
Can I get help paying for health insurance in Davis County?
Yes, individuals and families in Davis County with household incomes between 100% and 400% of the Federal Poverty Level (FPL) may qualify for premium tax credits (subsidies) to reduce their monthly health insurance costs on HealthCare.gov. Those with incomes up to 250% FPL may also qualify for cost-sharing reductions (CSRs) on Silver plans.