Molina Health Insurance in North Salt Lake, Utah: 2026 Plans and Options
- Molina Healthcare is not a confirmed marketplace carrier for North Salt Lake's Rating Area 3 in 2026.
- Four other carriers offer marketplace health plans in North Salt Lake for the 2026 plan year.
- Utah's marketplace, HealthCare.gov, offers HMO and EPO plans; PPO plans are not available on-exchange.
- Adults in North Salt Lake with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid.
- North Salt Lake's uninsured rate is 8.9%, per U.S. Census Bureau ACS 2024 5-year estimates.
Get Your Free Health Insurance Quote
A licensed agent can compare coverage options for you at no cost.
You're all set!
A licensed agent will reach out shortly.
What Health Insurance Options Are Available in North Salt Lake?
For residents of North Salt Lake seeking individual or family health insurance, plans are primarily purchased through the federal marketplace, HealthCare.gov. In Utah, the marketplace offers two main types of plans: HMOs and EPOs. Health Maintenance Organization (HMO) plans typically require you to choose a primary care provider (PCP) within the network and get referrals for specialists. Exclusive Provider Organization (EPO) plans offer more flexibility to see specialists without a referral, but generally only cover care from providers within their network. It is important to note that PPO (Preferred Provider Organization) plans are not available on-exchange in Utah, meaning marketplace shoppers will choose between HMO and EPO network structures. Financial assistance, including premium tax credits and cost-sharing reductions, is available to eligible individuals and families based on income. These subsidies can significantly lower the cost of monthly premiums and out-of-pocket expenses, making coverage more affordable. Eligibility for subsidies begins at 100% of the Federal Poverty Level (FPL) and extends up to 400% FPL, or even higher for those who spend more than 8.5% of their household income on premiums.Understanding Utah Medicaid Eligibility in North Salt Lake
Utah expanded its Medicaid program in 2020 through a ballot initiative, making health coverage accessible to more residents. Adults in North Salt Lake 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, as it ensures a pathway to affordable healthcare for low-income adults. Beyond standard adult Medicaid, Utah also provides specific programs for vulnerable populations:- Pregnant Women Medicaid: Coverage is available for pregnant women with incomes up to 144% FPL. This comprehensive coverage includes prenatal care, labor and delivery, and postpartum care.
- Children's Health Insurance Program (CHIP): Uninsured children in households with incomes up to 200% FPL are eligible for Utah CHIP, providing essential healthcare services.
Health Insurance Carriers in North Salt Lake
For the 2026 plan year, four carriers offer marketplace health plans in Rating Area 3, which covers Davis, Salt Lake, Summit, Tooele, and Wasatch counties, including North Salt Lake. While Molina Healthcare is not among the confirmed carriers, residents have access to plans from these reputable providers:- BridgeSpan Health Company
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
How to Choose the Right Health Plan in North Salt Lake
Choosing the right health insurance plan depends on your unique circumstances, including your income, health needs, and preferred providers.| Income Level (FPL) | Recommendation | Action |
|---|---|---|
| Below 138% FPL | You likely qualify for Utah Medicaid. | Apply through medicaid.utah.gov. |
| 100% - 250% FPL | You may qualify for significant premium tax credits and cost-sharing reductions, making Silver plans particularly valuable. | Explore Enhanced Silver plans on HealthCare.gov. |
| 250% - 400% FPL | You are likely eligible for premium tax credits to reduce monthly costs. | Compare Bronze, Silver, and Gold plans on HealthCare.gov. |
| Above 400% FPL | You may not qualify for subsidies but can still purchase plans on HealthCare.gov or directly from carriers. | Review all plan options on HealthCare.gov or consult a licensed agent for off-exchange plans. |
Frequently Asked Questions
Is Molina Healthcare available on the HealthCare.gov marketplace in North Salt Lake, Utah?
Molina Healthcare is not listed among the four confirmed carriers offering marketplace plans in Rating Area 3, which includes North Salt Lake, for the 2026 plan year. Residents should verify plan availability directly on HealthCare.gov or consult a licensed agent.
What types of health insurance plans are available in North Salt Lake, Utah?
In North Salt Lake, 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.
Who qualifies for Utah Medicaid in North Salt Lake?
Utah expanded Medicaid in 2020, meaning adults in North Salt Lake with incomes up to 138% of the Federal Poverty Level (FPL) may qualify. Pregnant women may qualify with incomes up to 144% FPL, and children up to 200% FPL for CHIP.
Can I get help paying for health insurance in North Salt Lake?
Yes, many North Salt Lake residents are eligible for financial assistance in the form of premium tax credits and cost-sharing reductions through HealthCare.gov. These subsidies are based on household income and can significantly lower the cost of coverage.
What hospitals are available in Davis County, serving North Salt Lake residents?
Davis County is served by several acute care hospitals, including Holy Cross Hospital-davis (Layton), Lakeview Hospital (Bountiful), Intermountain Health Layton Hospital (Layton), and Western Peaks Specialty Hospital (Bountiful).