Molina Health Insurance in Price, Utah
- Molina HealthCare is not among the 4 confirmed carriers offering marketplace plans in Price, Utah's Rating Area 6 for 2026.
- Price residents can choose from 4 other carriers: BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health, and University of Utah Health Plans.
- Utah's marketplace, HealthCare.gov, offers HMO and EPO plans, with PPOs not available for subsidy-eligible coverage.
- Adults in Utah with income up to 138% FPL qualify for Utah Medicaid, which expanded in 2020.
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What Health Insurance Options Are Available in Price, Utah?
For residents of Price, Utah, and Carbon County, finding health insurance involves navigating the HealthCare.gov marketplace, which serves as Utah's official exchange. While Molina HealthCare does not offer plans in Rating Area 6 for 2026, there are several other carriers providing a range of choices. Utah's marketplace focuses on Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. Unlike some other states, PPO (Preferred Provider Organization) plans are not available on-exchange in Utah, meaning marketplace subsidies do not apply to them. This makes HMO and EPO plans the primary choices for those seeking subsidized coverage. The plans are categorized into metal tiers: Bronze, Silver, Gold, and Platinum, each offering different levels of cost-sharing. Bronze plans typically have the lowest monthly premiums but the highest deductibles and out-of-pocket maximums. Gold plans, conversely, have higher premiums but lower out-of-pocket costs, making them suitable for those who expect more frequent medical care. Silver plans strike a balance and are particularly advantageous for individuals who qualify for Cost-Sharing Reductions (CSRs), which further lower deductibles, copayments, and coinsurance.Who Qualifies for Financial Assistance in Price?
Many Price residents qualify for financial assistance, known as subsidies, to make health insurance more affordable. These subsidies come in two main forms:- Premium Tax Credits (PTC): These credits reduce your monthly premium payment. Eligibility is based on household income relative to the Federal Poverty Level (FPL). In Utah, individuals and families earning between 100% and 400% FPL typically qualify for PTCs.
- Cost-Sharing Reductions (CSR): Available only with Silver plans, CSRs lower the amount you have to pay when you use healthcare services, such as deductibles, copayments, and coinsurance. CSRs are available to those earning up to 250% FPL.
Utah Medicaid and CHIP in Price
Utah expanded its Medicaid program in 2020, making health coverage accessible to more low-income residents. Adults in Price with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. This is a crucial difference from some other states, as it means there is no "coverage gap" for those below 100% FPL who do not qualify for marketplace subsidies. Specific income thresholds for other groups include:- Pregnant Women: Utah Medicaid covers pregnant women with income up to 144% FPL, offering comprehensive prenatal care, labor and delivery, and postpartum support.
- Children (CHIP): The Children's Health Insurance Program (CHIP) provides coverage for uninsured children in households with incomes up to 200% FPL.
Health Insurance Carriers in Price
While Molina HealthCare does not offer plans in Price, Utah, for the 2026 plan year, residents of Price and the broader Rating Area 6 still have competitive options for health insurance through HealthCare.gov. In 2026, 4 carriers offer marketplace plans in Rating Area 6, which covers Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Juab, Kane, Millard, Piute, San Juan, Sanpete, Sevier, Uintah, Wayne counties. These carriers include:- BridgeSpan Health Company
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
Choosing the Right Plan for You in Price
Selecting the right health insurance plan in Price requires careful consideration of your specific circumstances. Here's a guide to help you decide:- If your income is below 138% FPL: You likely qualify for Utah Medicaid. This is often the most comprehensive and lowest-cost option.
- If your income is between 100% and 250% FPL: Focus on Silver plans. You'll likely receive significant premium tax credits and qualify for valuable Cost-Sharing Reductions, lowering your out-of-pocket costs when you receive care.
- If your income is between 250% and 400% FPL: You will still qualify for premium tax credits. Compare Bronze, Silver, and Gold plans based on your expected healthcare usage. If you anticipate needing more care, a Gold plan with a higher premium but lower deductible might save you money in the long run.
- If your income is above 400% FPL: You will not qualify for premium tax credits or cost-sharing reductions. Compare plans carefully for the best value, considering both premiums and potential out-of-pocket costs.
Frequently Asked Questions
Does Molina HealthCare offer plans in Price, Utah?
No, Molina HealthCare is not among the confirmed carriers offering marketplace health insurance plans in Price, Utah (Rating Area 6) for the 2026 plan year. Residents of Price can choose from 4 other carriers.
What types of health insurance plans are available in Price, Utah?
In Price, Utah, marketplace shoppers can choose between HMO and EPO network plans. PPO plans are not available on-exchange in Utah, meaning subsidies do not apply to them. All plans are offered through HealthCare.gov.
Can I get help paying for health insurance in Price?
Yes, many Price residents qualify for subsidies through HealthCare.gov to reduce their monthly premiums and out-of-pocket costs. Eligibility depends on household income and size, with subsidies available for those earning between 100% and 400% of the Federal Poverty Level.
What is the uninsured rate in Price, Utah?
The uninsured rate in Price, Utah, is 5.9%, according to U.S. Census Bureau ACS 2024 5-year estimates. This is lower than the statewide average for Utah and significantly lower than the national average.