Molina Health Insurance in Roosevelt, Utah: 2026 Plan Options and Enrollment
- In 2026, 4 confirmed carriers offer marketplace plans in Roosevelt's Rating Area 6, but Molina Healthcare is not among them.
- Roosevelt residents shop for plans on HealthCare.gov, the federal marketplace for Utah.
- Utah expanded Medicaid in 2020, covering adults up to 138% of the Federal Poverty Level (FPL).
- Marketplace plans in Roosevelt are primarily Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) types.
- The average uninsured rate in Roosevelt is 13.4%, per U.S. Census Bureau ACS 2024 5-year estimates.
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What Health Insurance Plans Are Available in Roosevelt, Utah?
In Roosevelt, Utah, residents primarily access health insurance through HealthCare.gov, the federal marketplace. The plan types available on-exchange for 2026 are Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. Unlike some other states, PPO plans are not available on-exchange in Utah, meaning marketplace shoppers will choose between HMO and EPO network structures. These plans cover essential health benefits as mandated by the Affordable Care Act (ACA), including doctor visits, hospital care, prescription drugs, and preventive services. Financial assistance, in the form of premium tax credits and cost-sharing reductions, is available to eligible individuals and families purchasing plans through HealthCare.gov. Eligibility for these subsidies is based on household income relative to the Federal Poverty Level (FPL).Understanding Medicaid Eligibility in Utah
Utah expanded its Medicaid program in 2020, a significant change from states that have not expanded. This means that adults with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. This expansion provides a critical safety net, ensuring comprehensive, low-cost or no-cost health coverage for a wider range of low-income individuals and families. For pregnant women, Utah Medicaid offers coverage up to 144% FPL, providing essential prenatal care, labor and delivery services, and postpartum support. The Children's Health Insurance Program (CHIP) in Utah covers uninsured children in households with incomes up to 200% FPL. If your income falls within these thresholds, applying for Utah Medicaid or CHIP through medicaid.utah.gov should be your first step before considering marketplace plans.Health Insurance Carriers in Roosevelt
Roosevelt, located in Duchesne County, is part of Utah Rating Area 6. This multi-county rating area also covers Beaver, Carbon, Daggett, Emery, Garfield, Grand, Juab, Kane, Millard, Piute, San Juan, Sanpete, Sevier, Uintah, and Wayne counties. In 2026, 4 carriers offer marketplace plans in Rating Area 6. These confirmed carriers include:- BridgeSpan Health Company
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
Local Healthcare Landscape in Roosevelt, Utah
Roosevelt, Utah, with a population of 7,078 and a median age of 28.0 years, is served by healthcare facilities within Duchesne County. The primary acute care hospital in the city is Uintah Basin Medical Center. Duchesne County, with a population of 20,185 and an uninsured rate of 12.0%, is part of Utah Rating Area 6. The county's median income is $78,445, per U.S. Census Bureau ACS 2024 5-year estimates. Residents seeking medical care can access services at Uintah Basin Medical Center in Roosevelt. When selecting a health plan, it is important to check if your preferred doctors and any local hospitals, such as Uintah Basin Medical Center, are in the plan's network.How to Choose the Right Health Plan in Roosevelt
Choosing a health plan involves evaluating your specific needs, budget, and access to care. Here's a decision-making framework for Roosevelt residents:- If your income is below 138% FPL: You likely qualify for Utah Medicaid. Apply through medicaid.utah.gov for comprehensive, low-cost coverage.
- If your income is between 100% and 400% FPL: You are eligible for significant premium tax credits on HealthCare.gov. Consider Enhanced Silver plans if your income is closer to 150-250% FPL, as these offer additional cost-sharing reductions.
- If your income is above 400% FPL: You may not qualify for premium tax credits but can still purchase plans on HealthCare.gov. Compare Bronze, Silver, Gold, and Platinum plans based on your expected healthcare usage and preferred out-of-pocket costs.
- Consider plan types: Decide between HMO and EPO plans based on whether you need a referral to see specialists and your comfort with a more restricted network.
- Check networks: Always confirm that your preferred doctors, specialists, and facilities like Uintah Basin Medical Center are in the plan's network before enrolling.
Frequently Asked Questions
Is Molina Healthcare available on HealthCare.gov in Roosevelt, Utah?
Molina Healthcare is not listed among the confirmed carriers offering marketplace plans in Roosevelt's Rating Area 6 for 2026. Residents should check HealthCare.gov directly for the most current availability by ZIP code.
What types of health insurance plans are available in Roosevelt, Utah?
In Roosevelt, Utah, marketplace shoppers on HealthCare.gov can choose between Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. PPO plans are not available on-exchange in Utah for 2026.
What are the income limits for Medicaid in Utah?
Utah expanded Medicaid in 2020. Adults with income up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. For a single individual, this is approximately $20,782 annually in 2026.
How many health insurance carriers offer marketplace plans in Roosevelt's rating area?
For 2026, there are 4 confirmed carriers offering marketplace plans in Rating Area 6, which includes Roosevelt. These are BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health, and University of Utah Health Plans.
Can I get a subsidy for health insurance in Roosevelt?
Yes, if your household income falls between 100% and 400% of the Federal Poverty Level (FPL), you may be eligible for premium tax credits that lower your monthly health insurance costs. Cost-sharing reductions are also available for those with incomes up to 250% FPL who enroll in Silver plans.