Molina Health Insurance in Salt Lake City, Utah
- Molina Healthcare does NOT offer marketplace plans in Salt Lake City, Utah's Rating Area 3 for the 2026 plan year.
- Five confirmed carriers offer marketplace plans in Salt Lake City, including Regence BlueCross BlueShield of Utah and Select Health.
- Utah expanded Medicaid in 2020; adults with income up to 138% FPL qualify for coverage.
- Marketplace plans in Salt Lake City are primarily HMO and EPO networks; PPO plans are not available on-exchange.
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What Health Insurance Options Are Available in Salt Lake City?
For residents of Salt Lake City and the surrounding Salt Lake County area, health insurance is primarily accessed through HealthCare.gov, the federal marketplace. In 2026, five confirmed carriers offer plans in Rating Area 3, which covers Davis, Salt Lake, Summit, Tooele, and Wasatch counties. These carriers provide a range of plan types designed to meet various health needs and budgets. The primary plan types available on-exchange in Utah are HMO and EPO plans. HMOs typically require you to choose a primary care provider (PCP) within their network and get referrals for specialists. EPOs offer more flexibility to see specialists without a referral, but generally still require you to stay within the plan's network for covered services. PPO plans, which offer out-of-network coverage at a higher cost, are not available on-exchange in Utah.Medicaid and CHIP Eligibility in Utah
Utah expanded its Medicaid program in 2020 through a ballot initiative (Proposition 3), providing crucial health coverage for many low-income residents. Unlike some states, Utah does not have a "coverage gap" for adults. Adults with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. For a single individual in 2026, this threshold is approximately $20,783 per year. Special eligibility rules apply for specific populations:- Pregnant Women: Pregnant women with household incomes up to 144% FPL may qualify for Utah Medicaid, which covers prenatal care, labor, delivery, and postpartum care. Applications can be submitted through medicaid.utah.gov.
- Children (CHIP): Utah's Children's Health Insurance Program (CHIP) covers uninsured children in households with incomes up to 200% FPL, ensuring access to essential medical services.
Health Insurance Carriers in Salt Lake City
While Molina Healthcare does not offer plans on the marketplace in Salt Lake City for 2026, residents have several other reputable carriers to choose from. In 2026, five carriers offer marketplace plans in Rating Area 3, which covers Davis, Salt Lake, Summit, Tooele, and Wasatch counties. These include:- BridgeSpan Health Company
- Imperial Health Plan of Utah
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
Choosing the Right Plan for Your Needs
Navigating health insurance options can feel complex, but focusing on a few key factors can simplify the process:- Income and Subsidies: If your income is between 100% and 400% of the Federal Poverty Level (FPL), you may qualify for premium tax credits (subsidies) that can significantly reduce your monthly premiums. Individuals between 150% and 250% FPL may also qualify for Cost-Sharing Reductions (CSRs) on Silver plans, lowering deductibles and out-of-pocket maximums.
- Health Needs: If you anticipate frequent doctor visits or require specific prescriptions, a Gold plan might be beneficial due to its lower out-of-pocket costs, despite higher premiums. If you are generally healthy and prefer lower monthly payments, a Bronze plan might be suitable, but be prepared for higher costs if you need significant care. Silver plans offer a balance and are the only plans eligible for CSRs.
- Network Preferences: With HMO and EPO plans, ensure your preferred doctors, specialists, and hospitals are within the carrier's network. Major systems like University of Utah Hospital and Clinics, Intermountain Medical Center (Murray), and Holy Cross Hospital - Salt Lake are important considerations for many residents.
Frequently Asked Questions
Does Molina Healthcare offer plans in Salt Lake City, Utah?
As of the 2026 plan year, Molina Healthcare does not offer marketplace health insurance plans in Rating Area 3, which includes Salt Lake City, Utah. Residents will need to choose from other confirmed carriers available on HealthCare.gov.
What types of health insurance plans are available in Salt Lake City?
In Salt Lake City, marketplace plans available through HealthCare.gov are primarily Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. PPO plans are not available on-exchange in Utah.
Who qualifies for Medicaid in Utah?
Utah expanded Medicaid in 2020. Adults with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for coverage. Pregnant women may qualify with incomes up to 144% FPL, and children through CHIP up to 200% FPL.
How many health insurance carriers offer plans in Salt Lake City's rating area?
For the 2026 plan year, five carriers offer marketplace health insurance plans in Rating Area 3, which includes Salt Lake City. These include BridgeSpan Health Company, Imperial Health Plan of Utah, Regence BlueCross BlueShield of Utah, Select Health, and University of Utah Health Plans.