Updated July 2026 · UtahPlanFinder.com — Licensed Health Insurance Producer (NPN #21249133)

Molina Health Insurance in San Juan County, Utah

Molina Health Insurance is NOT available on HealthCare.gov in San Juan County for the 2026 plan year.
Two carriers, Select Health and University of Utah Health Plans, offer marketplace plans in San Juan County's Rating Area 6.
Utah expanded Medicaid in 2020, covering adults with incomes up to 138% of the Federal Poverty Level (FPL).
San Juan County, with a population of 14,483, has an uninsured rate of 17.5% per U.S. Census Bureau ACS 2024 5-year estimates.
Marketplace plan options in San Juan County are limited to Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) networks, as PPO plans are not available on-exchange in Utah.

Navigating health insurance options in San Juan County, Utah, requires understanding the local marketplace. For residents specifically interested in Molina Health Insurance, it is important to note that Molina Health Insurance is not currently among the carriers offering plans through HealthCare.gov in San Juan County for the 2026 plan year. However, residents still have access to other federally subsidized health insurance plans, and a licensed agent can help explore all available options to find coverage that fits your needs and budget.

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What Health Insurance Options Are Available in San Juan County, Utah?

Even without Molina Health Insurance, residents of San Juan County have access to health insurance coverage through HealthCare.gov, the federal marketplace. These plans are regulated by the Affordable Care Act (ACA) and offer comprehensive benefits, including essential health benefits like emergency services, prescription drugs, mental health care, and maternity care. In 2026, two carriers, Select Health and University of Utah Health Plans, 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. Utah's marketplace primarily offers Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. Unlike some other states, PPO plans are not available on-exchange in Utah. HMO plans typically require you to choose a primary care provider (PCP) within the network and get referrals for specialists. EPO plans offer more flexibility to see specialists without a referral, but generally only cover care from providers within their network.

Financial Assistance and Utah Medicaid

Many San Juan County residents may qualify for financial assistance to lower their monthly premiums and out-of-pocket costs. These subsidies, known as premium tax credits and cost-sharing reductions, are available through HealthCare.gov based on household income and size. Utah expanded Medicaid in 2020, significantly broadening access to coverage. Adults with 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, meaning eligible individuals in San Juan County can receive comprehensive health coverage without falling into a "coverage gap." For pregnant women, Utah Medicaid covers incomes up to 144% FPL, providing essential prenatal, labor, delivery, and postpartum care. Children in households up to 200% FPL may qualify for Utah CHIP.

Health Insurance Carriers in San Juan County

For the 2026 plan year, San Juan County is part of Utah Rating Area 6. In 2026, 2 carriers offer marketplace plans in Rating Area 6:

Select Health
University of Utah Health Plans

While Molina Health Insurance is not available in this specific rating area, these two carriers provide a range of plan options across different metal tiers (Bronze, Silver, Gold) to meet various coverage and budget needs. When comparing plans, it is important to consider not only the monthly premium but also deductibles, copayments, coinsurance, and the network of doctors and hospitals. San Juan County, part of Utah Rating Area 6, is one of the state's more rural areas, with a population of 14,483 and an uninsured rate of 17.5%, according to U.S. Census Bureau ACS 2024 5-year estimates. The median household income in the county is $64,481, with a poverty rate of 18.1%. Given that San Juan County has no acute care hospitals within its boundaries, residents often travel to neighboring counties for specialized or emergency hospital services. Understanding the service areas and networks of Select Health and University of Utah Health Plans is crucial for residents to ensure access to necessary medical care.

Choosing the Right Plan in San Juan County

When selecting a health insurance plan in San Juan County, consider your household income, anticipated medical needs, and preferred doctors. Here’s a general guide:

If your income is below 138% FPL: You likely qualify for Utah Medicaid. Apply directly through Utah's Medicaid portal (medicaid.utah.gov) for comprehensive, low-cost coverage.
If your income is between 100% and 250% FPL: You may qualify for significant premium tax credits and cost-sharing reductions, making Silver plans particularly valuable. These plans offer lower deductibles and out-of-pocket maximums.
If your income is above 250% FPL: You may still qualify for premium tax credits. Consider Bronze plans for lower monthly premiums if you anticipate minimal medical needs, or Gold plans for more comprehensive coverage with lower out-of-pocket costs if you expect frequent medical care.

A licensed health insurance agent can provide personalized guidance, helping you compare plans from Select Health and University of Utah Health Plans, understand subsidies, and enroll in the best option for your family. This service is typically free of charge.

Frequently Asked Questions

Is Molina Health Insurance available in San Juan County, Utah?

No, Molina Health Insurance is not among the carriers confirmed to offer plans on HealthCare.gov in San Juan County, Utah for the 2026 plan year. Residents in Rating Area 6 have options from Select Health and University of Utah Health Plans.

What types of health insurance plans are available in San Juan County, Utah?

In San Juan County, Utah, marketplace plans available through HealthCare.gov are primarily Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. PPO plans are not offered on the exchange in Utah.

Can I get help paying for health insurance in San Juan County?

Yes, individuals and families in San Juan County, Utah, may qualify for subsidies (premium tax credits and cost-sharing reductions) through HealthCare.gov if their income falls within specific federal poverty level guidelines. Utah also offers expanded Medicaid for adults up to 138% FPL.

Where can San Juan County residents access acute medical care?

San Juan County does not have any acute care hospitals within its boundaries. Residents needing acute medical care typically travel to neighboring counties for hospital services.