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

Molina Health Insurance Options in Sevier County, Utah

Molina Healthcare is not a confirmed marketplace carrier in Sevier County for the 2026 plan year; 2 other carriers offer plans.
Sevier County is part of Utah Rating Area 6, which includes 16 counties across central and eastern Utah.
Utah expanded Medicaid in 2020, covering adults with incomes up to 138% of the Federal Poverty Level.
Marketplace plans in Sevier County are limited to HMO and EPO network types, as PPO plans are not available on-exchange in Utah.

Navigating health insurance options in Sevier County, Utah, requires understanding local availability and state-specific rules. For the 2026 plan year, Molina Healthcare plans are not listed among the confirmed carriers offering health insurance through HealthCare.gov in Utah Rating Area 6, which includes Sevier County. Residents seeking coverage through the federal marketplace will find plans from other confirmed carriers, primarily structured as Health Maintenance Organization (HMO) or Exclusive Provider Organization (EPO) networks. Understanding your eligibility for financial assistance, such as premium tax credits and cost-sharing reductions, or Utah Medicaid, is crucial to finding affordable coverage.

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 Plans Are Available in Sevier County, Utah?

Residents of Sevier County, like those across Utah, access their health insurance options through HealthCare.gov, the federal health insurance marketplace. In 2026, the primary plan types available on-exchange are Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. It is important to note that PPO plans are not available on-exchange in Utah, meaning your choice for subsidy-eligible plans will be between HMO and EPO network structures. These plans cover essential health benefits, including doctor visits, hospital care, prescription drugs, and preventive services, with varying levels of cost-sharing depending on the metal tier (Bronze, Silver, Gold, Platinum).

Understanding Plan Tiers and Subsidies

The Affordable Care Act (ACA) marketplace categorizes plans into metal tiers based on how costs are split between you and your insurer:

Bronze Plans: Offer lower monthly premiums but higher deductibles and out-of-pocket maximums. They cover 60% of costs on average.
Silver Plans: Provide a balance of moderate premiums and out-of-pocket costs. They cover 70% of costs on average. Individuals with incomes between 100% and 250% FPL may qualify for enhanced Silver plans, which significantly reduce deductibles, copayments, and out-of-pocket maximums.
Gold Plans: Feature higher monthly premiums but lower deductibles and out-of-pocket costs, covering 80% of costs on average.
Platinum Plans: Have the highest premiums but the lowest out-of-pocket costs, covering 90% of costs on average.

Premium tax credits are available to individuals and families with incomes between 100% and 400% of the Federal Poverty Level (FPL) to reduce monthly premium costs. Cost-sharing reductions, which lower deductibles, copayments, and out-of-pocket maximums, are available for those with incomes up to 250% FPL who enroll in a Silver plan.

Utah Medicaid and CHIP Eligibility in Sevier County

Utah expanded its Medicaid program in 2020, making health coverage accessible to more residents of Sevier County. Adults with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid, providing comprehensive health benefits with little to no cost. This expansion means that individuals and families who previously faced a "coverage gap" now have a pathway to affordable healthcare. Specific eligibility thresholds also exist for vulnerable populations:

Pregnant Women: Utah Medicaid covers pregnant women with incomes up to 144% FPL, providing essential prenatal care, labor and delivery services, and postpartum care. Applications can be made through Utah's Medicaid portal (medicaid.utah.gov).
Children (CHIP): The Children's Health Insurance Program (CHIP) in Utah covers uninsured children in households with incomes up to 200% FPL, ensuring access to vital medical services.

These programs are critical resources for many families in Sevier County, offering a safety net for healthcare needs.

Health Insurance Carriers in Sevier County

Sevier County is part of Utah Rating Area 6, which covers Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Juab, Kane, Millard, Piute, San Juan, Sanpete, Sevier, Uintah, Wayne counties. In 2026, 2 carriers offer marketplace plans in Rating Area 6:

Select Health
University of Utah Health Plans

It is important to verify the specific plan offerings and network providers for each carrier to ensure they meet your individual healthcare needs in Sevier County. While Molina Healthcare is not a confirmed carrier in this rating area for 2026, these two confirmed carriers provide options for residents seeking coverage through HealthCare.gov.

Healthcare Facilities and Local Context in Sevier County

Sevier County, with a population of 22,085 and an uninsured rate of 9.3% per U.S. Census Bureau ACS 2024 5-year estimates, is served by local healthcare resources. The county's primary acute care facility is Intermountain Health Sevier Valley Hospital in Richfield. This hospital provides essential medical services to residents across the county, including those in its largest community, Richfield. Understanding the network of your chosen health plan is crucial to ensure access to local providers and facilities like Intermountain Health Sevier Valley Hospital. The county's median income is $74,884, and the median age is 36.8 years, reflecting a diverse population with varied healthcare needs.

Making the Right Choice for Health Coverage in Sevier County

Choosing the appropriate health insurance plan involves evaluating your income, health needs, and preferred providers. Here's a guide to help you decide:

If your income is below 138% FPL: You likely qualify for Utah Medicaid. This offers comprehensive coverage with minimal out-of-pocket costs. Apply through medicaid.utah.gov.
If your income is between 100% and 400% FPL: You are eligible for premium tax credits through HealthCare.gov to reduce your monthly premiums. Consider a Silver plan, especially if your income is below 250% FPL, to access cost-sharing reductions that lower deductibles and copayments.
If your income is above 400% FPL: You can still enroll in a marketplace plan through HealthCare.gov. Focus on finding a plan with a network that includes your preferred doctors and Intermountain Health Sevier Valley Hospital, and a metal tier that balances premiums with potential out-of-pocket costs.

A licensed health insurance producer can provide personalized guidance, helping you compare plans, understand subsidies, and enroll in coverage that best fits your situation, all at no cost to you.

Frequently Asked Questions

Is Molina Healthcare available in Sevier County, Utah?

For the 2026 plan year, Molina Healthcare plans are not listed among the confirmed carriers offering marketplace plans in Utah Rating Area 6, which includes Sevier County. Residents should verify plan availability directly on HealthCare.gov.

What type of health insurance plans are available in Sevier County?

In Sevier County, marketplace plans available through HealthCare.gov are typically structured as Health Maintenance Organization (HMO) or Exclusive Provider Organization (EPO) plans. PPO plans are not available on-exchange in Utah.

Can I get help paying for health insurance in Sevier County?

Yes, individuals and families in Sevier County with incomes between 100% and 400% of the Federal Poverty Level (FPL) may qualify for premium tax credits and cost-sharing reductions through HealthCare.gov to help lower their monthly premiums and out-of-pocket costs.

Does Utah have expanded Medicaid?

Yes, Utah expanded its Medicaid program in 2020. Adults in Sevier County with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid, which provides comprehensive, low-cost health coverage.