Molina Health Insurance in Taylorsville, UT
- Molina Health Company does NOT offer marketplace health insurance plans in Taylorsville, Utah for the 2026 plan year.
- Taylorsville residents can choose from 5 other confirmed carriers offering plans on HealthCare.gov in Rating Area 3.
- Utah expanded Medicaid in 2020, covering adults up to 138% of the Federal Poverty Level (FPL).
- Marketplace plans in Taylorsville are limited to Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) network types.
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What Health Plans Are Available in Taylorsville, UT?
For residents of Taylorsville, health insurance plans are primarily accessed through HealthCare.gov, the federal marketplace. Utah's marketplace offers two main types of network structures for subsidy-eligible plans: Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. Unlike some other states, PPO plans are not available on-exchange in Utah. HMO (Health Maintenance Organization) Plans: These plans typically require you to choose a primary care provider (PCP) within the plan's network, who then coordinates all your care and provides referrals to specialists. HMOs often have lower monthly premiums and out-of-pocket costs, but offer less flexibility in choosing providers outside the network. EPO (Exclusive Provider Organization) Plans: EPO plans also use a network of doctors and hospitals, but generally do not require a PCP referral to see a specialist. You must stay within the plan's network for care to be covered, except in emergencies. EPOs offer a balance between the flexibility of a PPO and the cost savings of an HMO. All plans available on HealthCare.gov cover essential health benefits, including doctor visits, prescription drugs, hospitalization, mental health services, and maternity care. They also cannot deny coverage or charge more due to pre-existing conditions.Understanding Medicaid Eligibility in Utah
Utah expanded its Medicaid program in 2020, significantly increasing access to affordable healthcare for many residents. This expansion, enacted via Proposition 3, means that adults with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. For example, in 2024, a single individual earning up to approximately $20,783 annually could qualify, and a family of three earning up to about $35,268. Beyond standard adult Medicaid, Utah also provides coverage for specific populations:- Pregnant Women: Medicaid covers pregnant women with incomes up to 144% FPL, offering comprehensive prenatal care, labor and delivery, and postpartum support.
- Children (CHIP): Uninsured children in households with incomes up to 200% FPL may qualify for the Children's Health Insurance Program (CHIP).
Health Insurance Carriers in Taylorsville, UT
While Molina Health Company does not offer marketplace plans in Taylorsville, residents have access to plans from other established insurers. Taylorsville is part of Utah Rating Area 3, which covers Davis, Salt Lake, Summit, Tooele, and Wasatch counties. In 2026, 5 carriers offer marketplace plans in Rating Area 3. These confirmed local carriers for the 2026 plan year include:- BridgeSpan Health Company
- Imperial Health Plan of Utah
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
How to Choose the Right Plan in Taylorsville
Selecting the best health insurance plan depends on your individual health needs, financial situation, and preferred access to care. Consider these factors when making your decision:| Factor | Consideration for Taylorsville Residents |
|---|---|
| Income & Subsidies | If your income is between 100% and 400% FPL, you may qualify for premium tax credits through HealthCare.gov. Those between 100% and 250% FPL may also be eligible for Cost-Sharing Reductions (CSRs) on Silver plans, which lower deductibles, copayments, and out-of-pocket maximums. |
| Health Needs | If you anticipate frequent doctor visits or have chronic conditions, a Gold or enhanced Silver plan with lower out-of-pocket costs might be more economical despite higher premiums. For healthy individuals, a Bronze plan with a Health Savings Account (HSA) option could be suitable. |
| Provider Network | Since Taylorsville offers HMO and EPO plans, check if your preferred doctors and hospitals (such as Intermountain Medical Center or University of Utah Hospital and Clinics) are within the plan's network before enrolling. |
| Medicaid Eligibility | If your income falls below 138% FPL (or 144% FPL for pregnant women), you likely qualify for Utah Medicaid, which offers comprehensive coverage with minimal or no costs. |
Frequently Asked Questions
Can I get Molina Health Insurance in Taylorsville, Utah?
For the 2026 plan year, Molina Health Company does not offer marketplace health insurance plans in Taylorsville, Utah. Residents seeking coverage through HealthCare.gov in Rating Area 3 will choose from five other confirmed carriers.
What type of health plans are available in Taylorsville, UT?
In Taylorsville, marketplace shoppers can choose between Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. PPO plans are not available on-exchange in Utah.
Do I qualify for Medicaid in Taylorsville, Utah?
Yes, Utah expanded Medicaid in 2020. Adults with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. Pregnant women may qualify up to 144% FPL, and children up to 200% FPL for CHIP.
How do I enroll in a health plan in Taylorsville?
You can enroll through the federal marketplace at HealthCare.gov during Open Enrollment, or if you qualify for a Special Enrollment Period due to a life event. A licensed health insurance producer can assist you with comparing plans and completing your application at no cost.
What hospitals are in Salt Lake County?
Salt Lake County is served by numerous hospitals, including Holy Cross Hospital - Salt Lake, LDS Hospital, University of Utah Hospital and Clinics, Intermountain Medical Center, and St Mark's Hospital, among others.