Molina Health Insurance in Wayne County, Utah

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

Molina Healthcare does NOT offer marketplace plans in Wayne County, Utah for 2026.
Wayne County residents can choose from 2 confirmed carriers on HealthCare.gov: Select Health and University of Utah Health Plans.
Utah expanded Medicaid in 2020, making adults with incomes up to 138% FPL eligible for coverage.
Wayne County has a population of 2,584 and an uninsured rate of 4.2%, per U.S. Census Bureau ACS 2024 5-year estimates.

If you're looking for Molina Health Insurance plans in Wayne County, Utah, it's important to know that Molina Healthcare is not among the carriers offering plans on HealthCare.gov for the 2026 plan year in this area. Residents of Wayne County, which is part of Utah Rating Area 6, will find marketplace coverage options from two other confirmed carriers: Select Health and University of Utah Health Plans. These plans are available through the federal marketplace at HealthCare.gov, where eligible individuals and families can also apply for subsidies to help reduce monthly premiums and out-of-pocket costs.

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What Health Insurance Options Are Available in Wayne County, Utah?

For 2026, residents of Wayne County seeking health insurance through the federal marketplace (HealthCare.gov) have a choice of plans from two carriers. These plans primarily utilize Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) network structures. Unlike some other states, PPO plans are generally not available on-exchange in Utah. This means your choice will focus on plans that require you to select a primary care provider and typically need referrals for specialists (HMOs) or plans that require you to stay within a defined network for all care (EPOs). Financial assistance, including premium tax credits and cost-sharing reductions, is available to eligible individuals and families based on income. These subsidies can significantly lower the cost of coverage, making health insurance more affordable for many Wayne County residents.

Understanding Medicaid Eligibility in Utah

Utah expanded its Medicaid program in 2020, significantly broadening access to affordable healthcare. For adults in Wayne County, if your household income is at or below 138% of the Federal Poverty Level (FPL), you may qualify for Utah Medicaid. This program provides comprehensive health coverage with no monthly premiums. Special eligibility thresholds also apply:

Pregnant Women: Utah Medicaid covers pregnant women with household incomes up to 144% FPL. This coverage includes essential prenatal care, labor and delivery services, and postpartum care.
Children (CHIP): Uninsured children in households with incomes up to 200% FPL may qualify for the Children's Health Insurance Program (CHIP) in Utah.

Applications for Utah Medicaid and CHIP can be submitted through the state's Medicaid portal at medicaid.utah.gov.

Health Insurance Carriers in Wayne County

In 2026, 2 carriers 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. Molina Healthcare is not one of these carriers. The confirmed carriers for Wayne County are:

Select Health
University of Utah Health Plans

When reviewing plans, it's crucial to compare not just premiums, but also deductibles, copayments, coinsurance, and the network of doctors and hospitals. Even though Wayne County has no acute care hospitals within its boundaries, residents will travel to a neighboring county for acute care. Therefore, confirming that preferred providers and facilities in nearby areas are in-network is a vital step in choosing the right plan.

Wayne County, a rural part of Utah with a population of 2,584 and a median age of 46.0 years, faces unique healthcare access considerations. With an uninsured rate of 4.2% (per U.S. Census Bureau ACS 2024 5-year estimates), which is lower than the state average, residents rely on the two confirmed carriers in Rating Area 6 to provide essential coverage. The county's median income is $76,607, and its poverty rate stands at 10.6%.

Choosing the Right Health Plan in Wayne County

Selecting the best health insurance plan involves evaluating your specific needs, budget, and anticipated medical expenses. Here's a guide to help Wayne County residents make an informed decision:

Assess Your Income: Your household income will determine your eligibility for premium tax credits and cost-sharing reductions through HealthCare.gov, or for Utah Medicaid.
Consider Plan Types: Since PPO plans are generally not available on-exchange in Utah, focus on the differences between HMO and EPO plans. HMOs typically require a primary care physician and referrals, while EPOs offer flexibility within a specific network without referrals.
Review Carrier Networks: With no acute care hospitals in Wayne County, it is essential to check if doctors, specialists, and hospitals in neighboring counties are part of your chosen plan's network.
Compare Metal Tiers:
- Bronze Plans: Offer the lowest premiums but have the highest deductibles and out-of-pocket maximums. Best for those who expect minimal medical care and want protection against catastrophic costs.
- Silver Plans: Provide a balance of moderate premiums and out-of-pocket costs. They are especially valuable if you qualify for cost-sharing reductions, which significantly lower deductibles, copays, and coinsurance.
- Gold Plans: Feature higher premiums but lower deductibles and out-of-pocket maximums. Ideal for those who anticipate more frequent medical care or have ongoing health conditions.
Utilize Subsidies: If your income falls between 100% and 400% FPL, you may qualify for premium tax credits. If your income is between 100% and 250% FPL, Silver plans may offer additional cost-sharing reductions.

Navigating these choices can be complex. A licensed health insurance producer can provide personalized guidance, compare plans from Select Health and University of Utah Health Plans, and help you enroll in a plan that meets your needs and budget, all at no cost to you.

Frequently Asked Questions

Can I get Molina health insurance in Wayne County, Utah?

No, Molina Healthcare does not offer marketplace health insurance plans in Wayne County, Utah for the 2026 plan year. Residents seeking coverage through HealthCare.gov will find plans from Select Health and University of Utah Health Plans.

What types of health plans are available in Wayne County?

In Wayne County, marketplace plans available through HealthCare.gov are primarily Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. PPO plans are generally not offered on-exchange in Utah, meaning your options will focus on network-based plans.

Do I qualify for Medicaid in Utah?

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. You can apply through medicaid.utah.gov.

Are there hospitals in Wayne County?

Wayne County has no acute care hospitals within its boundaries. Residents needing hospital services will typically travel to neighboring counties for acute medical care. It is important to verify that any preferred facilities in nearby areas are covered by your chosen health plan.