Select Health Insurance Plans in Highland, Utah for 2026
- Select Health is one of 5 carriers offering marketplace plans in Utah Rating Area 4 for 2026.
- Highland residents can choose between HMO and EPO plans; PPO plans are not available on-exchange in Utah.
- Utah has expanded Medicaid, providing coverage for adults up to 138% of the Federal Poverty Level (FPL).
- The uninsured rate in Highland is 4.4%, significantly lower than the Utah County average of 7.5%, per U.S. Census Bureau ACS 2024 5-year estimates.
- Potential subsidies are available through HealthCare.gov to reduce monthly premiums and out-of-pocket costs.
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What Select Health Plans Are Available in Highland, Utah?
For 2026, Select Health offers marketplace health insurance plans to residents of Highland, Utah, within Rating Area 4. These plans are structured as either Health Maintenance Organizations (HMOs) or Exclusive Provider Organizations (EPOs). Unlike some other states, PPO plans are not available on-exchange in Utah, meaning your primary choice for subsidized coverage will be between these two network types.Select Health’s HMO plans typically require you to choose a primary care provider (PCP) within their network and obtain referrals for specialist visits. EPO plans offer more flexibility, allowing you to see specialists without a referral, as long as they are within the plan's network. Both plan types emphasize in-network care, with out-of-network services generally not covered, except in emergencies. When considering a Select Health plan, it is crucial to verify that your preferred doctors, specialists, and hospitals are included in the specific plan's network. Utah County, with a population of 705,400, is served by 6 acute care hospitals, including Intermountain Health Utah Valley Hospital in Provo, which is a major facility for residents in the region. Highland itself has a population of 20,119, with a median age of 28.0 years.
Understanding Plan Tiers and Subsidies
HealthCare.gov offers plans categorized into metal tiers: Bronze, Silver, Gold, and Platinum. Each tier represents a different balance between monthly premiums and out-of-pocket costs:- Bronze Plans: These plans have the lowest monthly premiums but the highest deductibles and out-of-pocket maximums. They are designed for those who expect to use healthcare services infrequently and want protection against catastrophic costs.
- Silver Plans: Offering a moderate balance, Silver plans have higher premiums than Bronze but lower deductibles and out-of-pocket maximums. They are particularly valuable for individuals and families who qualify for cost-sharing reductions (CSRs), which can significantly lower your out-of-pocket costs if your income is below 250% of the Federal Poverty Level (FPL).
- Gold Plans: With higher monthly premiums, Gold plans provide lower deductibles and out-of-pocket costs, making them suitable for those who anticipate needing more medical care throughout the year.
Eligibility for Utah Medicaid in Highland
Utah has expanded its Medicaid program, a critical difference from some other states. Adults in Highland with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for comprehensive health coverage through Utah Medicaid. This expansion, enacted in 2020 via Proposition 3, ensures that low-income adults have access to affordable healthcare without falling into a coverage gap. Specific Medicaid and Children's Health Insurance Program (CHIP) thresholds for Utah residents include:- Adults: Up to 138% FPL for standard Utah Medicaid.
- Pregnant Women: Up to 144% FPL for pregnancy-specific Medicaid coverage, which includes prenatal care, labor and delivery, and postpartum care.
- Children (CHIP): Up to 200% FPL for uninsured children.
Health Insurance Carriers in Highland
For 2026, residents of Highland, Utah, have a choice of 5 confirmed carriers offering marketplace plans in Rating Area 4. This single-county rating area encompasses all of Utah County, ensuring consistent plan availability across the region. The confirmed carriers for this plan year are:- BridgeSpan Health Company
- Imperial Health Plan of Utah
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
Choosing the Right Plan: Next Steps for Highland Residents
Deciding on the best health insurance plan in Highland depends on your unique financial situation, health needs, and preferred providers. Here’s a general guide to help you navigate your options:- If your income is below 138% FPL: You likely qualify for Utah Medicaid. Apply directly through the state's Medicaid portal (medicaid.utah.gov) for comprehensive, low-cost coverage.
- If your income is between 100% and 400% FPL: You are eligible for premium tax credits (subsidies) through HealthCare.gov. Consider a Silver plan, especially if your income is below 250% FPL, to maximize cost-sharing reductions which lower your deductibles and copays.
- If your income is above 400% FPL: While you won't qualify for subsidies, you can still purchase a plan through HealthCare.gov or directly from an insurer. Compare Bronze, Silver, and Gold plans based on your expected healthcare usage and risk tolerance.