Select Health Insurance Plans in Lehi, Utah
- Select Health is one of 5 confirmed health insurance carriers offering plans in Lehi for the 2026 plan year.
- Lehi residents can enroll in Select Health plans, which are available as HMO and EPO network types, through HealthCare.gov.
- Individuals with incomes up to 138% FPL may qualify for Utah Medicaid, while those between 100-400% FPL can access subsidies for marketplace plans.
- Lehi's uninsured rate is 5.1%, significantly lower than Utah County's 7.5%, per U.S. Census Bureau ACS 2024 5-year estimates.
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What Select Health Plans Are Available in Lehi?
In Lehi, Select Health offers health insurance plans primarily structured as Health Maintenance Organizations (HMOs) and Exclusive Provider Organizations (EPOs). Unlike some other states, PPO (Preferred Provider Organization) plans are not available on the HealthCare.gov marketplace in Utah. This means that when choosing a Select Health plan, you will generally select between an HMO, which typically requires you to choose a primary care provider (PCP) and get referrals for specialists, or an EPO, which offers more flexibility in seeing specialists without a referral but still limits coverage to a specific network of providers. These plans are categorized into metal tiers: Bronze, Silver, Gold, and Platinum. Bronze plans typically have the lowest monthly premiums but the highest deductibles and out-of-pocket costs, making them suitable for those who anticipate minimal healthcare use or want catastrophic coverage. Silver plans offer a balance of premiums and out-of-pocket costs, and they are the only tier eligible for cost-sharing reductions (CSRs), which can significantly lower your deductibles, copayments, and coinsurance if your income is below 250% of the Federal Poverty Level. Gold and Platinum plans feature higher premiums but lower deductibles and out-of-pocket maximums, ideal for individuals who expect to use medical services frequently. All marketplace plans, including those from Select Health, cover essential health benefits, such as prescription drugs, emergency services, maternity care, and mental health services.Who Qualifies for Financial Assistance in Lehi?
Many Lehi residents can receive financial assistance to make their Select Health plans more affordable. The primary forms of assistance are premium tax credits and cost-sharing reductions, both available through HealthCare.gov.Premium Tax Credits: These subsidies lower your monthly premium payments and are available to individuals and families with household incomes between 100% and 400% of the Federal Poverty Level (FPL). For example, a single individual in Lehi with an income of $35,000 (roughly 250% FPL) would likely qualify for significant premium tax credits, reducing their monthly cost for a Select Health plan.
Cost-Sharing Reductions (CSRs): Available only with Silver plans, CSRs reduce your out-of-pocket costs like deductibles, copayments, and coinsurance. You qualify for CSRs if your income is between 100% and 250% of the FPL. This makes Silver plans particularly valuable for eligible individuals and families, as they receive enhanced benefits beyond what the metal tier typically offers.
Utah Medicaid and CHIP: Utah expanded Medicaid in 2020. Adults in Lehi with household incomes up to 138% FPL may qualify for comprehensive, low-cost coverage through Utah Medicaid. Pregnant women are covered up to 144% FPL, and children in families with incomes up to 200% FPL are eligible for Utah CHIP. These programs provide essential healthcare services with minimal or no out-of-pocket costs. Applications can be submitted through the Utah Medicaid portal (medicaid.utah.gov).
Health Insurance Carriers in Lehi
For 2026, Lehi residents in Utah Rating Area 4 have 5 confirmed carriers offering marketplace health insurance plans through HealthCare.gov. Select Health is one of these options, providing a range of HMO and EPO plans. The full list of carriers available in this single-county rating area for Utah County includes:- BridgeSpan Health Company
- Imperial Health Plan of Utah
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
Local Healthcare Resources in Lehi and Utah County
Lehi, with a population of 85,173 and a median age of 26.9 years, is part of Utah County, which has a population of 705,400. The city's uninsured rate stands at 5.1%, lower than the county's 7.5%, per U.S. Census Bureau ACS 2024 5-year estimates. This thriving community, with a median income of $131,299, has access to a robust healthcare infrastructure within Utah County. Major healthcare systems serving the region include Intermountain Health and Mountain View Hospital. Utah County is home to 6 acute care hospitals that provide a wide range of services for Lehi residents:- Intermountain Health Utah Valley Hospital (Provo)
- Mountain View Hospital (Payson)
- American Fork Hospital (American Fork)
- Orem Community Hospital (Orem)
- Timpanogos Regional Hospital (Orem)
- Intermountain Health Spanish Fork Hospital (Spanish Fork)
Making Your Health Insurance Decision in Lehi
Choosing the right health insurance plan, whether from Select Health or another carrier, requires careful consideration of your income, health needs, and budget. Here’s a guide to help you make an informed decision:- If your income is below 138% FPL: You likely qualify for Utah Medicaid. Apply directly through medicaid.utah.gov for comprehensive, low-cost coverage.
- If your income is between 100% and 250% FPL: Focus on Silver plans on HealthCare.gov. You will qualify for both premium tax credits and cost-sharing reductions, making these plans an excellent value with lower out-of-pocket costs.
- If your income is between 250% and 400% FPL: You qualify for premium tax credits. Compare Bronze, Silver, and Gold plans. A Silver plan might still be a good option, even without CSRs, for its balance of coverage.
- If your income is above 400% FPL: You won't qualify for subsidies but can still enroll in a marketplace plan. Carefully compare premiums, deductibles, and out-of-pocket maximums across all metal tiers (Bronze, Silver, Gold, Platinum) to find the best fit for your healthcare usage.