Select Health Insurance Plans in Sandy, Utah
- Select Health is one of 5 carriers offering marketplace health insurance plans in Sandy's Rating Area 3 for 2026.
- Utah's marketplace (HealthCare.gov) offers HMO and EPO plans; PPO plans are not available on-exchange.
- Individuals with incomes up to 138% FPL in Sandy may qualify for Utah Medicaid, which expanded in 2020.
- Sandy's uninsured rate is 5.4%, significantly lower than Salt Lake County's 9.2%, per U.S. Census Bureau ACS 2024 5-year estimates.
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What Are Your Health Insurance Options with Select Health in Sandy?
In Sandy, Utah, Select Health provides health insurance plans through the HealthCare.gov marketplace. As PPO plans are not available on-exchange in Utah, your primary options with Select Health will typically be Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans.- HMO Plans: These plans generally require you to choose a primary care provider (PCP) within the network. Your PCP coordinates your care and typically provides referrals if you need to see a specialist. HMOs often have lower monthly premiums and out-of-pocket costs compared to other plan types.
- EPO Plans: EPO plans offer a network of doctors and hospitals, but you generally do not need a referral to see a specialist within that network. However, EPO plans typically do not cover out-of-network care, except in emergencies, so it's essential to stay within the plan's designated provider network.
Understanding Subsidies and Affordability in Sandy
Affordable Care Act (ACA) subsidies are crucial for making health insurance accessible to many Sandy residents. These financial assistance programs are available through HealthCare.gov and can significantly lower your monthly premiums and out-of-pocket costs.Premium Tax Credits (PTC)
Premium Tax Credits are applied directly to your monthly premium, reducing the amount you pay out-of-pocket. Eligibility is based on your household income relative to the Federal Poverty Level (FPL). In Utah, individuals and families with incomes between 100% and 400% FPL may qualify for these credits. Due to recent enhancements, even those above 400% FPL might be eligible if the cost of benchmark plans exceeds a certain percentage of their income.Cost-Sharing Reductions (CSR)
Cost-Sharing Reductions help lower your out-of-pocket expenses, such as deductibles, copayments, and coinsurance. To qualify for CSRs, your income must be between 100% and 250% FPL, and you must enroll in a Silver-tier plan. CSRs enhance the value of Silver plans, often making them a highly cost-effective choice for eligible individuals.Utah Medicaid Expansion
Utah expanded its Medicaid program in 2020, significantly impacting eligibility for low-income residents in Sandy. Adults with household incomes up to 138% of the Federal Poverty Level may qualify for comprehensive Utah Medicaid coverage. For pregnant women, the income threshold is 144% FPL, and for children under the Children's Health Insurance Program (CHIP), it's 200% FPL. This expansion ensures that more individuals have access to essential healthcare services without facing a "coverage gap." You can apply for Utah Medicaid through medicaid.utah.gov.Health Insurance Carriers in Sandy
For 2026, residents of Sandy, which is part of Utah Rating Area 3 (covering Davis, Salt Lake, Summit, Tooele, and Wasatch counties), have a choice of 5 health insurance carriers offering plans through HealthCare.gov. Select Health is one of these options, providing various HMO and EPO plans. The confirmed carriers for Rating Area 3 in 2026 are:- BridgeSpan Health Company
- Imperial Health Plan of Utah
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
Finding Healthcare Services in Sandy and Salt Lake County
Sandy, Utah, with a population of 94,291 and a median age of 37.6 years, is a well-established community within the broader Salt Lake County. The city's uninsured rate stands at 5.4%, which is lower than Salt Lake County's average of 9.2%, according to U.S. Census Bureau ACS 2024 5-year estimates. Residents of Sandy have access to a robust healthcare infrastructure within Salt Lake County, which includes 10 hospitals. One significant local facility is Intermountain Health Alta View Hospital, located directly in Sandy, providing acute care services. Other major hospitals within Salt Lake County include:- Holy Cross Hospital - Salt Lake (Salt Lake City)
- Lds Hospital (Salt Lake City)
- University of Utah Hospital and Clinics (Salt Lake City)
- Intermountain Medical Center (Murray)
- St Mark's Hospital (Salt Lake City)
- Holy Cross Hospital-jordan Valley (West Jordan)
- Intermountain Health Riverton Hospital (Riverton)
- Lone Peak Hospital (Draper)
- Primary Children's Hospital (Salt Lake City)
Making Your Health Insurance Decision in Sandy
Choosing the right health insurance plan in Sandy requires evaluating your personal health needs, financial situation, and preferred providers. Here’s a general guide to help you decide:- If your income is below 138% FPL: You likely qualify for Utah Medicaid. This offers comprehensive, low-cost coverage. You can apply directly through medicaid.utah.gov.
- If your income is between 100% and 250% FPL: Consider a Silver-tier plan on HealthCare.gov. You will likely qualify for both Premium Tax Credits and Cost-Sharing Reductions, significantly lowering your premiums and out-of-pocket costs.
- If your income is above 250% FPL (up to 400% FPL or higher): You may still qualify for Premium Tax Credits. Explore Bronze, Silver, Gold, and Platinum plans offered by Select Health and other carriers on HealthCare.gov to find the best balance of premium and coverage.
- If you are pregnant: Utah Medicaid covers pregnant women up to 144% FPL. If your income exceeds this, explore marketplace plans, as having a baby is a qualifying life event for a Special Enrollment Period.
Frequently Asked Questions
What types of health insurance plans does Select Health offer in Sandy, Utah?
In Sandy, Select Health, like other marketplace carriers, offers Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans. PPO plans are not available on the HealthCare.gov marketplace in Utah. HMO plans require you to choose a primary care provider (PCP) and get referrals for specialists, while EPO plans offer more flexibility to see specialists without a referral, but still require you to stay within their network.
Can I get a subsidy for Select Health plans in Sandy?
Yes, if your household income falls between 100% and 400% of the Federal Poverty Level (FPL), you may qualify for subsidies (premium tax credits) to lower the cost of a Select Health plan purchased through HealthCare.gov. Individuals and families earning above 400% FPL may also qualify for subsidies due to enhanced ACA subsidies making coverage more affordable based on a percentage of income.
What hospitals in Salt Lake County are typically in-network with Select Health?
While specific network participation can vary by plan, major hospital systems in Salt Lake County often contract with marketplace carriers like Select Health. These include facilities such as Intermountain Medical Center in Murray, University of Utah Hospital and Clinics in Salt Lake City, and Intermountain Health Alta View Hospital, which is located directly in Sandy. Always verify your specific plan's provider directory before receiving services.
Is Medicaid available in Sandy, Utah, and what are the income limits?
Yes, Utah expanded Medicaid in 2020. Adults in Sandy with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Utah Medicaid. For pregnant women, the threshold is 144% FPL, and for children under CHIP, it's 200% FPL. This is a critical difference from Texas, where Medicaid has not expanded. You can apply for Utah Medicaid through medicaid.utah.gov.