Health Insurance for Self-Employed Personal Trainers in Herriman, Utah
- Self-employed personal trainers in Herriman can access subsidized health plans through HealthCare.gov, with 5 carriers offering options in Rating Area 3 for 2026.
- Utah expanded Medicaid in 2020, meaning adults with income up to 138% of the Federal Poverty Level (FPL) may qualify for comprehensive, low-cost coverage.
- For an individual making $50,000, monthly Silver plan premiums after subsidies could be around $150-$250, while a Bronze plan might be under $100.
- PPO plans are NOT available on-exchange in Utah; marketplace choices are limited to HMO and EPO network structures.
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Understanding Your Health Insurance Options as a Self-Employed Trainer
For self-employed individuals like personal trainers, the primary source of health insurance is the ACA marketplace (HealthCare.gov). This platform allows you to compare plans, apply for financial assistance, and enroll in coverage that meets your needs.ACA Marketplace Plans and Subsidies
The ACA marketplace offers plans categorized into metal tiers: Bronze, Silver, Gold, and Platinum. These tiers reflect the actuarial value of the plan, or the average percentage of healthcare costs the plan is expected to cover:- Bronze Plans: Cover approximately 60% of costs, with you paying 40%. They have the lowest monthly premiums but the highest deductibles and out-of-pocket maximums. Good for those who expect minimal healthcare use.
- Silver Plans: Cover approximately 70% of costs. These are a popular choice because if your income qualifies, you may be eligible for Cost-Sharing Reductions (CSRs) in addition to premium subsidies. CSRs lower your deductibles, copayments, and out-of-pocket maximums, making Silver plans a much better value.
- Gold Plans: Cover approximately 80% of costs. They have higher monthly premiums than Bronze or Silver but lower deductibles and out-of-pocket costs, suitable for those who anticipate more frequent medical care.
Utah Medicaid for Lower Incomes
Unlike some states, Utah expanded its Medicaid program in 2020. This is a crucial detail for self-employed individuals with lower incomes. If your modified adjusted gross income (MAGI) is at or below 138% of the FPL, you may qualify for Utah Medicaid. This program provides comprehensive health coverage with little to no out-of-pocket costs. For a single individual in 2026, 138% FPL is approximately $20,780. Pregnant women in Utah may qualify for Medicaid with incomes up to 144% FPL, and children through CHIP up to 200% FPL. You can apply for Utah Medicaid through medicaid.utah.gov.Choosing the Right Plan: HMO vs. EPO in Herriman
In Utah's marketplace, including Herriman, your plan choices are limited to Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) network types. PPO (Preferred Provider Organization) plans are NOT available on-exchange in Utah. Understanding the difference is important:- HMO Plans: Typically require you to choose a primary care provider (PCP) within the plan's network. Your PCP then refers you to specialists. HMOs generally have lower premiums and out-of-pocket costs but offer less flexibility in choosing providers outside the network.
- EPO Plans: Do not require a PCP referral for specialist visits, but you must stay within the plan's network for care to be covered. EPOs offer more flexibility than HMOs but less than PPOs (which are not available on-exchange here).
| Income Level | Bronze Plan (After Subsidies) | Silver Plan (After Subsidies) | Gold Plan (After Subsidies) |
|---|---|---|---|
| $25,000 (150% FPL) | $0 - $20 | $30 - $70 | $100 - $150 |
| $40,000 (240% FPL) | $50 - $100 | $100 - $150 | $200 - $280 |
| $60,000 (360% FPL) | $150 - $220 | $220 - $300 | $350 - $450 |
| $80,000 (480% FPL) | $300 - $400 (No subsidies) | $400 - $550 (No subsidies) | $550 - $700 (No subsidies) |
| Estimates are for a single 35-year-old and will vary by exact income, age, and chosen plan. Subsidies phase out above 400% FPL. | |||
Health Insurance Carriers in Herriman
Herriman, located in Salt Lake County, is part of Utah's Rating Area 3, which also covers Davis, Summit, Tooele, and Wasatch counties. In 2026, 5 carriers offer marketplace plans in this rating area:- BridgeSpan Health Company
- Imperial Health Plan of Utah
- Regence BlueCross BlueShield of Utah
- Select Health
- University of Utah Health Plans
Next Steps: Getting Your Health Insurance Plan
As a self-employed personal trainer, navigating the health insurance landscape in Herriman requires a clear understanding of your income, health needs, and available subsidies. Here’s a summary of the decision path:- If your income is below 138% FPL (approx. $20,780 for a single person): You likely qualify for Utah Medicaid. Apply directly through medicaid.utah.gov.
- If your income is between 100% and 400% FPL: You are eligible for significant premium tax credits (subsidies) on HealthCare.gov. Focus on Silver plans, as you may also qualify for Cost-Sharing Reductions.
- If your income is above 400% FPL: While you won't qualify for premium subsidies, you can still purchase a plan on HealthCare.gov or directly from a carrier. Compare Bronze, Silver, and Gold plans based on your expected healthcare usage and budget.
Frequently Asked Questions
Can I deduct health insurance premiums as a self-employed personal trainer?
Yes, if you are self-employed and not eligible to participate in an employer-sponsored health plan, you can generally deduct the premiums you pay for health insurance for yourself, your spouse, and your dependents. This deduction is taken directly on your tax return and can significantly reduce your taxable income. Consult with a tax professional for specific advice.
What if I need to see a specialist for a sports injury?
Your ability to see a specialist depends on your plan type. With an HMO plan in Herriman, you will typically need a referral from your primary care provider (PCP) to see a specialist. With an EPO plan, you can usually see a specialist directly, provided they are within the plan's network, without a referral. Always verify a specialist's network status before scheduling an appointment.
What are the enrollment periods for self-employed health insurance?
The primary time to enroll in or change an ACA health plan is during the annual Open Enrollment Period (OEP), which typically runs from November 1st to January 15th each year for coverage starting the following year. However, if you experience certain life events, such as getting married, having a baby, or losing other coverage, you may qualify for a Special Enrollment Period (SEP) outside of OEP.