University of Utah Health Insurance Plans in Price, Utah

Q: What types of plans does University of Utah Health offer in Price?

In Price, Utah, University of Utah Health offers both Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans through the HealthCare.gov marketplace. PPO plans are not available on-exchange in Utah.

Q: Can I get a subsidy for University of Utah Health plans in Price?

Yes, if your household income falls between 100% and 400% of the Federal Poverty Level (FPL), you may qualify for Advance Premium Tax Credits (APTCs) to lower your monthly premiums. Cost-Sharing Reductions (CSRs) may also be available for those with incomes up to 250% FPL, reducing out-of-pocket costs.

Q: What hospitals are in-network with University of Utah Health in Carbon County?

University of Utah Health plans generally have a robust network. In Carbon County, Castleview Hospital in Price is the primary acute care facility. It is important to verify specific network participation for any plan you consider, as networks can vary.

University of Utah Health is one of four carriers offering marketplace plans in Price, Utah, for the 2026 plan year.
Marketplace plans in Utah, including those from University of Utah Health, are primarily Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) types; PPO plans are not available on-exchange.
Residents of Price, which is in Carbon County, may qualify for significant subsidies to lower monthly premiums and out-of-pocket costs if their income is between 100% and 400% FPL.
Utah expanded Medicaid in 2020, covering adults up to 138% of the Federal Poverty Level, with pregnant women covered up to 144% FPL.

Navigating health insurance options in Price, Utah, involves understanding the plans available through HealthCare.gov, the federal marketplace. University of Utah Health offers a range of health insurance plans for residents of Price and the surrounding Carbon County area. These plans are designed to meet various needs and budgets, providing access to a network of local providers. As Utah expanded Medicaid in 2020, more residents may qualify for public assistance, while others can utilize federal subsidies to make marketplace plans more affordable. This guide will detail your options with University of Utah Health, explain how subsidies work, and outline the enrollment process specific to Price.

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What Types of University of Utah Health Plans Are Available in Price?

In Price, Utah, University of Utah Health offers health insurance plans primarily through the HealthCare.gov marketplace. For 2026, the marketplace choice for Utah shoppers, including those in Price, is between Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) network structures. PPO plans are not available on-exchange in Utah. University of Utah Health provides plans across the standard metal tiers:

Bronze Plans: These plans typically feature lower monthly premiums but higher deductibles and out-of-pocket maximums. They are designed for individuals who anticipate needing minimal medical care or who want protection against catastrophic medical costs.
Silver Plans: Silver plans offer a balance between monthly premiums and out-of-pocket costs. They are particularly valuable for individuals who qualify for Cost-Sharing Reductions (CSRs), which can significantly lower deductibles, copayments, and out-of-pocket maximums.
Gold Plans: With higher monthly premiums, Gold plans generally have lower deductibles and out-of-pocket maximums, meaning you pay less when you need care. These plans are suitable for those who expect to use medical services frequently and prefer more predictable costs.

Each plan type provides Essential Health Benefits, including doctor visits, hospital care, prescription drugs, mental health services, and maternity care. The specific benefits, deductibles, and copayments will vary by plan and metal tier.

How Do Subsidies and Medicaid Work for Price Residents?

Affording health insurance in Price can be significantly easier due to federal subsidies and Utah's expanded Medicaid program. Eligibility for these programs depends on your household income relative to the Federal Poverty Level (FPL), per U.S. Census Bureau ACS 2024 5-year estimates for Price showing a median income of $53,203 and a poverty rate of 17.7%.

Advance Premium Tax Credits (APTCs)

If your household income falls between 100% and 400% of the FPL, you may qualify for Advance Premium Tax Credits (APTCs). These subsidies directly reduce your monthly health insurance premiums, making coverage much more affordable. For example, a single adult in Price earning $35,000 (approximately 250% FPL) would likely receive a substantial APTC, significantly lowering the cost of a University of Utah Health plan.

Cost-Sharing Reductions (CSRs)

For those with incomes up to 250% of the FPL, Cost-Sharing Reductions (CSRs) are available. CSRs reduce the out-of-pocket costs associated with healthcare, such as deductibles, copayments, and coinsurance. These benefits are only available on Silver-tier plans, making Silver plans a particularly strong value for eligible individuals and families.

Utah Medicaid Expansion

Utah expanded Medicaid in 2020, meaning adults with household incomes up to 138% of the FPL may qualify for comprehensive, low-cost health coverage through Utah Medicaid. This is a critical difference from non-expansion states, ensuring that residents in the lowest income brackets have access to care. For pregnant women, Utah Medicaid covers those with incomes up to 144% FPL, and the Children's Health Insurance Program (CHIP) covers uninsured children in households up to 200% FPL. Enrollment for Utah Medicaid can be completed through medicaid.utah.gov.

Health Insurance Carriers in Price

Price, Utah, is located within Rating Area 6, which covers Beaver, Carbon, Daggett, Duchesne, Emery, Garfield, Grand, Juab, Kane, Millard, Piute, San Juan, Sanpete, Sevier, Uintah, Wayne counties. In 2026, 4 carriers offer marketplace plans in Rating Area 6. These carriers provide a range of options for residents seeking coverage through HealthCare.gov. The confirmed carriers for Price and Rating Area 6 in 2026 are:

BridgeSpan Health Company
Regence BlueCross BlueShield of Utah
Select Health
University of Utah Health Plans

When choosing a plan, it is important to compare not only premiums and deductibles but also the specific network of doctors and hospitals. Carbon County's primary acute care facility is Castleview Hospital in Price, and you should ensure your chosen plan's network includes your preferred providers.

Making Your Health Insurance Decision in Price

Choosing the right health insurance plan in Price, Utah, involves assessing your income, healthcare needs, and preferred providers. Carbon County's 20,517 residents, with an uninsured rate of 6.2% per U.S. Census Bureau ACS 2024 5-year estimates, have access to a variety of plans and support programs. Here’s a guide to help you decide:

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 100%–250% FPL: You are eligible for both Advance Premium Tax Credits (APTCs) to lower your premiums and Cost-Sharing Reductions (CSRs) on Silver plans. A Silver plan from University of Utah Health or another carrier will offer the best value, with reduced out-of-pocket costs.
If your income is 250%–400% FPL: You qualify for APTCs to reduce your monthly premiums. Compare Bronze, Silver, and Gold plans from University of Utah Health and other carriers to find the best balance of premium and coverage for your anticipated healthcare usage.
If your income is above 400% FPL: While you may not qualify for subsidies, you can still enroll in a University of Utah Health plan or another marketplace option at full price. Focus on finding a plan that offers the best network and benefits for your needs.

Consider your health needs: if you anticipate frequent doctor visits or need specific prescription medications, a Gold plan might be more cost-effective despite higher premiums. If you are generally healthy and want protection against emergencies, a Bronze plan with a Health Savings Account (HSA) option could be suitable. A licensed health insurance producer can provide personalized guidance and help you compare plans at no cost.

Frequently Asked Questions

What types of plans does University of Utah Health offer in Price?

University of Utah Health offers Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO) plans in Price, Utah, through HealthCare.gov. PPO plans are not available on the Utah marketplace.

Can I get a subsidy for University of Utah Health plans in Price?

Yes, if your household income is between 100% and 400% of the Federal Poverty Level (FPL), you may qualify for Advance Premium Tax Credits (APTCs) to lower your monthly premiums. Cost-Sharing Reductions (CSRs) are also available for those up to 250% FPL on Silver plans.

What hospitals are in-network with University of Utah Health in Carbon County?

University of Utah Health plans typically include Castleview Hospital in Price, the main acute care facility in Carbon County. It is always recommended to verify specific network details for any plan you are considering to ensure your preferred providers are covered.

Is University of Utah Health the only carrier in Price?

No, University of Utah Health is one of four carriers offering health insurance plans in Price's Rating Area 6. Other carriers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, and Select Health.