Healthy Premier Gold Copay Office Visits
Gold · EPO · University of Utah Health Plans · Utah
At age 40 it costs between $860.43 and $1,184.53 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What CMS publishes about it
| Plan ID | 42261UT0060001 |
|---|---|
| Insurer | University of Utah Health Plans |
| Metal level | Gold |
| Plan type | EPO |
| Deductible (individual) | $1,500 |
| Deductible (family) | $3,000 |
| Drug deductible | $750 |
| Most you could pay in a year | $8,500 |
| Family maximum | $17,000 |
| Primary care visit | $30 |
| Specialist visit | $50 |
| Emergency room | $250 Copay after deductible |
| Inpatient stay | 20% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $40 |
| Specialty drugs | 50% Coinsurance after deductible |
| Adult dental included | No |
| Child dental included | No |
| Share of premium buying essential health benefits | 100.00% |
| Network directory | Who is in network |
| Summary of benefits | Summary of benefits and coverage |
| Drug list | Formulary |
| Customer service | 1-833-981-0214 · TTY 1-800-346-4128 |
Where it is sold, and what it costs there
26 counties. The premium is the price before any tax credit; what you pay depends on your income.
| County | At 21 | At 30 | At 40 | At 50 | At 60 |
|---|---|---|---|---|---|
| Davis County | $581.76 | $808.65 | $860.43 | $1,237.41 | $1,745.28 |
| Salt Lake County | $581.76 | $808.65 | $860.43 | $1,237.41 | $1,745.28 |
| Summit County | $581.76 | $808.65 | $860.43 | $1,237.41 | $1,745.28 |
| Tooele County | $581.76 | $808.65 | $860.43 | $1,237.41 | $1,745.28 |
| Wasatch County | $581.76 | $808.65 | $860.43 | $1,237.41 | $1,745.28 |
| Box Elder County | $634.48 | $881.92 | $938.39 | $1,349.53 | $1,903.43 |
| Morgan County | $634.48 | $881.92 | $938.39 | $1,349.53 | $1,903.43 |
| Weber County | $634.48 | $881.92 | $938.39 | $1,349.53 | $1,903.43 |
| Beaver County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Carbon County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Daggett County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Duchesne County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Emery County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Garfield County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Grand County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Juab County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Kane County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Millard County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Piute County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| San Juan County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Sevier County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Uintah County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Wayne County | $735.19 | $1,021.91 | $1,087.34 | $1,563.74 | $2,205.56 |
| Utah County | $743.04 | $1,032.82 | $1,098.95 | $1,580.44 | $2,229.11 |
| Iron County | $800.90 | $1,113.25 | $1,184.53 | $1,703.51 | $2,402.70 |
| Washington County | $800.90 | $1,113.25 | $1,184.53 | $1,703.51 | $2,402.70 |
Open enrollment for 2026 coverage runs 1 November 2025 to 15 January 2026 in most states. Outside that window you need a qualifying life event — losing other coverage, moving, marrying, having a child — to enrol.
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Premiums, deductibles, out-of-pocket maximums and cost sharing are reproduced from the HealthCare.gov Qualified Health Plan landscape file published by the Centers for Medicare & Medicaid Services for plan year 2026. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: to see every plan and to enrol, use HealthCare.gov or call 1-800-318-2596.