Healthy Premier Silver Copay Office Visits
Silver · EPO · University of Utah Health Plans · Utah
At age 40 it costs between $777.49 and $1,070.34 a month before any subsidy, depending on which county you live in — a marketplace plan is priced per rating area, not per state.
What this Silver plan costs if your income qualifies
Below certain incomes the marketplace improves a Silver plan's cost sharing automatically — you do not apply for it, and it happens on Silver and on no other metal level. The premium does not change; the deductible and what you pay at the doctor do.
| If your income is | Deductible | Most you could pay in a year | Primary care | Generic drugs |
|---|---|---|---|---|
| Above 250%, or not applied for | $4,000 | $7,000 | $30 | $25 |
| up to 150% of the federal poverty level | $0 | $1,500 | $10 | $10 |
| 150% to 200% | $500 | $3,000 | $10 | $15 |
| 200% to 250% | $2,500 | $6,500 | $30 | $25 |
CMS calls these cost-sharing reductions. The percentages are actuarial values, not discounts. HealthCare.gov works out which one you get from the income you report when you apply.
What CMS publishes about it
| Plan ID | 42261UT0060002 |
|---|---|
| Insurer | University of Utah Health Plans |
| Metal level | Silver |
| Plan type | EPO |
| Deductible (individual) | $4,000 |
| Deductible (family) | $8,000 |
| Drug deductible | $1,000 |
| Most you could pay in a year | $7,000 |
| Family maximum | $14,000 |
| Primary care visit | $30 |
| Specialist visit | $75 |
| Emergency room | $500 Copay after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $25 |
| 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 | $525.68 | $730.70 | $777.49 | $1,118.13 | $1,577.04 |
| Salt Lake County | $525.68 | $730.70 | $777.49 | $1,118.13 | $1,577.04 |
| Summit County | $525.68 | $730.70 | $777.49 | $1,118.13 | $1,577.04 |
| Tooele County | $525.68 | $730.70 | $777.49 | $1,118.13 | $1,577.04 |
| Wasatch County | $525.68 | $730.70 | $777.49 | $1,118.13 | $1,577.04 |
| Box Elder County | $573.31 | $796.91 | $847.93 | $1,219.44 | $1,719.93 |
| Morgan County | $573.31 | $796.91 | $847.93 | $1,219.44 | $1,719.93 |
| Weber County | $573.31 | $796.91 | $847.93 | $1,219.44 | $1,719.93 |
| Beaver County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Carbon County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Daggett County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Duchesne County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Emery County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Garfield County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Grand County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Juab County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Kane County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Millard County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Piute County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| San Juan County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Sevier County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Uintah County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Wayne County | $664.31 | $923.40 | $982.52 | $1,413 | $1,992.93 |
| Utah County | $671.41 | $933.26 | $993.01 | $1,428.08 | $2,014.22 |
| Iron County | $723.69 | $1,005.94 | $1,070.34 | $1,539.30 | $2,171.07 |
| Washington County | $723.69 | $1,005.94 | $1,070.34 | $1,539.30 | $2,171.07 |
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.
Get told when this changes
When this plan’s price or benefits change.
Double opt-in, one click to unsubscribe. We never sell or share the list, and we are not an insurance agent or broker: this is a notification about published data, not a sales call. Privacy.
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.