Healthy Premier Gold Standard
Gold · EPO · University of Utah Health Plans · Utah
At age 40 it costs between $859.27 and $1,182.93 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 | 42261UT0060019 |
|---|---|
| Insurer | University of Utah Health Plans |
| Metal level | Gold |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $2,000 |
| Deductible (family) | $4,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,200 |
| Family maximum | $16,400 |
| Primary care visit | $30 |
| Specialist visit | $60 |
| Emergency room | 25% Coinsurance after deductible |
| Inpatient stay | 25% Coinsurance after deductible |
| Generic drugs | $15 |
| Preferred brand drugs | $30 |
| Specialty drugs | $250 |
| 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 | $580.98 | $807.56 | $859.27 | $1,235.74 | $1,742.94 |
| Salt Lake County | $580.98 | $807.56 | $859.27 | $1,235.74 | $1,742.94 |
| Summit County | $580.98 | $807.56 | $859.27 | $1,235.74 | $1,742.94 |
| Tooele County | $580.98 | $807.56 | $859.27 | $1,235.74 | $1,742.94 |
| Wasatch County | $580.98 | $807.56 | $859.27 | $1,235.74 | $1,742.94 |
| Box Elder County | $633.62 | $880.73 | $937.12 | $1,347.71 | $1,900.86 |
| Morgan County | $633.62 | $880.73 | $937.12 | $1,347.71 | $1,900.86 |
| Weber County | $633.62 | $880.73 | $937.12 | $1,347.71 | $1,900.86 |
| Beaver County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Carbon County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Daggett County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Duchesne County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Emery County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Garfield County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Grand County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Juab County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Kane County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Millard County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Piute County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| San Juan County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Sevier County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Uintah County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Wayne County | $734.19 | $1,020.53 | $1,085.87 | $1,561.63 | $2,202.57 |
| Utah County | $742.03 | $1,031.43 | $1,097.47 | $1,578.30 | $2,226.09 |
| Iron County | $799.82 | $1,111.75 | $1,182.93 | $1,701.22 | $2,399.46 |
| Washington County | $799.82 | $1,111.75 | $1,182.93 | $1,701.22 | $2,399.46 |
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.