Healthy Premier Silver Standard
Silver · EPO · University of Utah Health Plans · Utah
At age 40 it costs between $761.23 and $1,047.97 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 | $6,000 | $8,900 | $40 | $20 |
| up to 150% of the federal poverty level | $0 | $2,200 | No Charge | No Charge |
| 150% to 200% | $700 | $3,300 | $20 | $10 |
| 200% to 250% | $3,000 | $7,400 | $40 | $20 |
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 | 42261UT0060020 |
|---|---|
| Insurer | University of Utah Health Plans |
| Metal level | Silver |
| Plan type | EPO |
| Standardised design | Design 1 — a plan CMS defined the benefits of, so it can be compared like for like |
| Deductible (individual) | $6,000 |
| Deductible (family) | $12,000 |
| Drug deductible | Included in the medical deductible |
| Most you could pay in a year | $8,900 |
| Family maximum | $17,800 |
| Primary care visit | $40 |
| Specialist visit | $80 |
| Emergency room | 40% Coinsurance after deductible |
| Inpatient stay | 40% Coinsurance after deductible |
| Generic drugs | $20 |
| Preferred brand drugs | $40 |
| Specialty drugs | $350 Copay 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 | $514.69 | $715.42 | $761.23 | $1,094.75 | $1,544.07 |
| Salt Lake County | $514.69 | $715.42 | $761.23 | $1,094.75 | $1,544.07 |
| Summit County | $514.69 | $715.42 | $761.23 | $1,094.75 | $1,544.07 |
| Tooele County | $514.69 | $715.42 | $761.23 | $1,094.75 | $1,544.07 |
| Wasatch County | $514.69 | $715.42 | $761.23 | $1,094.75 | $1,544.07 |
| Box Elder County | $561.33 | $780.24 | $830.20 | $1,193.94 | $1,683.98 |
| Morgan County | $561.33 | $780.24 | $830.20 | $1,193.94 | $1,683.98 |
| Weber County | $561.33 | $780.24 | $830.20 | $1,193.94 | $1,683.98 |
| Beaver County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Carbon County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Daggett County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Duchesne County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Emery County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Garfield County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Grand County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Juab County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Kane County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Millard County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Piute County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| San Juan County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Sevier County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Uintah County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Wayne County | $650.43 | $904.09 | $961.98 | $1,383.45 | $1,951.28 |
| Utah County | $657.37 | $913.75 | $972.25 | $1,398.23 | $1,972.11 |
| Iron County | $708.56 | $984.90 | $1,047.97 | $1,507.12 | $2,125.68 |
| Washington County | $708.56 | $984.90 | $1,047.97 | $1,507.12 | $2,125.68 |
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.