Signature Benchmark Gold
Gold · HMO · Select Health · Utah
At age 40 it costs between $646.15 and $678.46 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 | 68781UT0200030 |
|---|---|
| Insurer | Select Health |
| Metal level | Gold |
| Plan type | HMO |
| Deductible (individual) | $0 |
| Deductible (family) | $0 |
| Drug deductible | $250 |
| Most you could pay in a year | $8,950 |
| Family maximum | $17,900 |
| Primary care visit | No Charge |
| Specialist visit | $50 |
| Emergency room | 30% |
| Inpatient stay | 30% |
| Generic drugs | $20 |
| Preferred brand drugs | 25% Coinsurance after deductible |
| 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 | 1-800-538-5038 |
Where it is sold, and what it costs there
4 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 | $436.88 | $607.27 | $646.15 | $929.25 | $1,310.64 |
| Salt Lake County | $436.88 | $607.27 | $646.15 | $929.25 | $1,310.64 |
| Utah County | $449.99 | $625.49 | $665.54 | $957.13 | $1,349.97 |
| Weber County | $458.73 | $637.63 | $678.46 | $975.71 | $1,376.18 |
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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When this plan’s price or benefits change.
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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.