Individual health insurance in Utah is an emerging solution. In the last decade the market has grown dramatically. LegUp Health predicts the market for individual and family insurance will grow even more in the next decade.
Since the Affordable Care Act took effect in 2014, individual health insurance has changed a lot. Here’s how:
Fewer than 85,000 Utah residents enrolled in the Marketplace in 2014. Last year, there were more than 421,000 enrollees. The number will likely increase steadily in the years to come as businesses transition away from employer-provided health insurance.
Here are a few things you should know about individual and marketplace health insurance plans in Utah:
A Health Savings Account (HSA) is a type of personal savings account that allows you to save tax-free money and withdraw tax-free money to cover qualified medical expenses. Read more.
An expanded bronze health insurance plan is an option that pays for some medical services before you meet your deductible. Learn more about this unique option. Read more.
A binder payment is the first month's premium for a new individual health insurance policy you've agreed to purchase. Read more.
Information asymmetry happens when one party in an economic transaction has greater relevant knowledge than the other party. Read more.
An agent of record (AOR) is the individual health insurance agent you designate with your health insurance company to represent you and help you manage your insurance policy. Read more.
An individual health insurance agent is a licensed health insurance professional who can help you search, compare, enroll, and leverage individual health insurance plans. Read more.
This guide walks through how to buy your own dental insurance plan in Utah. Learn how dental insurance works and how to pick the right plan for you and your family. Read more.
The government caps the amount you have to pay for individual and family health insurance at a percentage of your household’s annual income. Read more.
Your tax household includes all the individuals on your tax return: the tax filer, the tax filer’s spouse (if married filing jointly), and any dependents. Read more.
Since 2014, the Affordable Care Act (ACA) has required all individual and family health insurance plans to cover ten essential health benefits. Essential health benefits are minimum requirements. Read more.
Cost-sharing reductions are special subsidies that reduce the out-of-pocket maximums, deductibles, coinsurance, and copayments on Silver health insurance plans in the Marketplace. Read more.
The benchmark Silver plan is the “second-lowest-cost silver plan” available in your area. The IRS uses your household’s benchmark Silver plan to calculate your premium tax credit. Read more.
To help you narrow down your plan options, the Marketplace categorizes health insurance plans by metal tiers. Each metallic level represents an actuarial value, a summary measure of the coverage provided by a health insurance plan. Read more.
Actuarial value is a summary measure of the coverage provided by a health insurance plan. It estimates the percentage of medical expenses a plan would cover for the average person. Read more.
Cost-sharing refers to how the insurance company shares medical expenses with you until you hit the plan’s out-of-pocket maximums. Cost-sharing helps control health insurance costs. Without it, people might overuse healthcare and drive up insurance company costs. Read more.
The U.S. government provides health insurance to more than one-third of Americans. These are the most popular government health insurance options. Read more.
The government uses modified adjusted gross income (MAGI) to determine your eligibility for government health insurance programs like Medicaid, the Children's Health Insurance Program (CHIP), and premium tax credits. Read more.
The government uses the federal poverty level guidelines to determine your household’s eligibility for government health insurance programs like Medicaid, the Children's Health Insurance Program (CHIP), and premium tax credits. Read more.
The premium tax credit is a way for the government to pay for some or all of your private health insurance costs. This guide covers every detail. Read more.
Understand the difference between ACA-qualified and non-ACA-qualified individual and family health insurance coverage. Read more.
This article defines 11 of the most commonly used terms in individual health insurance. Understanding these definitions will help you find, use, and manage your coverage. Read more.