Healthy Premier Silver Copay Office Visits
Starting at
$777
/month before subsidy
Healthy Premier Silver Copay Office Visits is a 2026 Silver EPO health insurance plan from University of Utah Health Plans, sold on the ACA Marketplace in Utah under plan ID 42261UT0060002. The monthly premium starts at $777 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $4,000 ($8,000 for a family), and the individual out-of-pocket maximum is $7,000 ($14,000 for a family). After the deductible, coinsurance is 40% for covered in-network care. The plan is not HSA-eligible.
- Plan ID
- 42261UT0060002
- Plan year
- 2026
- State
- Utah
- Metal level
- Silver
- Plan type
- EPO
- HSA-eligible
- No
Individual Deductible
$4,000
Family: $8,000
Out-of-Pocket Max
$7,000
Family: $14,000
Coinsurance
40%
You pay after deductible
Network Type
EPO
UTN001
Medical Services
Prescription Drugs
- Medical care
- Member experience
- Plan administration
How well doctors manage and coordinate care
Member-survey satisfaction with the plan
Customer service, billing, and access to information
Having a baby
Normal delivery
$7,060
your estimated cost
- Deductible
- $4,000
- Copays
- $0
- Coinsurance
- $3,000
Managing type 2 diabetes
A year of routine care
$1,820
your estimated cost
- Deductible
- $900
- Copays
- $900
- Coinsurance
- $0
A simple fracture
ER visit + follow-up
$2,700
your estimated cost
- Deductible
- $2,500
- Copays
- $200
- Coinsurance
- $0
Enter your ZIP code first to search nearby doctors.
This Silver EPO plan offers a balanced approach between monthly premiums and out-of-pocket costs, making it a popular choice for many families.
Consider this plan if you:
- Visit the doctor a few times per year
- Take regular prescription medications
- Want moderate protection against high medical bills
- May qualify for Cost-Sharing Reductions (CSR) to lower deductibles
This summary is generated based on plan attributes for educational purposes only.
If you max out this year
$1,360/month
Annual Premium
$9,324
OOP Maximum
$7,000
💡 What this means:
With a $4,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 40% (coinsurance) until you hit $7,000 total. Then insurance covers everything else for the year.
More plans from University of Utah Health Plans in Utah
- Healthy Premier Bronze HSAfrom $513/mo
- Healthy Premier Expanded Bronze Standardfrom $527/mo
- U Health Plus Bronzefrom $485/mo
- U Health Plus Expanded Bronze Standardfrom $502/mo
- Healthy Premier Silver Standardfrom $761/mo
- U Health Plus Silverfrom $624/mo
- U Health Plus Silver Standardfrom $608/mo
- Healthy Premier Gold Copay Office Visitsfrom $860/mo
Frequently asked questions about Healthy Premier Silver Copay Office Visits
How much does Healthy Premier Silver Copay Office Visits cost per month?
Healthy Premier Silver Copay Office Visits from University of Utah Health Plans starts at $777 per month before any subsidy in Utah. Most Marketplace enrollees qualify for a premium tax credit that lowers what they actually pay — estimate your subsidy to see your net premium.
What is the deductible for Healthy Premier Silver Copay Office Visits?
The individual medical deductible is $4,000, and the family deductible is $8,000. You pay for covered care out of pocket until you meet the deductible, after which the plan shares costs with you.
What is the out-of-pocket maximum for Healthy Premier Silver Copay Office Visits?
The most you would pay in a year for covered in-network care is $7,000 for an individual and $14,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.
Is Healthy Premier Silver Copay Office Visits HSA-eligible?
No. Healthy Premier Silver Copay Office Visits is not classified as an HSA-eligible high-deductible health plan, so it cannot be paired with a Health Savings Account.
What type of network does Healthy Premier Silver Copay Office Visits use?
Healthy Premier Silver Copay Office Visits is a EPO plan. EPO plans cover in-network care only (except emergencies) and usually do not require referrals to see specialists.
Understand what you'd actually pay
- 2026 Federal Poverty Level (FPL) chart
The income table behind subsidy and Medicaid eligibility
- How ACA subsidies work
Premium tax credits and who qualifies
- The 2026 subsidy cliff
Why income near 400% FPL matters again this year
Important Notice
Plan details and costs shown are estimates for educational purposes only. Actual costs, coverage, and availability may vary. Always verify plan details and enroll through official channels at HealthCare.gov or your state marketplace.