PlatinumHMO

Value Benchmark Platinum Standardized Plan

Select Health

Starting at

$1110

/month before subsidy

Key facts

Value Benchmark Platinum Standardized Plan is a 2026 Platinum HMO health insurance plan from Select Health, sold on the ACA Marketplace in Utah under plan ID 68781UT0200038. The monthly premium starts at $1,110 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $0, and the individual out-of-pocket maximum is $5,200 ($10,400 for a family). After the deductible, coinsurance is 0% for covered in-network care. The plan is not HSA-eligible.

Plan ID
68781UT0200038
Plan year
2026
State
Utah
Metal level
Platinum
Plan type
HMO
HSA-eligible
No

Individual Deductible

$0

Family: $0

Out-of-Pocket Max

$5,200

Family: $10,400

Coinsurance

0%

You pay after deductible

Network Type

HMO

UTN002

Cost Sharing
What you pay for common services (after deductible unless noted)

Medical Services

Primary Care Visit$10.00
Specialist Visit$20.00
Urgent Care$15.00
Emergency Room$100.00

Prescription Drugs

Generic Drugs$5.00
Brand Name Drugs$50.00
Specialty Drugs$150.00
CMS Quality Rating
The federal government's star rating for this plan, based on clinical data and member surveys — the same rating shown on HealthCare.gov.
4.0overall
Medical care

How well doctors manage and coordinate care

Member experience
Not rated

Member-survey satisfaction with the plan

Plan administration

Customer service, billing, and access to information

What you'd typically pay
Standardized coverage examples from this plan's official Summary of Benefits & Coverage — your estimated out-of-pocket cost in three common situations (in-network).

Having a baby

Normal delivery

$1,660

your estimated cost

Deductible
$0
Copays
$1,300
Coinsurance
$300

Managing type 2 diabetes

A year of routine care

$1,020

your estimated cost

Deductible
$0
Copays
$1,000
Coinsurance
$0

A simple fracture

ER visit + follow-up

$700

your estimated cost

Deductible
$0
Copays
$500
Coinsurance
$200
Is your medication or doctor covered?
Check this plan against your prescriptions and providers, using live data from the federal Marketplace (CMS). Always confirm with the insurer before enrolling.
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Who This Plan Is Best For

This Platinum HMO plan is designed for people who use healthcare frequently and want predictable costs when they visit the doctor.

Consider this plan if you:

  • Have ongoing health conditions requiring regular care
  • Take multiple prescription medications
  • Prefer lower costs at the time of service
  • Want peace of mind with comprehensive coverage

This summary is generated based on plan attributes for educational purposes only.

Worst-Case Monthly Cost
What you'd pay if you hit your out-of-pocket maximum

If you max out this year

$1,543/month

Annual Premium

$13,320

OOP Maximum

$5,200

💡 What this means:

With a $0 deductible, you pay 100% of costs until you've spent that much. After that, you pay 0% (coinsurance) until you hit $5,200 total. Then insurance covers everything else for the year.

More plans from Select Health in Utah

View all Marketplace plans in Utah

Frequently asked questions about Value Benchmark Platinum Standardized Plan

How much does Value Benchmark Platinum Standardized Plan cost per month?

Value Benchmark Platinum Standardized Plan from Select Health starts at $1,110 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 Value Benchmark Platinum Standardized Plan?

The individual medical deductible is $0. 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 Value Benchmark Platinum Standardized Plan?

The most you would pay in a year for covered in-network care is $5,200 for an individual and $10,400 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Value Benchmark Platinum Standardized Plan HSA-eligible?

No. Value Benchmark Platinum Standardized Plan 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 Value Benchmark Platinum Standardized Plan use?

Value Benchmark Platinum Standardized Plan is a HMO plan. HMO plans generally require you to use in-network providers and to get a referral to see a specialist, in exchange for lower costs.

Understand what you'd actually pay

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.