GoldHMO

Imperial Preferred Gold

Imperial Health Plan of the Southwest, Inc.

Starting at

$759

/month before subsidy

Key facts

Imperial Preferred Gold is a 2026 Gold HMO health insurance plan from Imperial Health Plan of the Southwest, Inc., sold on the ACA Marketplace in Utah under plan ID 98113UT0020002. The monthly premium starts at $759 before subsidies, based on a 40-year-old in the plan's lowest-cost rating area. The individual medical deductible is $1,000 ($2,000 for a family), and the individual out-of-pocket maximum is $8,000 ($16,000 for a family). After the deductible, coinsurance is 35% for covered in-network care. The plan is not HSA-eligible.

Plan ID
98113UT0020002
Plan year
2026
State
Utah
Metal level
Gold
Plan type
HMO
HSA-eligible
No

Individual Deductible

$1,000

Family: $2,000

Out-of-Pocket Max

$8,000

Family: $16,000

Coinsurance

35%

You pay after deductible

Network Type

HMO

UTN001

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

Medical Services

Primary Care Visit$20.00
Specialist Visit$40.00
Urgent Care35.00% Coinsurance after deductible
Emergency Room35.00% Coinsurance after deductible

Prescription Drugs

Generic Drugs$5.00
Brand Name Drugs50.00% Coinsurance after deductible
Specialty Drugs50.00% Coinsurance after deductible
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

$4,190

your estimated cost

Deductible
$1,000
Copays
$30
Coinsurance
$3,100

Managing type 2 diabetes

A year of routine care

$2,020

your estimated cost

Deductible
$900
Copays
$1,100
Coinsurance
$0

A simple fracture

ER visit + follow-up

$1,700

your estimated cost

Deductible
$1,000
Copays
$300
Coinsurance
$400
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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Official Plan Documents
Published by Imperial Health Plan of the Southwest, Inc.. These are the authoritative source for coverage details.
Who This Plan Is Best For

This Gold 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

$1,426/month

Annual Premium

$9,108

OOP Maximum

$8,000

💡 What this means:

With a $1,000 deductible, you pay 100% of costs until you've spent that much. After that, you pay 35% (coinsurance) until you hit $8,000 total. Then insurance covers everything else for the year.

More plans from Imperial Health Plan of the Southwest, Inc. in Utah

View all Marketplace plans in Utah

Frequently asked questions about Imperial Preferred Gold

How much does Imperial Preferred Gold cost per month?

Imperial Preferred Gold from Imperial Health Plan of the Southwest, Inc. starts at $759 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 Imperial Preferred Gold?

The individual medical deductible is $1,000, and the family deductible is $2,000. 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 Imperial Preferred Gold?

The most you would pay in a year for covered in-network care is $8,000 for an individual and $16,000 for a family. Once you reach it, the plan pays 100% of covered services for the rest of the year.

Is Imperial Preferred Gold HSA-eligible?

No. Imperial Preferred Gold 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 Imperial Preferred Gold use?

Imperial Preferred Gold 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.