Individual Coverage Options

Avenue H is Utah's small business health insurance solution. It caters solely to small businesses with 1-50 employees that offer insurance to those employees. Individuals and families have the following options for getting insured:

Healthcare.gov

The federal Health Insurance Marketplace is the national exchange for individual insurance coverage.

Visit Healthcare.gov to apply.

The Utah Medicaid Program

Some individuals are eligible for Medicaid. The Utah Medicaid Program provides medical assistance to low-income families, children, pregnant women, and disabled and elderly individuals. Review the document below to see if you qualify for coverage under Medicaid based on your income and family status. If you meet the qualifications in the document, we suggest that you apply directly at jobs.utah.gov.

pdfIncome Chart for Medicaid Qualification

CHIP - The Children's Health Insurance Program

SSome individuals are eligible for CHIP. The Children's Health Insurance Program (CHIP) is a state health insurance plan for children. Depending on income and family size, Utah families who do not have other health insurance may qualify for CHIP for their children. Review the document below to see if you qualify for coverage under CHIP based on your income and family status. If you meet the qualifications in the document, we suggest that you apply directly at jobs.utah.gov.

pdfIncome Chart for CHIP Qualification

PCN - The Primary Care Network

The Primary Care Network (PCN) is a health plan offered by the Utah Department of Health. It covers services administered by a primary care provider. Applications are only accepted during open enrollment periods, which are held when resources are available to cover more people. The federal government requires PCN to enroll more parents with children than people individuals without children. Because of this, PCN may schedule separate enrollment times for parents and children only. To qualify as a parent, you must have children age 18 or younger living at home with you. PCN is not currently open for enrollment. To check regularly for enrollment or to see if you qualify, click here.

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