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Utah Marketplace Health Insurance: 2027 Plans and In-Network Doctors

5 insurers sell 49 medical plans on HealthCare.gov in Utah for 2027, and 28 dental plans are also available. Select Health offers the most, 21 plans, and has the largest network, with 16,842 Utah doctors, practices and hospitals. Individual deductibles run from $0 to $12,000, and 1 insurer offers $0-deductible plans.

5 insurers 49 medical plans Deductibles $0 to $12,000 26,287 doctors and facilities in a network

Source: CMS Marketplace plan files for plan year 2027 and insurer provider directories. Updated November 8, 2026.

NPI Profile does not sell insurance or enroll anyone in a plan. This free tool uses public files from CMS and insurers to help you compare plans and check whether your doctor is in a plan's network.

Are your doctors in these plans?

Add up to 3 doctors and every plan below shows whether they are in network.

All 49 plans

Monthly premiums are not shown: they depend on your age, county, household size and income. HealthCare.gov lists them for your household.

Deductible: what you pay for covered care before the plan starts to pay. Out-of-pocket max: the most you pay in a year for covered in-network care. After that, the plan pays 100%.
Select Health

Med Benchmark Platinum Standardized Plan

PlatinumHMO
Deductible$0$0 family
Out-of-pocket max$5,900$11,800 family
Having a baby$2,060CMS example
Plan ID 68781UT0200037Sold statewideNo coinsuranceNo referral needed
Network: Select Med IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Value Benchmark Platinum Standardized Plan

PlatinumHMO
Deductible$0$0 family
Out-of-pocket max$5,900$11,800 family
Having a baby$2,060CMS example
Plan ID 68781UT0200038Sold in 9 Utah countiesNo coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Med Benchmark Platinum

PlatinumHMO
Deductible$0$0 family
Out-of-pocket max$8,950$17,900 family
Having a baby$1,460CMS example
Plan ID 68781UT0200035Sold statewide10% coinsuranceNo referral needed
Network: Select Med IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Signature Benchmark Gold

GoldHMO
Deductible$0$0 family
Out-of-pocket max$8,950$17,900 family
Having a baby$3,470CMS example
Plan ID 68781UT0200030Sold in 4 Utah counties30% coinsuranceNo referral needed
Network: Select Signature IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Value Benchmark Platinum

PlatinumHMO
Deductible$0$0 family
Out-of-pocket max$8,950$17,900 family
Having a baby$1,460CMS example
Plan ID 68781UT0200034Sold in 9 Utah counties10% coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Med Benchmark Expanded Bronze Select Copay Plan - HSA Eligible

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$5,860CMS example
Plan ID 68781UT0200010Sold statewide50% coinsuranceNo referral needed
Network: Select Med IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Value Benchmark Expanded Bronze Select Copay Plan - HSA Eligible

Expanded BronzeHMOHSA
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$5,860CMS example
Plan ID 68781UT0200009Sold in 9 Utah counties50% coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Imperial Insurance Companies

Imperial Preferred Gold

GoldHMO
Deductible$1,000$2,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$4,190CMS example
Plan ID 98113UT0020002Sold in Salt Lake and Utah counties35% coinsuranceReferral needed for specialists
Network: Imperial Value Common Spirit
Details
Select Health

Med Gold 1500 Medical Deductible

GoldHMO
Deductible$1,500$3,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$3,570CMS example
Plan ID 68781UT0020007Sold statewide20% coinsuranceNo referral needed
Network: Select Med IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Value Gold 1500 Medical Deductible

GoldHMO
Deductible$1,500$3,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$3,570CMS example
Plan ID 68781UT0020023Sold in 9 Utah counties20% coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
University of Utah Health Plans

U Health Plus Gold

GoldEPO
Deductible$2,000$4,000 family
Out-of-pocket max$7,500$15,000 family
Having a baby$4,170CMS example
Plan ID 42261UT0060022Sold in Davis and Salt Lake counties20% coinsuranceNo referral needed
Network: U Health Plus - UofU, CommonSpirit
Details
University of Utah Health Plans

Healthy Premier Gold Copay Office Visits

GoldEPO
Deductible$2,000$4,000 family
Out-of-pocket max$8,500$17,000 family
Having a baby$4,170CMS example
Plan ID 42261UT0060001Sold in 25 Utah counties20% coinsuranceNo referral needed
Network: Healthy Premier - UofU, MountainStar, CommonSpirit
Details
Regence BlueCross BlueShield of Utah

Gold 2400

GoldEPO
Deductible$2,400$4,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$3,470CMS example
Plan ID 22013UT2630019Sold in 16 Utah counties10% coinsuranceNo referral needed
Network: Individual Connect University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
BridgeSpan Health

BridgeSpan Standard Gold Plan

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,970CMS example
Plan ID 34541UT0280005Sold in 16 Utah counties25% coinsuranceNo referral needed
Network: Individual Value University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
University of Utah Health Plans

Healthy Premier Gold Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Plan ID 42261UT0060019Sold in 25 Utah counties25% coinsuranceNo referral needed
Network: Healthy Premier - UofU, MountainStar, CommonSpirit
Details
Imperial Insurance Companies

Imperial Classic Gold

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,100CMS example
Plan ID 98113UT0010003Sold in Salt Lake and Utah counties25% coinsuranceReferral needed for specialists
Network: Imperial Value Common Spirit
Details
Select Health

Med Benchmark Gold Standardized Plan

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Plan ID 68781UT0200017Sold statewide25% coinsuranceNo referral needed
Network: Select Med IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Regence BlueCross BlueShield of Utah

Regence Standard Gold 2500

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$4,970CMS example
Plan ID 22013UT2650010Sold in 16 Utah counties25% coinsuranceNo referral needed
Network: Individual Connect University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
Select Health

Signature Benchmark Gold Standardized Plan

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Plan ID 68781UT0200022Sold in 4 Utah counties25% coinsuranceNo referral needed
Network: Select Signature IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
University of Utah Health Plans

U Health Plus Gold Standard

GoldEPO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Plan ID 42261UT0060025Sold in Davis and Salt Lake counties25% coinsuranceNo referral needed
Network: U Health Plus - UofU, CommonSpirit
Details
Select Health

Value Benchmark Gold Standardized Plan

GoldHMO
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Plan ID 68781UT0200020Sold in 9 Utah counties25% coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Value Silver 3500 Medical Deductible

SilverHMO
Deductible$3,500$7,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$7,260CMS example
Plan ID 68781UT0020024Sold in 9 Utah counties40% coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
University of Utah Health Plans

Healthy Premier Silver Copay Office Visits

SilverEPO
Deductible$5,000$10,000 family
Out-of-pocket max$9,000$18,000 family
Having a baby$8,070CMS example
Plan ID 42261UT0060002Sold in 25 Utah counties40% coinsuranceNo referral needed
Network: Healthy Premier - UofU, MountainStar, CommonSpirit
Details
University of Utah Health Plans

U Health Plus Silver

SilverEPO
Deductible$5,000$10,000 family
Out-of-pocket max$9,500$19,000 family
Having a baby$8,070CMS example
Plan ID 42261UT0060023Sold in Davis and Salt Lake counties40% coinsuranceNo referral needed
Network: U Health Plus - UofU, CommonSpirit
Details
Select Health

Signature Benchmark Silver 5900 Medical Deductible

SilverHMO
Deductible$5,900$11,800 family
Out-of-pocket max$10,000$20,000 family
Having a baby$9,460CMS example
Plan ID 68781UT0200014Sold in 4 Utah counties50% coinsuranceNo referral needed
Network: Select Signature IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Value Benchmark Silver 5900 Medical Deductible

SilverHMO
Deductible$5,900$11,800 family
Out-of-pocket max$10,000$20,000 family
Having a baby$9,460CMS example
Plan ID 68781UT0200007Sold in 9 Utah counties50% coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Select Health

Med Benchmark Silver 6000 Medical Deductible w/Vision

SilverHMO
Deductible$6,000$12,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$9,460CMS example
Plan ID 68781UT0210001Sold statewide50% coinsuranceNo referral needed
Network: Select Med IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
BridgeSpan Health

BridgeSpan Standard Silver Plan

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,770CMS example
Plan ID 34541UT0280006Sold in 16 Utah counties40% coinsuranceNo referral needed
Network: Individual Value University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
University of Utah Health Plans

Healthy Premier Silver Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 42261UT0060020Sold in 25 Utah counties40% coinsuranceNo referral needed
Network: Healthy Premier - UofU, MountainStar, CommonSpirit
Details
Imperial Insurance Companies

Imperial Classic Silver

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,290CMS example
Plan ID 98113UT0010002Sold in Salt Lake and Utah counties40% coinsuranceReferral needed for specialists
Network: Imperial Value Common Spirit
Details
Select Health

Med Benchmark Silver Standardized Plan

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 68781UT0200018Sold statewide40% coinsuranceNo referral needed
Network: Select Med IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Regence BlueCross BlueShield of Utah

Regence Standard Silver 6400

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,770CMS example
Plan ID 22013UT2650011Sold in 16 Utah counties40% coinsuranceNo referral needed
Network: Individual Connect University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
Select Health

Signature Benchmark Silver Standardized Plan

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 68781UT0200023Sold in 4 Utah counties40% coinsuranceNo referral needed
Network: Select Signature IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
University of Utah Health Plans

U Health Plus Silver Standard

SilverEPO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 42261UT0060026Sold in Davis and Salt Lake counties40% coinsuranceNo referral needed
Network: U Health Plus - UofU, CommonSpirit
Details
Select Health

Value Benchmark Silver Standardized Plan

SilverHMO
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,970CMS example
Plan ID 68781UT0200021Sold in 9 Utah counties40% coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Imperial Insurance Companies

Imperial Preferred Silver

SilverHMO
Deductible$6,500$13,000 family
Out-of-pocket max$10,500$21,000 family
Having a baby$8,160CMS example
Plan ID 98113UT0020001Sold in Salt Lake and Utah counties40% coinsuranceReferral needed for specialists
Network: Imperial Value Common Spirit
Details
Regence BlueCross BlueShield of Utah

Silver 6500

SilverEPO
Deductible$6,500$13,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,170CMS example
Plan ID 22013UT2630017Sold in 16 Utah counties10% coinsuranceNo referral needed
Network: Individual Connect University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
Select Health

Value Expanded Bronze 6900 Medical Deductible - HSA Eligible

Expanded BronzeHMOHSA
Deductible$6,900$13,800 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,770CMS example
Plan ID 68781UT0020025Sold in 9 Utah counties50% coinsuranceNo referral needed
Network: Select Value IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
BridgeSpan Health

BridgeSpan Standard Bronze Plan

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,970CMS example
Plan ID 34541UT0280007Sold in 16 Utah counties50% coinsuranceNo referral needed
Network: Individual Value University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
University of Utah Health Plans

Healthy Premier Expanded Bronze Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
Plan ID 42261UT0060021Sold in 25 Utah counties50% coinsuranceNo referral needed
Network: Healthy Premier - UofU, MountainStar, CommonSpirit
Details
Imperial Insurance Companies

Imperial Classic Bronze

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$8,800CMS example
Plan ID 98113UT0010001Sold in Salt Lake and Utah counties50% coinsuranceReferral needed for specialists
Network: Imperial Value Common Spirit
Details
Select Health

Med Benchmark Expanded Bronze Standardized Plan - HSA Eligible

Expanded BronzeHMOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
Plan ID 68781UT0200019Sold statewide50% coinsuranceNo referral needed
Network: Select Med IND Intermountain, University of Utah, Common Spirit, HCA (medical), Classic (dental)
Details
Regence BlueCross BlueShield of Utah

Regence Standard Bronze 7500

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,970CMS example
Plan ID 22013UT2650012Sold in 16 Utah counties50% coinsuranceNo referral needed
Network: Individual Connect University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
University of Utah Health Plans

U Health Plus Expanded Bronze Standard

Expanded BronzeEPOHSA
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,070CMS example
Plan ID 42261UT0060027Sold in Davis and Salt Lake counties50% coinsuranceNo referral needed
Network: U Health Plus - UofU, CommonSpirit
Details
Regence BlueCross BlueShield of Utah

Bronze 8500

Expanded BronzeEPOHSA
Deductible$8,500$17,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,260CMS example
Plan ID 22013UT2650018Sold in 16 Utah counties50% coinsuranceNo referral needed
Network: Individual Connect University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
University of Utah Health Plans

U Health Plus Bronze

Expanded BronzeEPOHSA
Deductible$9,000$18,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$10,870CMS example
Plan ID 42261UT0060024Sold in Davis and Salt Lake counties50% coinsuranceNo referral needed
Network: U Health Plus - UofU, CommonSpirit
Details
Regence BlueCross BlueShield of Utah

Bronze Essential 9500 Deductible With 4 Copay No Deductible Office Visits

Expanded BronzeEPOHSA
Deductible$9,500$19,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$9,870CMS example
Plan ID 22013UT2650008Sold in 16 Utah counties10% coinsuranceNo referral needed
Network: Individual Connect University of Utah, MountainStar Healthcare, Primary Children's Hospital
Details
University of Utah Health Plans

Healthy Premier Bronze HSA

Expanded BronzeEPOHSA
Deductible$10,000$20,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$10,060CMS example
Plan ID 42261UT0060003Sold in 25 Utah countiesNo coinsuranceNo referral needed
Network: Healthy Premier - UofU, MountainStar, CommonSpirit
Details
Imperial Insurance Companies

Imperial Preferred Catastrophic

CatastrophicHMOHSA
Deductible$12,000$24,000 family
Out-of-pocket max$12,000$24,000 family
Having a baby$12,060CMS example
Plan ID 98113UT0020003Sold in Salt Lake and Utah countiesNo coinsuranceReferral needed for specialists
Network: Imperial Value Common Spirit
Details

Insurers selling Utah Marketplace plans

Select an insurer to see only its plans. No 2027 plans from Molina Healthcare, which sold plans here for 2026.

InsurerPlansDeductiblesOut-of-pocket maxDoctors in networkDirectory updatedAction
Select Health 21 $0 to $7,500 $5,900 to $12,000 16,842 Nov 3, 2026 See plans
University of Utah Health Plans 12 $2,000 to $10,000 $7,500 to $12,000 14,400 Nov 5, 2026 See plans
Regence BlueCross BlueShield of Utah 7 $2,400 to $9,500 $8,600 to $12,000 16,283 Nov 5, 2026 See plans
Imperial Insurance Companies 6 $1,000 to $12,000 $8,000 to $12,000 1,535 Oct 22, 2026 See plans
BridgeSpan Health 3 $2,500 to $7,500 $8,600 to $12,000 16,283 Nov 5, 2026 See plans

Dental-only insurers

8 insurers sell stand-alone dental plans in Utah but no medical plans.

InsurerDental plansDentists in network
EMI Health61,308
Renaissance Dental61,548
BEST Life51,547
Guardian31,329
Delta Dental PPO21,367
DeltaCare USA2117
Humana21,851
UnitedHealthcare21,631

Where the in-network doctors are

Doctors and facilities in Utah listed by at least one Marketplace insurer, by city and by primary specialty.

Top cities

Salt Lake City5,624
Provo1,679
Murray1,328
St George1,249
Ogden1,238
Layton942
Orem868
Logan698
Sandy666
Lehi593
South Jordan589
West Jordan535

Top specialties

Social Worker3,453
Nurse Practitioner2,890
Dentist2,400
Counselor2,109
Physician Assistant1,672
Physical Therapist1,378
Family Medicine1,113
Internal Medicine1,063
Clinic/Center798
Marriage & Family Therapist714
Pediatrics586
Behavior Analyst570

Questions about Utah Marketplace plans

Which insurers sell Marketplace plans in Utah?
5 insurers sell medical plans for 2027: Select Health, University of Utah Health Plans, Regence BlueCross BlueShield of Utah, Imperial Insurance Companies, and BridgeSpan Health. 8 more insurers sell dental plans only.
When can I enroll in a Utah Marketplace plan for 2027?
Open enrollment for 2027 coverage runs Nov 1, 2026 to Jan 15, 2027 on HealthCare.gov. Outside those dates you need a qualifying life event, such as losing other coverage, moving or having a baby.
Which insurer has the most doctors in Utah?
Select Health lists 16,842 Utah doctors, practices and hospitals, 11,756 of them accepting new patients. Directories can be out of date, so call the office to confirm before you enroll.
What is the lowest deductible on a Utah Marketplace plan?
7 plans have a $0 individual deductible. Deductibles run from $0 to $12,000. A lower deductible usually means a higher monthly premium, so compare the out-of-pocket maximum too.
Which plan year does this page cover?
Plans, deductibles and out-of-pocket maximums are from the 2027 CMS plan files. A doctor counts as in network only when the insurer's directory lists them for 2027 plans.
Which insurers stopped selling Marketplace plans in Utah for 2027?
Molina Healthcare sold medical plans in Utah for 2026 and has no 2027 plans in the CMS plan files. People enrolled in those plans can choose a new plan during open enrollment.
Are all Utah plans sold in every county?
No. 41 plans are sold only in some counties, and 8 plans are sold statewide. Choose your county above the plan list to see only the plans sold where you live.
Why are there no monthly premiums on this page?
Premiums depend on your age, county, household size and income, and most enrollees get a subsidy, so a single price would mislead. Prices are listed on HealthCare.gov. This page compares what the plans cover: deductibles, out-of-pocket maximums, coinsurance and networks.

About this data

NPI Profile is not an insurance company, agent or broker, and it does not sell insurance or enroll anyone in a plan. It is a free reference tool built on public files that CMS and insurers publish, to help you compare Marketplace plans and check whether your current or future doctor is in a plan's network. It is not affiliated with CMS, HealthCare.gov, any state exchange or any insurer. Confirm costs and networks with the insurer and the doctor's office, and enroll on HealthCare.gov.

SourceWhat it provides hereSource date
CMS Marketplace public use filesPlans, deductibles, out-of-pocket maximums and coverage examples, and the counties where each plan is soldPlan year 2027
Insurer provider directoriesWhich doctors, practices and hospitals each insurer lists in its networks. Only providers with an address in Utah are counted.Updated November 8, 2026
NPPES NPI registryProvider names, practice addresses and primary specialtiesMatched November 8, 2026
  • Only individual-market plans sold on HealthCare.gov are included; small-business (SHOP) and off-exchange plans are left out. A plan an insurer files once per region is shown once.
  • A doctor counts as in network only when the insurer's directory lists them for 2027 plans.
  • Deductibles, out-of-pocket maximums and coinsurance are for one person, in network, for the standard version of each plan. Coverage examples (having a baby, managing type 2 diabetes, a simple fracture) are what CMS's standard scenarios cost under each plan.
  • Directories can be out of date. Call the doctor's office and the insurer to confirm before you enroll.