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Health Care in Utah

Health care and insurance is important for everyone. Finding affordable health coverage is critical. There are many health insurance programs available in Utah. Some are designed specifically for people with disabilities. Others programs are designed for people with low income or who are seriously ill, but may also include people with disabilities.

Good health care begins with a healthy lifestyle. Nutrition and exercise are important for everyone. To learn more, check out Healthy Living in the Community Living section of this website.

Each health insurance option has eligibility criteria. Read the following summaries carefully and visit the websites. Learn which health care option will meet your needs.

Health Insurance Options for All Eligible Utahans

There are a wide variety of medical assistance programs for people with disabilities in Utah. Brief summaries of some of the programs have been created as a public service to the community agencies. These summaries are designed to give a broad overview of the programs and should not be used to determine eligibility.

Private

You may have insurance coverage through your employer, a family member or another source. Students in Utah colleges also have health insurance available through the college or university.

Utah Health Exchange - Private

Your employer may buy into the Utah Health Exchange. The Utah Health Exchange is designed to connect consumers to the information they need to make informed health care choices, and in the case of health insurance, make a choice electronically. It is a single shopping point for health insurance for employers as well as individuals and families. The Utah Health Exchange provides a technological interface between employers, brokers/agents, insurers, and employees.

CHIP (Children Health Insurance Program)

CHIP is Utah's Children's Health Insurance Program, a federally funded state health insurance program for children of working families.

PCN (Primary Care Network) Currently closed for new enrollment

PCN is health plan offered by the Utah Department of Health. It covers services administered by a primary care provider.

UPP (Utah’s Premium Partnership)

UPP helps make health insurance more affordable for working individuals and families who do not currently have health insurance. UPP may help you pay monthly premiums when you enroll in your employer's health insurance plan.

HIPUtah (Utah Comprehensive Health Insurance Pool)

Address the problem of people with serious medical conditions, such as cancer, diabetes, heart disease, and other chronic illnesses, that made them unable to obtain health insurance at any price.

Medicare

Medicare is a health insurance program for people age 65 or older, certain people with disabilities who are under age 65 and people of any age who have permanent kidney failure. It provides basic protection against the cost of health care. It may include prescription drug coverage.

Health Insurance Options Designed for People with Disabilities

Medicaid

Provides medical assistance to low-income families, children, pregnant women, and disabled and elderly individuals.

MWI (Medicaid Work Incentive Premium)

MWI is designed for people with disabilities who are working, but because of their income and/or assets do not qualify for a "free" Medicaid Card. This Program instead gives a person the option to pay a premium, based on their countable income, to obtain health care with a Medicaid Card.
The intent of this Program is to encourage people with disabilities to return to work or to increase their earnings.

EPAS (Employment-Related Personal Assistance Program)

EPAS was started in July 2001 through Utah's Medicaid State Plan under the Personal Care State Plan option. This Program will expand the availability of personal assistance to enable people with disabilities to obtain and maintain employment.