When we analyzed every 2026 Silver-tier HMO plan in Utah, the first number that mattered wasn't the winner's premium. It was the spread. The cheapest Silver option costs $684 per month and the most expensive costs $916, a $232 monthly difference or nearly $2,800 annually. That gap is almost entirely explained by network breadth and out-of-pocket structure, not coverage quality.
Utah's exchange is an HMO-heavy market. Every carrier on this page offers HMO plans as their primary product, which means most require you to choose a primary care doctor and get referrals for specialists. The exception is University of Utah Health Plans, which offers EPO coverage, giving you direct specialist access without referrals at premiums $24 below BridgeSpan's Silver rate.
One structural factor shapes nearly every recommendation below: SelectHealth's connection to Intermountain Healthcare, Utah's largest hospital system. If your doctors are part of Intermountain, SelectHealth's network advantage is real. If they aren't, BridgeSpan's RealValue network and lower premiums make a stronger case.










