Box Elder County, Utah

Medicare & health insurance solutions in Box Elder County, Utah

Brigham City, Tremonton and the valley north of Ogden — with real attention paid to how far you would actually have to drive for the care a plan covers.

NPN 14943086
Book a call 435-292-8777Speak with a licensed insurance agent · TTY 711
  • 18 Medicare Advantage plans for 2026
  • 12 Special Needs Plans
  • 5 Organizations offering plans
By the numbers

Medicare in Box Elder County, by the numbers

Every plan figure comes from the CMS Landscape file for contract year 2026. Special Needs Plans are counted separately.

  • $7.59 Average monthly Part C premium
  • $31.67 Average consolidated Part C + D
  • 12 Plans with drug coverage
  • $3,500 Lowest in-network out-of-pocket max
  • $6,411 Average out-of-pocket max
  • $9,150 Highest out-of-pocket max
  • $489.58 Average Part D deductible (MA-PD)
  • 3.92★ Average CMS star rating
  • 10 Plans rated 4★ or higher

Premiums vary by plan. The premium figures use the Part C premium, which is the CMS convention for comparing plans. The consolidated Part C + D premium is higher and is shown separately above.

What Medicare costs in 2026

  • $202.90 Standard Part B premium (2026)
  • $283 Part B annual deductible
  • $38.99 Part D national base premium
  • 20% Original Medicare coinsurance, with no annual cap
Before you compare

How to read a plan list

Four things people misread when looking at any plan table, including the ones on this page.

The most-enrolled plan

Enrollment reflects brand recognition and years in the market, not whether a plan suits you. The most popular plan in the county may not cover your doctor.

The lowest-premium plan

Premiums vary by plan, and the premium is only one cost. You still pay the Part B premium, plus copays and coinsurance up to the plan’s out-of-pocket maximum.

The highest-star plan

CMS stars measure plan quality in aggregate — service, complaints, clinical measures. They do not tell you whether your drugs are on the formulary or your clinic is in network.

The plan a neighbor chose

A plan that works for a friend or neighbor reflects their doctors, prescriptions and budget, not yours. Compare with your own list in hand.

Plans available

Medicare Advantage plans in Box Elder County

Grouped by plan type, because type decides how the network behaves: HMOs expect referrals and in-network care, PPOs let you go outside at a higher cost.

PPO

13 plans · premiums vary by plan · average premium $10.51 · average out-of-pocket max $6,800 · 5 without drug coverage

PPO plans in Box Elder County, contract year 2026
Plan Stars Part C premium Part C + D Out-of-pocket max Part D deductible Plan ID
AARP Medicare Advantage from UHC UT-0008 (PPO) UnitedHealthcare 4.5★ $0 $0 $6,700 $520 H2001_128
AARP Medicare Advantage Giveback from UHC UT-9 (PPO) UnitedHealthcare 4.5★ $0 $0 $8,900 $600 H2001_131
Aetna Medicare Eagle (PPO) Aetna Medicare · no drug coverage 4.5★ $0 — $6,500 — H5521_351
Aetna Medicare Enhanced (PPO) Aetna Medicare 4.5★ $45.90 $105 $7,900 $615 H5521_656
Humana USAA Honor Giveback (PPO) Humana · no drug coverage 4.5★ $0 — $9,150 — H7617_021
HumanaChoice H7617-016 (PPO) Humana 4.5★ $61.70 $87 $6,750 $615 H7617_016
Humana Essentials Plus Giveback H5216-430 (PPO) Humana 3.5★ $0 $0 $5,495 $615 H5216_430
Humana USAA Honor Giveback (PPO) Humana · no drug coverage 3.5★ $0 — $9,150 — H5216_427
Humana USAA Honor Giveback (PPO) Humana · no drug coverage 3.5★ $0 — $5,100 — H5216_455
HumanaChoice H5216-048 (PPO) Humana 3.5★ $17.70 $87 $6,750 $615 H5216_048
Regence MedAdvantage + Rx Classic (PPO) Regence BlueCross BlueShield of Utah 3.5★ $11.30 $46 $6,200 $495 H4605_002
Regence Valiance (PPO) Regence BlueCross BlueShield of Utah · no drug coverage 3.5★ $0 — $4,500 — H4605_001
HealthSpring True Choice (PPO) HealthSpring 3.0★ $0 $0 $5,300 $200 H7849_029

HMO-POS

5 plans · premiums vary by plan · average premium $0 · average out-of-pocket max $5,400 · 1 without drug coverage

HMO-POS plans in Box Elder County, contract year 2026
Plan Stars Part C premium Part C + D Out-of-pocket max Part D deductible Plan ID
AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS) UnitedHealthcare 4.0★ $0 $0 $5,200 $440 H4604_011
AARP Medicare Advantage Extras UT-7 (HMO-POS) UnitedHealthcare 4.0★ $0 $0 $6,700 $520 H4604_018
AARP Medicare Advantage from UHC UT-0003 (HMO-POS) UnitedHealthcare 4.0★ $0 $55 $4,900 $440 H4604_003
AARP Medicare Advantage Patriot No Rx UT-MA01 (HMO-POS) UnitedHealthcare · no drug coverage 4.0★ $0 — $6,700 — H4604_005
HealthSpring Premier (HMO-POS) HealthSpring 3.5★ $0 $0 $3,500 $200 H0439_024

We do not offer every plan available in your area. Currently we represent 8 organizations which offer 72 products in your area. Please contact Medicare.gov, 1-800-MEDICARE to get information on all of your options.

Quality

How the stars fall

CMS rates each contract from 1 to 5 stars. Here is how Box Elder County’s 18 plans are distributed.

  • 4.5★ 6 plans (33%)
  • 4.0★ 4 plans (22%)
  • 3.5★ 7 plans (39%)
  • 3.0★ 1 plan (6%)
Health profile

What is common in Box Elder County

Plan choice follows the conditions you actually have. Here is how Box Elder County compares with the Utah average.

Chronic condition prevalence — Box Elder County against Utah
Condition Box Elder County Utah average Difference
Diagnosed diabetes 9.3% 8.52% +0.78 pts
High blood pressure 28.9% 27.35% +1.55 pts
Obesity 32.6% 30.96% +1.64 pts
Coronary heart disease 5.4% 4.66% +0.74 pts
COPD 5.6% 4.59% +1.01 pts
Adults under 65 without insurance 10.3% 10.47% -0.17 pts

CDC PLACES: Local Data for Better Health, County Data (2023 release, retrieved 2026-09-14). Model-based small-area estimates of crude prevalence among adults 18 and over — not a count of local diagnoses.

Why this changes which plans to look at

Box Elder County runs above the Utah average on high blood pressure, diagnosed diabetes, coronary heart disease, high cholesterol, stroke — and the chronic-condition Special Needs Plans (C-SNPs) sold in this county cover exactly: Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus. If you live with one of those, a C-SNP may carry copays and a formulary built around it. Sarah checks whether you qualify before you change anything.

Special needs

12 Special Needs Plans in Box Elder County

An SNP is a Medicare Advantage plan limited to people who meet a specific condition. They are excluded from the counts above because not everyone can join one.

D-SNP — 9 plans

For people who have both Medicare and Medicaid.

Plan Type Stars Premium Out-of-pocket max Plan ID
UHC Dual Complete UT-V001 (PPO D-SNP) UnitedHealthcare PPO D-SNP 4.5★ $17.40 $5,200 H2001_048
Aetna Medicare Full Dual (PPO D-SNP) Aetna Medicare PPO D-SNP 4.5★ $23.40 $9,250 H5521_398
Humana Dual Select H7617-039 (PPO D-SNP) Humana PPO D-SNP 4.5★ $27.90 $9,250 H7617_039
HumanaChoice SNP-DE H7617-038 (PPO D-SNP) Humana PPO D-SNP 4.5★ $29.70 $9,250 H7617_038
UHC Dual Complete UT-S001 (PPO D-SNP) UnitedHealthcare PPO D-SNP 4.5★ $37.60 $9,250 H2001_047
UHC Dual Complete UT-S2 (HMO-POS D-SNP) UnitedHealthcare HMO-POS D-SNP 4.0★ $37.60 $9,250 H4604_026
HumanaChoice SNP-DE H5216-296 (PPO D-SNP) Humana PPO D-SNP 3.5★ $16.90 $9,250 H5216_296
Molina Medicare Complete Care Select (HMO D-SNP) Molina Healthcare of Utah & Idaho HMO D-SNP 3.0★ $0 $9,250 H5628_012
Molina Medicare Complete Care (HMO D-SNP) Molina Healthcare of Utah & Idaho HMO D-SNP 3.0★ $18.30 $9,250 H5628_001

C-SNP — 1 plan

For people with specific qualifying chronic conditions.

Plan Type Stars Premium Out-of-pocket max Plan ID
UHC Complete Care UT-6 (HMO-POS C-SNP) UnitedHealthcare · Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus HMO-POS C-SNP 4.0★ $0 $5,200 H4604_017

I-SNP — 2 plans

For residents of long-term care facilities, or people who need that level of care at home.

Plan Type Stars Premium Out-of-pocket max Plan ID
UHC Nursing Home Plan UT-F001 (PPO I-SNP) UnitedHealthcare PPO I-SNP 4.5★ $37.60 $9,250 H0710_051
American Health Advantage of Utah (HMO I-SNP) American Health Advantage of Utah HMO I-SNP Not rated $37.60 $9,250 H4232_001
Prescription drugs

Standalone Part D plans in Utah

Part D is priced regionally rather than by county, so these 10 plans apply across Utah. They pair with Original Medicare, or with a Medicare Advantage plan that does not include drug coverage.

Standalone Part D plans — Utah, contract year 2026
Plan Monthly premium Annual deductible Stars Plan ID
Humana Basic Rx Plan (PDP)Humana $0 $615 Not rated S5884_147
Wellcare Value Script (PDP)Wellcare $9.60 $615 Not rated S4802_162
Humana Value Rx Plan (PDP)Humana $19.40 $601 Not rated S5884_210
Wellcare Classic (PDP)Wellcare $23.70 $615 Not rated S4802_021
SilverScript Choice (PDP)Aetna Medicare $27.70 $615 Not rated S5601_062
HealthSpring Extra Rx (PDP)HealthSpring $56.30 $615 Not rated S5617_381
AARP Medicare Rx Saver from UHC (PDP)UnitedHealthcare $56.50 $615 Not rated S5921_375
Humana Premier Rx Plan (PDP)Humana $115.50 $0 Not rated S5884_177
HealthSpring Assurance Rx (PDP)HealthSpring $128.60 $615 Not rated S5617_153
AARP Medicare Rx Preferred from UHC (PDP)UnitedHealthcare $132.60 $130 Not rated S5921_412

What you actually pay depends on whether you receive Extra Help (the low-income subsidy) and whether you carry a late-enrollment penalty. Sarah checks both before recommending a plan.

The other path

Medigap in Box Elder County

Every plan on this page is either Medicare Advantage or Part D. There is a second, completely different path: stay on Original Medicare and add a supplement policy — Medigap — plus a separate Part D plan.

Medigap has no network: if a provider takes Medicare, they take your Medigap. It does not include drugs. In exchange for a higher monthly premium, your costs are far more predictable.

The timing thing to know: you get a 6-month Medigap open enrollment window that starts when you are 65 and enrolled in Part B. Inside that window no carrier can turn you down or charge you more for your health history. Outside it, in most cases they can.

When you can change

Enrollment periods

And which Box Elder County communities are covered: Brigham City, Tremonton, Perry, Willard, Garland, Corinne.

Initial Enrollment Period

The 7 months around your 65th birthday: the 3 months before, your birthday month, and the 3 months after.

Annual Enrollment Period (AEP)

October 15 to December 7. Change plans for the following year; coverage starts January 1.

Medicare Advantage Open Enrollment

January 1 to March 31. If you are already in a Medicare Advantage plan, you get one switch.

Special Enrollment Periods

Moving, losing employer coverage, becoming eligible for Medicaid and other events open a window outside the normal calendar.

A plan being available in Box Elder County does not guarantee that every provider in the county participates in it. Networks get checked plan by plan, with your own list of doctors in hand.

CUPS Insurance is a new agency; Sarah is not a new agent. Licensed since 2009, she has spent those years helping Northern Utah households, Box Elder County among them, understand Medicare, Marketplace and individual health insurance solutions.

Rural and semi-rural counties raise a question that plan brochures never answer well: where is the covered care, and how far is it? A plan with an impressive network is not impressive if the nearest in-network specialist is an hour away. In Box Elder County the practical answer usually involves both local facilities and the larger systems in Weber County.

So the review is built around distance as well as coverage. Sarah checks which local providers are in network, where referrals would send you, and how your prescriptions price at pharmacies you can actually get to — including mail order, which often makes more sense here than in the city.

Appointments by phone or video, or in person in Ogden if you are already coming down. Sarah has worked with families across this valley since 2009 and knows how the referral paths actually run.
Browse the plans

See the Box Elder County plans

The same portals Sarah uses, open for you to look through on your own. No pressure, and she is still there when you want to talk it through.

Opens in a new tab, in Sarah’s secure quoting portal. You can stop at any point and call her instead.

Carriers we work with

Carriers we compare

Availability is set county by county — these are the carriers Sarah represents.

Medicare carriers

  • Devoted Health
  • HealthSpring (Cigna)
  • Humana
  • Molina
  • SelectHealth
  • UnitedHealthcare

ACA & health — Utah

  • SelectHealth
  • Molina Healthcare of Utah
  • University of Utah Health Plans
  • Regence BlueCross BlueShield of Utah

ACA & health — Arizona

  • Blue Cross Blue Shield of Arizona
  • Ambetter from Arizona Complete Health
  • Cigna HealthCare of Arizona, Inc.
  • Oscar Health Plan
  • UnitedHealthcare
FAQ

Box Elder County — common questions

How many Medicare Advantage plans are available in Box Elder County?

For contract year 2026 there are 18 Medicare Advantage plans available to Box Elder County residents, from 5 different organizations. Premiums vary by plan. Separately there are 12 Special Needs Plans, which have their own eligibility requirements.

We do not offer every plan available in your area. Currently we represent 8 organizations which offer 72 products in your area. Please contact Medicare.gov, 1-800-MEDICARE to get information on all of your options.

What else do I pay besides a Medicare Advantage plan premium?

Premiums vary by plan, and whatever the plan premium, you still pay the Part B premium ($202.90 a month in 2026), plus the plan’s copays and coinsurance up to its out-of-pocket maximum. In Box Elder County that in-network maximum ranges from $3,500 to $9,150 depending on the plan.

Which carriers offer plans in Box Elder County?

For 2026 the organizations offering Medicare Advantage plans in Box Elder County are: Aetna Medicare, HealthSpring, Humana, Regence BlueCross BlueShield of Utah, UnitedHealthcare.

We do not offer every plan available in your area. Currently we represent 8 organizations which offer 72 products in your area. Please contact Medicare.gov, 1-800-MEDICARE to get information on all of your options.

What are Special Needs Plans, and are there any in Box Elder County?

An SNP is a Medicare Advantage plan limited to people who meet a specific condition. There are 12 in Box Elder County: 9 D-SNP, 1 C-SNP, 2 I-SNP. D-SNPs are for people with both Medicare and Medicaid, C-SNPs for specific chronic conditions, and I-SNPs for residents of long-term care facilities.

What do the CMS star ratings mean?

CMS rates each contract from 1 to 5 stars on customer service, complaints and clinical measures. In Box Elder County the average is 3.92★, and 10 of the 18 plans are rated 4★ or higher. Stars do not tell you whether your doctor is in network or your drugs are covered — that gets checked plan by plan.

How many standalone Part D plans are there in Utah?

10 for 2026. Part D plans are priced regionally rather than by county, so the same list applies across Utah. They pair with Original Medicare, or with a Medicare Advantage plan that does not include drug coverage.

Which health conditions are most common in Box Elder County?

According to CDC PLACES data (2023), in Box Elder County diagnosed diabetes runs at 9.3%, high blood pressure runs at 28.9%, obesity runs at 32.6%. This matters when picking a plan because it decides which specialists and which drugs you need covered.

CDC PLACES: Local Data for Better Health, County Data (2023 release, retrieved 2026-09-14). Model-based small-area estimates of crude prevalence among adults 18 and over — not a count of local diagnoses.

Do you work with clients in Box Elder County?

Yes. Sarah has been helping Box Elder County households with Medicare and health insurance since 2009. Appointments are handled by phone or video, or in person at the Ogden office if that suits you.

What does it cost?

Nothing. Carriers pay a commission when a plan is issued, and that commission is built into the plan price whether you use an agent or not. Buying the same plan directly does not make it cheaper.

Provenance

Sources and methodology

  • Plan data: CMS Medicare Advantage / Part D Landscape file, contract year 2026, filtered to Box Elder County (FIPS 49003). Retrieved 2026-09-14.
  • Health data: CDC PLACES: Local Data for Better Health, County Data (2023 release, retrieved 2026-09-14). Model-based small-area estimates of crude prevalence among adults 18 and over — not a count of local diagnoses.
  • Federal figures: Plan-year 2026 premiums and deductibles published by CMS.

How the figures are derived

  • Plan counts and averages exclude Special Needs Plans, which are reported in their own section, because they carry their own eligibility requirements.
  • Premiums vary by plan. The "average premium" figures use the Part C premium. The consolidated Part C + D premium is reported separately and is higher.
  • Out-of-pocket maximums are the in-network amounts. The average Part D deductible covers only plans that include drug coverage.
  • CDC PLACES prevalence figures are model-based small-area estimates for adults 18 and over, not counts of local diagnoses. State averages are weighted by adult population.
  • We do not publish per-plan enrollment figures: our data source does not carry them, and we do not estimate plan figures.
We do not offer every plan available in your area. Currently we represent 8 organizations which offer 72 products in your area. Please contact Medicare.gov, 1-800-MEDICARE to get information on all of your options.

CUPS Insurance is not connected with or endorsed by the United States government or the federal Medicare program.

Areas We Serve

We also serve these counties

These counties have a full guide, but they are not the limit: Sarah works with clients throughout Utah and is licensed in Utah, Arizona, Idaho. If your household crosses county or state lines, it is still the same agent.

Weber County

Ogden · Roy · North Ogden · South Ogden · Riverdale · Pleasant View

25 MA plans In-person meetings available

Davis County

Layton · Bountiful · Kaysville · Farmington

31 MA plans

Morgan County

Morgan · Mountain Green · Croydon · Porterville

24 MA plans

Salt Lake County

Salt Lake City · West Valley City · West Jordan · Sandy

31 MA plans

All areas we serve →

Grab a cup — let's talk about Box Elder County

A real conversation with a licensed agent who will check your doctors and prescriptions before you decide — and answer the phone all year after that.

Book a call with Sarah Call 435-292-8777 Speak with a licensed insurance agent · TTY 711

Office hours: 10:00 AM – 5:00 PM · Ogden, Utah · NPN 14943086