Ranked 11 of 15 states · median $805/mo · CMS PY2026
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A 40-year-old truck driver in Utah pays a median $805/month for a Silver plan before subsidies — 11th of 15 on cost. The cheapest plan in the state is $559 from Select Health in Davis. On counties covered, Utah ranks 15 of 15 for this occupation.
Work that crosses county and state lines makes network geography the binding constraint. A cheap HMO that only contracts in one metro is worthless 200 miles away, so these pages rank states by network reach and flag the ones with no PPO on the exchange at all.
Occupational context: Elevated rates of obesity, sleep apnea, and back injury; DOT physical required every 24 months.
None of that changes your price. ACA plans in Utah are community rated — premium varies by age, ZIP code, tobacco use and household size only. Your occupation cannot be used to rate you, decline you, or exclude a condition. What it changes is which plan design is the right bet.
Premium is set by rating area, so a truck driver in one Utah county can pay materially more than one an hour away. Six counties from across the state, cheapest Silver plan for a 40-year-old:
| County | Cheapest Silver @40 | Issuer | Deductible | Carriers |
|---|---|---|---|---|
| Grand | $798 | Select Health | $6,000 | 2 |
| Sevier | $798 | Select Health | $6,000 | 2 |
| Summit | $574 | Select Health | $5,900 | 4 |
| Cache | $768 | Select Health | $6,000 | 3 |
| Garfield | $798 | Select Health | $6,000 | 2 |
| Sanpete | $798 | Select Health | $6,000 | 1 |
The spread across just these six is $224/month — $2,694 a year for the same metal tier. Statewide the range runs $559 to $1,125. Coverage by County publishes all 29 Utah counties individually.
| Utah — network reach | 2026 |
|---|---|
| Counties in the state | 29 |
| Counties with only one carrier | 1 (3%) |
| Plan types available | EPO, HMO |
| PPO available on exchange | No |
| Carriers filing in the state | 6 |
| Cheapest Silver @40 | $559 — Davis |
Utah has no PPO plans on the exchange at all. For a truck driver covering distance, that single fact outweighs premium: 1 of 29 counties here are served by one carrier, so an HMO bought in one metro may leave you out of network for the rest of your route.
Source: CMS Plan Year 2026 Qualified Health Plan Landscape file. 699 plan records across 29 Utah counties. Full-price filed rates before premium tax credits — verify at enrollment.
Cheaper for the same coverage: Oklahoma ($731), Kansas ($765), Florida ($789). More expensive: Texas ($807), North Carolina ($828), Arkansas ($828).
Side-by-side: Utah vs Kansas · Utah vs Florida · Utah vs Texas · Utah vs North Carolina
This only matters if you can actually choose — you buy in the state where you live, not where you work. If you are a truck driver who moved this year, that move is a qualifying life event and opens a special enrollment period.
If you file a Schedule C as a truck driver, the categories that usually show up are: Truck payment, fuel, maintenance, per diem, insurance. The health premium itself is normally an above-the-line deduction under IRC §162(l), which reduces AGI rather than requiring you to itemize. Your CPA should confirm it against your actual situation.
If your household income is above the subsidy range, ACA is not automatically the answer. There are other categories of coverage that may fit, and they work very differently. That is a conversation, not a web page.
The cheapest Silver plan for a 40-year-old in Utah is $559 per month from Select Health, with a state median of $805. Both figures are full price before premium tax credits; most buyers pay less after subsidies.
No. Utah exchange plans are guaranteed issue and community rated, so a truck driver pays exactly what anyone else of the same age in the same ZIP pays. Occupation is not on the application as a rating factor.
No. Only EPO and HMO plans were filed for 2026.
Utah ranks 11 of 15 states covered here, at a median $805 per month. Indiana is cheapest at $558 and Nebraska is most expensive at $875.
Below the cliff. At this income a single-person household remains eligible for a premium tax credit in 2026.
This occupation is below the cliff in all 21 states reported.
What this figure is. It is the median annual wage BLS reports for Heavy and Tractor-Trailer Truck Drivers (SOC 53-3032) in Utah. BLS surveys wage and salary workers and excludes the self-employed, so it is a benchmark for the occupation in this state — not the income of a self-employed truck driver. Premium tax credit eligibility is set by household modified adjusted gross income and household size, not by occupation, so treat this as a reference point rather than a determination of what you qualify for.
Why the cliff is back. The enhanced premium tax credits expired on 31 December 2025. For plan year 2026 the 400% FPL limit applies again, so household income above $62,600 ends premium tax credit eligibility outright.
This page compares states. For Utah specifically — county-by-county carriers, plan data and enrollment help — I publish that on Coverage by County, including a page written for Truck Drivers in Utah and a blog covering deductibles, subsidies and special enrollment.
Utah has 6 carriers filing across 29 counties right now. That list is rebuilt every year, so what you can choose from in November may not match what you see today — and for a truck driver buying your own cover, who stays matters more than the headline rate.
Nobody can tell you your 2027 Utah premium yet. Filings nationally cluster around a 15% median increase, with the full spread running −1% to 54% — and until this state signs off, a specific local number is invention.
Enrollment opens November 1, 2026. Treat December 15 as the deadline: it guarantees January 1 cover on every marketplace, Utah included. Conflicting end dates get quoted because a 2025 rule shortened the window and a court vacated it in June 2026, appeal pending — enrol by the 15th and the argument is irrelevant to you.
There is still no PPO on the Utah marketplace — not in any of its 29 counties. Every plan is an HMO, EPO or POS, which for a truck driver working across a wide area is the binding constraint, not price.
Because Utah sells no PPO in any of its 29 counties, the thing that will decide your 2027 experience is which network your providers sit in — and that is far easier to check now than during the rush.
Give me a ZIP and I will tell you three things:
Two Truck Drivers on opposite sides of Utah can be quoted very different premiums for the same plan. Your ZIP is what decides it.