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Which health plans cover Provo-Orem hospitals?

5 insurers sell 2026 marketplace plans in the Provo-Orem area. Which they are, whether any sell a PPO, and how to check a hospital against your plan first.

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The CMS hospital file lists six hospitals with an emergency room in the Provo-Orem area’s central county, including Intermountain Health Utah Valley Hospital, American Fork Hospital and Timpanogos Regional Hospital. Whether a marketplace plan pays at any of them depends on the network attached to the specific plan you buy — not on the insurer’s name.

5Insurers filing
1County
0 of 1Counties with a PPO
$576Lowest Silver, age 40

Who files marketplace plans in Provo-Orem

Five insurers filed 2026 marketplace plans in Utah County in the CMS Plan Year 2026 file: BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans. The lowest-cost Silver plan for a 40-year-old is about $576 a month before any premium tax credit. Plan types filed here: EPO and HMO.

No PPO here

No marketplace plan sold in the Provo-Orem area is a PPO. EPO and HMO plans pay nothing outside their own network except in a genuine emergency, so if the hospital you want is not in the plan’s network there is no out-of-network benefit to fall back on.

Hospitals in the Provo-Orem area

Six acute-care hospitals with an emergency room in the central county, from the CMS Hospital General Information file (July 2026). Listing a hospital is not a statement about which plans contract with it — that is decided plan by plan.

HospitalCityCountyCMS star ratingTypeOwnership
Intermountain Health Utah Valley HospitalProvoUtah County5 of 5Acute careNon-profit
American Fork HospitalAmerican ForkUtah County4 of 5Acute careNon-profit
Timpanogos Regional HospitalOremUtah County4 of 5Acute careFor-profit
Mountain View HospitalPaysonUtah County5 of 5Acute careFor-profit
Intermountain Health Spanish Fork HospitalSpanish ForkUtah CountyNot ratedAcute careNon-profit
Orem Community HospitalOremUtah CountyNot ratedAcute careNon-profit

CMS star rating is the federal overall hospital quality rating, 1 to 5, from the same file.

Which insurance do Provo-Orem hospitals accept?

The five insurers above are the ones selling marketplace plans here. That is not a list of plans any of these hospitals accepts. Hospitals contract with individual plans, not whole insurers, so the same insurer can sell one plan that includes your hospital and another that doesn’t. The answer that counts is a check of your exact plan, dated. Get my free hospital check ↓

Searching for MetLife, Delta Dental or Renaissance? Those are dental insurers: dental plans cover teeth, not hospital care. If you want dental coverage too, see dental insurance for individuals.

How to check a hospital against a plan

  1. Start from the plan, not the insurer. Get the full plan name and its network name from the marketplace listing.
  2. Look the hospital up in that network in the insurer’s directory for the 2027 plan year, not the current one.
  3. Call the hospital’s billing office and read them the plan name. They can tell you whether they are contracted with that network.
  4. Check your doctors separately. A hospital being in a network does not put every doctor who works there in it.
  5. Write down the date and who told you. Contracts change during the year.

Or skip all of that: put your ZIP in below and tell me the hospital and doctors. I’ll check them against every plan filed in your county and tell you the date I checked.

Find out which Provo-Orem plans cover your hospital

Put in your ZIP and tell me the hospital or doctor that matters. I will check it against every plan filed in your county and tell you what I find, and when I checked.

Takes about 30 seconds. No account, and you choose how I reach you.

“I run my own business and my time is valuable. Daniel handled everything — compared the private options, explained what I was actually getting, and had me covered fast. Way better experience than trying to navigate it myself.”
Mark T., one of my clients
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