NEWMedicare Advantage 2027 plans are live in the API.Read the changelog
STATE

Provider networks in Utah.

InPlan holds provider listings for 65 marketplace (ACA) and Medicare Advantage plans that serve Utah. Ask whether a plan lists a provider and get the answer with its source type and the date we read the directory.

MARKETPLACE PLANS
57
MEDICARE ADVANTAGE PLANS
8
INSURERS AND PLAN ORGANIZATIONS
7
LATEST READ
2026-10-29

What we hold in Utah.

Plans whose provider directories list providers in our data. Together the marketplace plans hold more than 2.3 million provider-plan links.

Plans with provider listings in Utah, by market
MARKETPLANSINSURERSPLAN YEARSLATEST READ
Marketplace (ACA)57620262026-10-28
Medicare Advantage8220272026-10-29

How we count: a plan counts when its provider directory lists at least one provider in our data. A provider-plan link is one listing of one provider in one plan. For marketplace plans it counts each plan year and network tier the directory gives; for Medicare Advantage plans it counts each provider once per plan.

Insurers in Utah.

Plans with provider listings for each insurer or plan organization, as they publish their names. A Medicare Advantage plan counts in every state it serves.

Insurers with plans that list providers in Utah
INSURERMARKETPLANS
Select HealthMarketplace (ACA)21
University of Utah Health PlansMarketplace (ACA)12
Molina HealthcareMarketplace (ACA)8
Regence BlueCross BlueShieldMarketplace (ACA)8
Imperial Health Plan of the SouthwestMarketplace (ACA)5
BridgeSpan Health CompanyMarketplace (ACA)3
Devoted HealthMedicare Advantage7
Molina HealthcareMedicare Advantage1

Who the Medicare Advantage directories list.

More than 14,000 providers who practise in Utah appear in the Medicare Advantage plans we hold. The most common primary specialties among them:

  • Nurse Practitioner1,893
  • Clinical Social Worker1,290
  • Dentist1,228
  • Physician Assistant1,213
  • Family Practice842
  • Physical Therapist in Private Practice599
  • Mental Health Counselor576
  • Pediatric Medicine502

Specialties as the national provider registries record them. A provider counts once per specialty.

Example plans in Utah.

Plans with the most provider-plan links, with the plan ID the API takes. Look any plan ID up for free with the plan ID lookup.

Example plans with provider listings
PLANPLAN IDYEARTYPEPROVIDER-PLAN LINKS
Molina Medicare Complete Care (HMO D-SNP)Molina Healthcare of Utah & IdahoH5628-001-0002027Medicare AdvantageHMO D-SNP · Special Needs Plan69,267
Molina Gold Core 1640Molina Healthcare18167UT00100012026Marketplace (ACA)Gold · HMO65,740
Molina Silver CoreMolina Healthcare18167UT00100022026Marketplace (ACA)Silver · HMO65,740
Molina Gold StandardMolina Healthcare18167UT00100082026Marketplace (ACA)Gold · HMO65,740
Med Benchmark Expanded Bronze Select Copay PlanSelect Health68781UT02000102026Marketplace (ACA)Expanded Bronze · HMO60,325
SAMPLE ANSWER

A real Utah answer.

Casey J. Henich, MD, who practises in West Valley City, is listed in 18167UT0010001. This is the answer the API gives today for that pair, with its source type and the date we read the listing.

Requestany language that speaks HTTP
curl -H "Authorization: Bearer $INPLAN_KEY" \
  "https://api.inplan.io/v1/check?npi=1003041740&plan_id=18167UT0010001"
Response, trimmed200 OK
{
  "npi": "1003041740",
  "plan_id": "18167UT0010001",
  "market": "aca",
  "in_network": true,
  "answer": "listed",
  "plan_year": 2026,
  "source": { "type": "insurer_directory", "as_of": "2026-07-27" }
}
NPI 1003041740PLAN 18167UT0010001

Casey J. Henich, MD

Family Practice · West Valley City, UT

Listed

PLAN
Molina Gold Core 1640
INSURER
Molina Healthcare
MARKET
Marketplace (ACA), plan year 2026
PLAN TYPE
Gold · HMO
NETWORK TIER
PREFERRED
SOURCE
insurer_directory · read 2026-07-27
One real answer, as the API returns itCheck another pair
DATA FILE

Every Utah provider, with every plan that lists them.

The Utah data file is one CSV: one row for each provider and plan pair, for every provider practising in Utah, with the source type and read date on each row.

FREE API KEY

Check Utah providers in your own product.

Send an NPI and a plan ID, get an answer with its evidence. Or ask for every plan that lists a provider. A free key gives 500 calls a month.