How To Find the Best Health Insurance in Idaho

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Exploring different plans from various carriers can help you find an Idaho health insurance option tailored to your needs and budget. While health insurance costs in the "Gem State" are often below the national average, comparing options can further maximize your savings and ensure you get the most suitable coverage.

Keep reading to learn more about Idaho health insurance, including the most affordable plans, quotes in different cities and the various kinds of health care available.

Key Takeaways

  • Idaho's average monthly cost for a benchmark Marketplace health plan is $436, which is lower than the national average of $497.
  • Idaho doesn’t levy any penalties or fines on residents who choose to go without health insurance coverage.
  • Regence offers the best monthly premiums in the silver tier for Idaho, although other insurers may offer better rates or coverage depending on your location and other factors.
  • Open enrollment in Idaho typically lasts from October 15th to December 15th, with coverage beginning January 1st.
  • Idaho’s Medicaid programs, including CHIP, can help provide more affordable health insurance to individuals who meet specific income requirements alongside other qualifications for their respective programs.

Is Health Insurance Required in Idaho?

Health insurance is effectively optional in Idaho, as the state does not penalize residents for lacking coverage. Under the Affordable Care Act (ACA), Americans who didn’t enroll in a plan with minimum essential health benefits previously faced a federal tax penalty. However, since 2018, this penalty has been reduced to $0.[1][2]

Idaho Health Insurance Rankings

The Commonwealth Fund ranked Idaho 23rd out of 51 in a state-by-state analysis of health care systems across the U.S. and Washington, D.C. Idaho scored 35th in prevention and treatment but achieved its highest ranking, fifth, in avoidable hospital use and cost. Overall, Idaho placed third among the five Rocky Mountain states, which include Colorado, Wyoming, and Montana.[3]

Below is an overview of Idaho’s national rank in each of the dimensions analyzed by the Commonwealth Fund:[3]

Dimension

National Rank

Reproductive & Women’s Health

22

Access & Affordability

32

Prevention & Treatment

35

Avoidable Hospital Use & Cost

5

Healthy Lives

15

Income Disparity

15

Racial & Ethnic Health Equity

22

How Much Does Health Insurance Cost in Idaho?

ID Monthly Premium for Cheapest Plan by Metal Tier

Marketplace benchmark plans in Idaho cost $436 per month on average, which is less expensive than the nationwide average of $497 monthly. On average, Idaho residents pay a monthly premium of $307 for the lowest-cost bronze plan available in the state, $430 for the lowest-cost silver plan and $448 for the lowest-cost gold plan.[4]

Average Cost Benchmark Premium by State 2025

Cheapest Health Insurance Options in Idaho

Bronze-tier health insurance plans from Idaho’s state-based Marketplace, Your Health Idaho, usually offer the lowest monthly premiums. Bronze plans are typically better suited for those who are healthy and don't anticipate requiring much medical care because they usually have lower premiums in exchange for higher out-of-pocket costs in the form of deductibles, copays and coinsurance.[5]

However, you might want to consider a gold or platinum plan if you expect to use medical services frequently throughout the year. These plans can save you money on out-of-pocket expenses but usually have higher monthly premiums.

health insurance tiers

Because health maintenance organization (HMO) plans often carry lower monthly payments than preferred provider organization (PPO) plans and other plan types, choosing one could result in additional savings. Keep in mind that HMOs usually provide fewer benefits than PPOs and, therefore, might not fit your needs. For instance, HMOs often do not cover non-emergency out-of-network care, and a referral from a primary care physician may be required to see a specialist.

What Is the Average Cost of Health Insurance in Idaho by City?

On Idaho’s state-based Marketplace, Your Health Idaho, we reviewed plans across all metal tiers for 30-year-olds making $40,000 annually. Interestingly, the same plans were being offered in the zip codes we searched for Boise, Meridian, Nampa and Caldwell, giving us a median rate of $405.80. In Twin Falls, however, we found a slightly higher median rate of $409.78. These rates do not account for any premium tax credits.[6]

Which Health Insurance Companies Are the Most Affordable in Idaho?

Regence offers Idaho's most affordable health insurance plans in the silver tiers. Other insurance companies may offer better rates, depending on your income level, where you live and other factors. For example, in Boise, Meridian and Nampa, Moda offers cheaper rates.[7]

Below is an overview of Idaho health insurers with silver plan ranges that cost below $500 before premium tax credits for 40-year-old individuals.[7]

Health Insurance Company

Average Monthly Premium

Regence

$431

Molina

$450

St. Luke’s Health Plan

$451

Moda

$464

SelectHealth

$473

PacificSource Health Plans

$474

Blue Cross of Idaho

$482

When Is Open Enrollment for Health Insurance in Idaho?

Idaho residents seeking coverage can enroll in a health insurance plan on the Your Health Idaho website during the open enrollment period, which usually occurs from October 15 to December 15 but will instead last until December 16 in 2024.[8][9] After enrolling in your plan, your coverage will begin on January 1.[9]

If you missed the opportunity to select a plan during open enrollment, you may be able to enroll outside of the regular enrollment window if you experience a qualifying life event that triggers a special enrollment period. Special enrollment periods typically last 60 days prior to or following events like moving, getting married, having children or losing employer-sponsored major medical coverage.[10]

What Types of Health Insurance Are Available in Idaho?

Some of the major types of medical insurance you can purchase in Idaho include the following:

How To Get Health Insurance in Idaho

Comparing health insurance quotes from three to five providers can help you find a plan with the best rates to meet your needs. However, looking for insurance companies one by one can be tiresome and time-consuming.

Using an insurance marketplace such as SmartFinancial can speed up the procedure. Once you complete a brief questionnaire, we can connect you with a licensed insurance agent who can assist you in getting a cost-effective health plan. Click here to receive a free quote for an Idaho health insurance plan!

Get a Free Idaho Health Insurance Quote Today!

FAQs

Is health insurance expensive in Idaho?

No, on average, the cost of Idaho’s Marketplace plans is lower than the national average, with benchmark plans costing $61 less monthly in 2025.[4]

Is Medicare available in Idaho?

Yes, you can enroll in Original Medicare or Medicare Advantage plans in Idaho if you meet the eligibility requirements.

Have health insurance rates gone up in Idaho?

No, the average benchmark premium in Idaho slightly decreased by $25 per month between 2022 and 2025.[4]

What happens if I don’t sign up for health insurance in Idaho?

In Idaho, not having health insurance does not result in a tax penalty. However, unless you are eligible for a special enrollment period, you will be responsible for paying your medical bills out of pocket if you are uninsured and cannot enroll until open enrollment the following year.[8]

Is there access to free health care in Idaho?

Idaho offers CHIP and other Medicaid services, which provide free or low-cost health care for eligible low-income residents, pregnant persons, children under 19 and other qualifying residents.[11]

Sources

  1. KFF. “I'm Uninsured. Am I Required To Get Health Insurance?” Accessed Nov. 6, 2024.
  2. HealthCare.gov. “Exemptions From the Fee for Not Having Coverage.” Accessed Nov. 6, 2024.
  3. Commonwealth Fund. “2023 Scorecard on State Health System Performance: Idaho,” Page 1. Accessed Nov. 6, 2024.
  4. KFF. “Average Marketplace Premiums by Metal Tier, 2018-2025.” Accessed Nov. 6, 2024.
  5. HealthCare.gov. “Bronze Health Plan - Glossary.” Accessed Nov. 6, 2024.
  6. Your Health Idaho. “Estimate Your Tax Credit, Compare Plans and Prices.” Accessed Nov. 6, 2024.
  7. ValuePenguin. “Best Cheap Health Insurance in Idaho.” Accessed Nov. 6, 2024.
  8. Your Health Idaho. “Frequently Asked Questions.” Accessed Nov. 6, 2024.
  9. Your Health Idaho. “Open Enrollment for 2025.” Accessed Nov. 6, 2024.
  10. HealthCare.gov. “Special Enrollment Period (SEP).” Accessed Nov. 6, 2024.
  11. Idaho Department of Health and Human Services. “Medicaid Eligibility.” Accessed Nov. 6, 2024.

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