Finding affordable health insurance in Idaho can seem confusing, but it doesn’t have to be. Understanding your options is important for making the right choice. The Idaho health insurance market, managed by the Department of Insurance, offers various plans to meet your needs. At AHiX, we provide easy-to-use tools and clear information to help you choose plans and find the best coverage for you and your family.

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Explore Idaho
Health Insurance Plans

Choosing the best health insurance in Idaho starts with knowing what matters most to you. Whether you’re looking for individual, family, or short-term health insurance, understanding your needs can help you find a plan that offers both coverage and value. Here are key factors to guide your decision:

Coverage Needs

Think about the medical services you use most. Do you visit doctors regularly, need specialist care, or take prescription drugs? Pick a Idaho health plan that matches your typical healthcare usage.

Budget

Review both your monthly premiums and out-of-pocket costs. A lower premium might look appealing, but a plan with a higher premium could be more affordable overall if you use health services frequently.

Provider Network

Check that your preferred doctors, clinics, and hospitals are included in the plan’s network. In-network providers help reduce your costs and avoid unexpected bills.

Extra Benefits

Some Idaho health insurance plans include additional perks like wellness programs, virtual doctor visits (telemedicine), or mental health support—features that can boost both value and convenience.

Health Insurance Plans for Everyone

Idaho Individual Health Insurance Plans

Idaho individual health insurance offers coverage for individuals and families, helping protect against medical costs. It’s a flexible option for those needing financial assistance with healthcare expenses. You can obtain coverage through private marketplaces, insurance companies, or government programs.

For ACA qualified plans, individuals can expect these average costs of premiums in Idaho (Age 40, Zip code 83201):

  • Single Adult

    Single adult

    $517
  • Married Couple

    Married Couple

    $1,035

If you’re looking for more affordable coverage, consider non-qualified plans. Explore your options for non-qualified insurance near you through AHiX Marketplace.

Idaho Family Health Insurance Plans

Idaho family health insurance offers various choices to meet your family’s needs and budget. Families can select from employer-sponsored plans, Medicaid, or ACA-compliant qualified health plans, which provide essential benefits like preventive care, maternity services, and emergency care. Many families qualify for subsidies to reduce premiums, while Medicaid offers affordable coverage for those earning below 138% of the federal poverty level.

Below are the average monthly premiums for a qualified Health Maintenance Organization (HMO) plan in Idaho for a family (Age 40) with children under 26:

  • Health Maintenance Organization

    A married couple with one child

    $1,372
  • Health Maintenance Organization

    A married couple with two children

    $1,710
  • Health Maintenance Organization

    A married couple with three children

    $2,047

For families seeking low-cost insurance options, non-qualified health insurance plans are available. These plans may not include all ACA-required benefits but can cover specific needs like hospitalization or short-term protection, making them a budget-friendly choice for families in Idaho.

Idaho Short Term Health Insurance

Short-Term Health Insurance in Idaho

Short-term health insurance is an affordable option for temporary coverage, ideal until you secure an employer plan or regular health insurance plan. In Idaho, new regulations limit short-term health insurance to a duration of up to 4 months, including any renewals. After the 4-month period, you must find a new insurance provider if you still require coverage. This temporary solution can help fill the gap if you’re transitioning between jobs or waiting for permanent coverage. Be sure to review the plan’s details to ensure it meets your emergency health insurance needs.

Types of Individual Health Insurance Plans in Idaho

Plan Type Monthly Premium Deductible Ideal For Coverage Description
Bronze $ $$$$ Individuals who need minimal coverage or primarily emergency services Bronze plans offer basic coverage with the lowest monthly premiums but come with higher out-of-pocket costs. Suitable for younger, healthier individuals who expect low healthcare usage.
Silver $$ $$$ Individuals who need a balance between premium cost and healthcare usage Silver plans provide a balance between premium costs and out-of-pocket expenses. These plans are ideal for those who use healthcare services occasionally and want moderate coverage.
Gold $$$ $$ Individuals who expect regular healthcare needs Gold plans have higher monthly premiums but lower out-of-pocket costs, making them suitable for people with frequent healthcare needs.
Platinum $$$$ $ Individuals with extensive healthcare needs Platinum plans offer the most comprehensive coverage with the highest premiums but the lowest Cost-sharing, perfect for individuals or families requiring extensive healthcare services.

What to Expect in Health
Insurance Costs

When enrolling in a health insurance plan in Idaho, it’s important to understand what out-of-pocket costs may apply. While your monthly premium gives you access to medical coverage, you may still be responsible for certain healthcare costs.

Deductible

A deductible is the amount you must pay before your health insurance begins covering costs. It resets each plan year. Some services may be covered before meeting the deductible.

Copay

A copay is a fixed fee you pay for a doctor visit, prescription, or procedure. It’s typically required after meeting your health insurance deductible.

Out-of-pocket maximum

This is the most you’ll pay in a year for deductibles, copays, and coinsurance. Once you reach this amount, your plan covers 100% of covered medical costs.

Coinsurance

Coinsurance is the percentage you pay for care after meeting your deductible. Your health plan covers the rest of the approved amount.

Idaho Medical Insurance Statistics

Consider the following statistics about health care coverage in Idaho:

1.9 million

Total Idaho Population

8.2%

Uninsured Idaho Residents

103,783

Idaho HMO Enrollment

$1,186

Annual Employee Premium in Idaho

$3,666 per day

Hospitalization Costs in Idaho before Insurance

Discover Health Insurance Plans for Every Stage of Life in Idaho

AHiX Marketplace

Health Insurance

Health insurance helps protect you from big medical bills and ensures you get the care you need. Each plan explains what services are covered and how costs are shared between you and the insurance company, making healthcare more affordable.

Explore Health Plans
AHiX Marketplace

Dental and Vision Insurance

Affordable dental and vision insurance covers routine cleanings, eye exams, fillings, and prescription lenses. It ensures regular care, lowers out-of-pocket expenses, and makes essential health services affordable and accessible for everyone.

Browse Dental Plans
AHiX Marketplace

Short-Term Health Insurance

Short-term health insurance offers temporary coverage for people between plans, like seasonal workers or new employees waiting for group benefits. These affordable plans are simple to enroll in and provide basic care until long-term options are ready.

Find Short-Term Health Plans

Frequently asked questions

  • What types of health insurance plans are available in Idaho?

    In Idaho, you can find various health insurance plans such as:

    • Individual health insurance
    • Family health insurance
    • Short-term health insurance
    • Employer-sponsored
    • Medicaid and Medicare

    At AHiX, we offer a wide selection of health insurance plans from top providers to fit your needs.

  • How do I find affordable health insurance in Idaho?

  • What is short-term health insurance in Idaho?

  • How do I apply for health insurance through AHiX?

  • How do I compare Idaho health insurance plans for individuals?

  • What does Idaho family health insurance cover?

  • What are the average costs of health insurance in Idaho?

  • Who is eligible for Medicaid in Idaho?

  • What should I do if I lose my job and need health insurance in Idaho?

  • Why should I choose AHiX for Idaho health insurance?

Find the Right Idaho Health Insurance Plan with AHiX

At AHiX, we offer many Idaho health insurance plans for individuals, families, and short-term health plans. If you want to stick to your budget, AHiX Marketplace makes it easy to find affordable health plans. You can check out both qualified and non-qualified options to find the right health insurance plan for you. Start your search and get your new health plan today!