Health Insurance in Idaho

Idaho residents pay an average of $495/month for a Silver plan through Your Health Idaho, the state’s own health insurance marketplace. With Medicaid expansion covering adults up to 138% of the federal poverty level and growing insurer competition, Idaho’s marketplace offers improving options—enter your ZIP code to compare personalized quotes.

Idaho
Female doctor with glasses
$495/mo
Avg. Silver Plan Premium
38 Plans
Marketplace Plans Available
+18%
Above National Average
Yes
Medicaid Expansion

Most Affordable Health Insurance Providers in Idaho

We compared individual Silver plan premiums from major insurers on Your Health Idaho for a 40-year-old non-smoking adult. Idaho’s marketplace has been growing with new entrants, bringing more competition and better pricing to the Gem State.

Rank Company Monthly Premium Annual Premium vs. State Avg
1 Mountain Health CO-OP $418 $5,016 -16%
2 SelectHealth $440 $5,280 -11%
3 Blue Cross of Idaho $462 $5,544 -7%
4 PacificSource $488 $5,856 -1%
5 Regence $505 $6,060 +2%
6 Regence PPO $530 $6,360 +7%
7 Blue Cross PPO Plus $552 $6,624 +12%
8 SelectHealth Premier $575 $6,900 +16%

*Mountain Health CO-OP, a nonprofit cooperative, offers the most competitive rates in many Idaho regions. Rates shown are before subsidies—most Your Health Idaho enrollees qualify for premium tax credits that significantly reduce monthly costs.

Idaho Health Insurance Rates by Age

Under the ACA, insurers in Idaho can charge older adults up to 3x what they charge younger enrollees (the 3:1 age band ratio). These are average Silver plan premiums before subsidies.

Age Group Monthly Premium Annual Premium vs. State Avg
21–25
Individual Silver plan
$330 $3,960 -33%
26–29
Individual Silver plan
$360 $4,320 -27%
30–34
Individual Silver plan
$398 $4,776 -20%
35–39
Individual Silver plan
$440 $5,280 -11%
40–44
Individual Silver plan
$495 $5,940 0%
45–49
Individual Silver plan
$560 $6,720 +13%
50–54
Individual Silver plan
$668 $8,016 +35%
55–64
Individual Silver plan
$836 $10,032 +69%

Subsidies Can Slash Your Premium

Most Your Health Idaho enrollees pay far less than the listed rates. A 40-year-old earning $35,000/year could pay as little as $165/month after premium tax credits. Idaho’s lower income levels mean a large percentage of marketplace enrollees qualify for substantial subsidies—making coverage more affordable than the sticker prices suggest.

Idaho Health Insurance Rates by Plan Tier

Your Health Idaho plans are organized into metal tiers. Lower tiers have cheaper premiums but higher out-of-pocket costs, while higher tiers cost more monthly but cover a greater share of your medical expenses.

Plan Tier Monthly Premium Annual Premium Avg. Deductible vs. Silver Rate
Bronze $360 $4,320 $7,300 -27%
Silver $495 $5,940 $5,000
Gold $575 $6,900 $1,500 +16%
Platinum $652 $7,824 $0 +32%

Which Tier Is Right for You?

Bronze works best for healthy Idahoans who rarely visit the doctor and want the lowest premium. Silver is the most popular tier and unlocks cost-sharing reductions for low-income enrollees. Gold and Platinum suit those with chronic conditions or frequent medical needs—especially in rural parts of Idaho where limited provider options can mean higher individual charges.

What Affects Your Idaho Health Insurance Rate

Under the ACA, Idaho insurers can only consider four factors when setting your premium: age, tobacco use, location, and plan category. Idaho allows tobacco surcharges of up to 50%, so quitting can lead to substantial savings.

Age

3:1 Ratio
Max Age Band
Age 21 rate:$330/mo
Age 64 rate:$836/mo
Difference:+$506/mo

Tobacco Use

Up to 50%
Surcharge Allowed
Non-smoker rate:$495/mo
Smoker rate:$742/mo
Extra cost:+$247/mo

Location / Region

±30%
Regional Variation
Cheapest (Boise):$418/mo
Most expensive (rural):$620/mo
Difference:+$202/mo

Key Idaho Health Insurance Dates

Nov 1 – Dec 15
Open Enrollment Period
60 Days
Special Enrollment (Qualifying Event)
138% FPL
Idaho Medicaid Income Threshold

Idaho Health Insurance Regulations

Idaho operates its own state-based health insurance marketplace and expanded Medicaid through a voter-approved ballot initiative in 2018, providing coverage to tens of thousands of previously uninsured residents.

Key Idaho Health Insurance Protections

Nov 1 – Dec 15
Open Enrollment
Period
Yes
Medicaid
Expansion
State-Based
Marketplace
Type
Regulation Requirement Why It Matters
Marketplace Your Health Idaho Idaho runs its own state-based exchange, providing a localized enrollment experience with plans tailored to Idaho communities and provider networks.
Medicaid Expansion Yes (Voter-Approved) Idaho voters approved Medicaid expansion in 2018 (Proposition 2). It covers adults earning up to 138% FPL (~$20,783/year for an individual).
Tobacco Surcharge Up to 50% Idaho allows insurers to charge tobacco users up to 50% more. A smoker paying $495/month could see their premium rise to $742/month.
Individual Mandate None Idaho does not have a state-level individual mandate. There is no penalty for going uninsured, though coverage is strongly recommended.
Reinsurance Program Active Idaho’s state reinsurance program helps stabilize premiums by covering high-cost claims, resulting in lower average rates across the marketplace.

Idaho’s Voter-Approved Medicaid Expansion

Idaho voters approved Medicaid expansion through Proposition 2 in November 2018, extending coverage to an estimated 91,000 previously uninsured adults. The program covers adults aged 19–64 earning up to 138% of the federal poverty level with no premiums. If you earn between 100–138% FPL, you may be able to choose between Medicaid and a subsidized marketplace plan—compare both options to determine which offers the best coverage for your situation.

Health Insurance Plan Types in Idaho

Your Health Idaho offers several plan types to fit different healthcare needs and budgets. Understanding the differences helps you choose the right balance of cost, flexibility, and provider access.

HMO (Health Maintenance Organization)

Lowest Cost

How it works: You choose a primary care physician (PCP) who coordinates your care. Referrals required for specialists. Care must stay in-network except for emergencies.

Average cost in Idaho: $418–$480/month for a Silver HMO plan (age 40).

Best for: Boise and Treasure Valley residents near major hospital systems like St. Luke’s and Saint Alphonsus. Ideal for families who want predictable costs.

Key feature: Mountain Health CO-OP offers the most affordable HMO plans in Idaho with a focus on community-based care and member-driven governance.

PPO (Preferred Provider Organization)

Most Flexible

How it works: See any doctor without a referral. In-network care costs less, but out-of-network care is partially covered too.

Average cost in Idaho: $530–$600/month for a Silver PPO plan (age 40).

Best for: Idahoans who live in rural areas with limited provider networks, travel frequently, or want access to specialists in Boise or neighboring states.

Key feature: Blue Cross of Idaho and Regence offer the largest PPO networks in the state, essential for residents in remote communities.

EPO (Exclusive Provider Organization)

Good Balance

How it works: Similar to a PPO but without out-of-network coverage (except emergencies). No referrals needed for specialists.

Average cost in Idaho: $460–$520/month for a Silver EPO plan (age 40).

Best for: Idaho residents in the Boise metro area who want specialist access without referrals but are comfortable staying in-network with the Treasure Valley’s growing provider base.

Key feature: Combines the flexibility of a PPO (no referrals) with the lower cost of an HMO. SelectHealth offers popular EPO plans in Idaho.

HDHP with HSA

Tax Advantaged

How it works: High-deductible plan paired with a Health Savings Account. You pay lower premiums but more out-of-pocket until the deductible is met.

Average cost in Idaho: $320–$400/month for a Bronze HDHP plan (age 40).

Best for: Healthy Idahoans who want the lowest premiums and tax-advantaged savings. Popular with ranchers, small business owners, and outdoor recreation workers.

Key feature: HSA contributions are tax-deductible at the federal level. Idaho has no state income tax on HSA contributions either, providing maximum tax benefit.

POS (Point of Service)

Optional

How it works: Combines HMO and PPO features. You pick a PCP and need referrals like an HMO, but can see out-of-network providers at higher cost like a PPO.

Average cost in Idaho: $480–$545/month for a Silver POS plan (age 40).

Best for: Idahoans who want the structure of an HMO with the safety net of occasional out-of-network access, especially useful in areas where specialty care may require traveling to Boise or Salt Lake City.

Key feature: Less common on Your Health Idaho but available through some employers. Offers a middle ground for those unsure between HMO and PPO.

How to Save on Health Insurance in Idaho

Idaho’s premiums run higher than the national average due to lower population density, but subsidies and strategic plan selection can make coverage affordable. Here are proven strategies.

Check Subsidy Eligibility

Idaho residents can access federal premium tax credits for households earning up to 400% FPL. A 40-year-old earning $35,000 could reduce a $495/month Silver plan to about $165/month. Always check your eligibility on Your Health Idaho before choosing a plan.

Enroll During Open Enrollment

Your Health Idaho’s open enrollment runs November 1 through December 15. Unlike some state-based exchanges, Idaho follows the federal enrollment deadline. Enrolling by December 15 ensures coverage starts January 1. Don’t miss this window.

Consider a Bronze or HDHP Plan

If you’re healthy and rarely visit the doctor, a Bronze plan at $360/month saves $135/month versus Silver. That’s $1,620/year in premium savings. Idaho doesn’t tax HSA contributions, so pairing an HDHP with an HSA gives you maximum tax benefits.

Verify Your Doctors In-Network

Before picking a plan, use Your Health Idaho’s provider search tool to confirm your doctors and preferred hospitals are in-network. In rural Idaho, provider networks can be limited—check whether your plan covers travel to Boise or out-of-state facilities for specialty care.

Look Beyond Premiums

A cheap premium can mean high deductibles and copays. Compare total expected costs: premiums + deductible + copays + coinsurance. A Gold plan at $575/month with a $1,500 deductible may cost less overall than a Bronze plan at $360/month with a $7,300 deductible if you have regular medical needs.

Explore Idaho Medicaid

Idaho Medicaid covers individuals earning up to 138% FPL (~$20,783/year) with no premiums and minimal copays. Since voter-approved expansion in 2018, over 90,000 Idahoans have gained coverage. If your income qualifies, Medicaid is the most affordable option available in the state.

Best Health Insurance Companies in Idaho

Based on premiums, network size, and member satisfaction, these are the top health insurers for Idaho residents.

Best for Price

Mountain Health CO-OP

A nonprofit health insurance cooperative serving Idaho and Montana. Member-owned and community-focused, Mountain Health CO-OP consistently offers the lowest Silver plan premiums on Your Health Idaho.

Avg. Rate: $418/mo
NCQA: 3.5/5
Largest Network

Blue Cross of Idaho

Idaho’s largest health insurer with the broadest provider network spanning all 44 counties. Essential for residents in rural areas who need access to providers across the entire state and neighboring regions.

Avg. Rate: $462/mo
NCQA: 3.5/5
Best Rated

SelectHealth

An Intermountain Health subsidiary with strong member satisfaction scores. Their integrated care approach and partnership with Intermountain facilities provides coordinated, high-quality care in the Boise metro and eastern Idaho.

Avg. Rate: $440/mo
NCQA: 4.0/5
Best Value

PacificSource

A Northwest-based insurer offering competitive rates and strong regional networks. PacificSource is popular in southwestern Idaho and provides solid coverage for families seeking a balance of affordability and access.

Avg. Rate: $488/mo
NCQA: 3.5/5

What Idaho Residents Are Saying

"When I started my small construction business in Boise, getting health insurance was my biggest worry. Credit Haven helped me find a Mountain Health CO-OP Silver plan for $180/month after subsidies. As a self-employed contractor, I never thought I could afford comprehensive coverage. The marketplace made it possible."

Jake R.
Boise, ID

"Living in Idaho Falls, our options felt limited until we checked Your Health Idaho. Through Credit Haven, we found a SelectHealth family plan that includes access to Intermountain facilities. We’re paying $950/month for our family of four with great coverage—much better than the $1,400 we were quoted off-marketplace."

Amanda P.
Idaho Falls, ID

"After Medicaid expansion passed, I finally got coverage for the first time in years. Credit Haven helped me understand the enrollment process and I qualified for Idaho Medicaid with zero premiums. As a part-time worker in Coeur d’Alene, this has been life-changing for managing my diabetes."

Brian H.
Coeur d’Alene, ID

Frequently Asked Questions

How much does health insurance cost in Idaho?

The average cost of a Silver plan in Idaho is approximately $495 per month for a 40-year-old, which is about 18% above the national average. However, most Your Health Idaho enrollees pay significantly less after federal subsidies. Rural areas tend to have higher premiums than the Boise metro area.

Does Idaho have its own health insurance marketplace?

Yes. Your Health Idaho is the state’s official health insurance marketplace, established under the ACA. It provides a localized enrollment experience with plans tailored to Idaho’s provider networks. Open enrollment runs November 1 through December 15.

Did Idaho expand Medicaid?

Yes. Idaho voters approved Medicaid expansion through Proposition 2 in November 2018. It covers adults aged 19–64 earning up to 138% of the federal poverty level (~$20,783/year for an individual) with no premiums and minimal copays.

When is open enrollment in Idaho?

Your Health Idaho’s open enrollment period runs from November 1 through December 15. To have coverage start on January 1, you must enroll by December 15. Outside of open enrollment, you need a qualifying life event to enroll.

What are the best health insurance companies in Idaho?

Mountain Health CO-OP offers the lowest premiums. Blue Cross of Idaho has the largest statewide network. SelectHealth provides high-quality integrated care through Intermountain Health. The best company depends on your priorities—price, network breadth, or care quality.

Can I get subsidized health insurance in Idaho?

Most likely. Federal premium tax credits are available for households earning up to 400% FPL. Idaho’s reinsurance program also helps lower premiums statewide. About 70% of Your Health Idaho enrollees receive some form of financial assistance.

Does Idaho allow a tobacco surcharge?

Yes. Idaho allows health insurers to charge tobacco users up to 50% more than non-tobacco users for the same plan. A $495/month Silver plan could cost up to $742/month for a tobacco user. Quitting before enrollment can lead to significant savings.

Is it free to compare health insurance quotes on Credit Haven?

Yes, comparing health insurance quotes through Credit Haven is 100% free with no obligation. We help you see personalized rates from multiple Idaho-licensed insurers and connect you with Your Health Idaho enrollment options so you can make the best decision for your family.

Ready to Find Affordable Idaho Health Insurance?

Enter your ZIP code to compare personalized quotes from top Idaho health insurers and see your subsidy eligibility.