SelectHealth

What SelectHealth does

SelectHealth, Inc. is a nonprofit health insurance plan headquartered in Murray, Utah, operating as a subsidiary of Intermountain Health. Founded in 1983, the company serves more than one million members across Utah, Idaho, Nevada, and Colorado through a diversified product portfolio spanning Individual & Family plans, Medicare Advantage (including D-SNP), Medicaid managed care (Community Care), CHIP, FEHB, and small and large employer plans (fully insured, level-funded, and self-funded).

The company's technology stack centers on a digital health platform built around CMS-mandated interoperability. A public FHIR-based Patient Access API, backed by OAuth 2.0 and OpenID Connect, exposes member claims, encounter, and clinical data since January 1, 2016, to third-party applications via a Developer Portal. Member-facing tools include the My Health digital front door, a mobile app, and virtual care services, while provider-facing tools include a Provider Access Point with preauthorization and care plan modules, and pharmacy tools including PromptPA prior authorization and a Gold Card program. Machine-readable JSON datasets for drugs, plans, and providers are published across all four states.

SelectHealth generates revenue primarily through insurance premiums paid by individuals, families, employers, and government payers (Medicare, Medicaid, FEHB) on a monthly subscription basis. Distribution is multi-channel: direct sales via phone and website, a licensed agent and broker network, provider referrals from Intermountain Health's clinical network, and community partnerships. Recent strategic activity includes a 2026 partnership with RevDoc and Fenyx Health to bring AI-driven primary care to Medicare Advantage MSA members and Nevada-focused community sponsorship activity.

Name

SelectHealth

Legal name

Select Health, Inc.

Website

https://selecthealth.org

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

SelectHealth is a nonprofit health insurance plan and subsidiary of Intermountain Health, serving 1M+ members across Utah, Idaho, Nevada, and Colorado with Individual, Medicare Advantage, Medicaid, employer, CHIP, D-SNP, and FEHB plans supported by a FHIR-based digital platform.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)

akta.pro secondary industry

General Medical Virtual Primary Care (Payer-Branded) (HLALACAA)

Keywords

• Health insurance plans
• Medicare Advantage plans
• Medicaid managed care
• Employer health benefits
• Pharmacy benefits coverage

Headquarters

HQ city

Murray

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Health Insurance Premiums: Select Health generates revenue primarily through health insurance premiums paid by individuals, families, and employers for medical, pharmacy, and dental coverage.
2. Government Program Reimbursements: Revenue from Medicare Advantage and Medicaid managed care programs, including D-SNP and CHIP, where the company receives capitation payments from government payers for covered beneficiaries.
3. FEHB Premiums: Revenue from Federal Employee Health Benefits program, providing health coverage to federal employees, retirees, and their families.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

SelectHealth is a nonprofit health insurance plan that sells medical, pharmacy, and dental coverage to individuals, families, Medicare beneficiaries, Medicaid members, federal employees, and employers across Utah, Idaho, Nevada, and Colorado. It is a subsidiary of Intermountain Health and leverages its parent's integrated provider network, digital member portal, and care management programs to deliver covered health services to more than one million members.

Product overview

Select Health is a nonprofit health insurance plan operating as part of Intermountain Health, offering a multi-product portfolio across Individual & Family Plans, Medicare Advantage, Medicaid/Community Care, Employer Plans (small and large), CHIP, Dual Special Needs Plans (D-SNP), and FEHB in Utah, Idaho, Nevada, and Colorado. The core insurance products are supplemented by a set of digital health tools and services — including Virtual Care (telemedicine), the Pharmacy & Therapeutics Program (with prior authorization tools), the Wellness Program (with sub-modules like the Healthy Beginnings maternity program), a member-facing mobile app/Member Account portal, and a provider-facing Provider Access Point with a Preauthorization & Care Plan Tool. The Patient Access API (built on FHIR, OAuth 2.0, and OpenID Connect) extends interoperability to approved third-party applications. Together, these products and digital tools form a coordinated health coverage and care management ecosystem serving over one million members.

Differentiator

Problem solved

Functional benefit

Products and services

• Individual & Family Plans Health insurance plans for individuals and families, including those purchasing through the ACA Marketplace or directly, covering medical and pharmacy benefits with preventive care at 100% on most plans.
• Medicare Advantage Plans Medicare Advantage plans combining medical and pharmacy benefits in a single plan for Medicare-eligible individuals, offered in Utah, Idaho, Nevada, and Colorado.
• Medicaid / Community Care Plan Medicaid managed care plan operating under the Community Care brand, covering eligibility, enrollment, and benefits for eligible low-income members in Utah and other states.
• Employer Health Plans Small and large employer health insurance plans, including fully insured, level-funded, and self-funded options, with dental plans and concierge services for self-funded members.
• CHIP (Children's Health Insurance Program) Children's Health Insurance Program providing coverage for kids and teens without insurance, covering routine check-ups, emergency services, and more.
• Dual Special Needs Plans (D-SNP) Plans for individuals who qualify for both Medicare and Medicaid, offering additional coverages and services beyond standard Medicare plans.
• FEHB (Federal Employee Health Benefits) Health insurance program for federal employees, retirees, and their families, with two plan options available.
• Virtual Care Telemedicine and virtual care services available 24/7 via smartphone or computer, providing immediate medical care at lower cost and accessible anytime to members.
• Healthy Beginnings Maternity Program Maternity care program for eligible Select Health members available at no additional cost, offering prenatal support, nurse care managers, community referrals, educational materials, and financial incentives for prenatal and postpartum visits.

Named customers1 record

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Fenyx HealthcoreStrategic or Co-development Partner · 9 June 2026RevDoc announced a strategic partnership with Fenyx Health to deliver AI-driven primary care services to Medicare Advantage Medical Savings Account (MSA) members nationwide. Select Health is one of the administrators for the Medicare Advantage MSA plans covered under this partnership, offering personalized care plans, preventive screenings, chronic disease support, and virtual care services.
• RevDoccoreTechnology or Integration · 9 June 2026RevDoc provides an AI-enabled platform that combines connected devices, wearable integrations, facial-scan health indicators, and aggregated health records from over 400 EMRs to create dynamic risk profiles. This platform is offered to Select Health's Medicare Advantage MSA members through the Fenyx Health partnership.
• Intermountain HealthminorGTM or Marketing Partner · 9 May 2026Select Health is a supporting sponsor for the Aging Wellness Expo, Nevada's largest biannual interactive event for active adults organized by the Las Vegas Review-Journal. This community wellness event features over 50 exhibitors offering healthcare, retirement planning, and wellness services.
• EMI Health GroupminorChannel Partner/ Reseller/ DistributorEMI Health Group is an administrator for Medicare Advantage MSA plans that utilize the RevDoc/Fenyx Health AI-driven primary care platform, representing a minor channel partnership for Select Health.
• Intermountain HealthcoreStrategic or Co-development PartnerSelect Health is a subsidiary of Intermountain Health and benefits from its parent company's provider network of over 10,000 doctors and 380+ medical clinics across Utah, Idaho, Nevada, Colorado, Montana, and Wyoming. Select Health leverages Intermountain Health's clinical expertise, technology infrastructure, and integrated care delivery system.
• OptumminorGTM or Marketing PartnerOptum-Nevada is a sponsor of the Aging Wellness Expo, providing a mobile medical center at the event alongside Select Health.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Regence BlueCross BlueShield: Regence is a regional nonprofit BlueCross BlueShield plan operating in Utah, Idaho, Oregon, and Washington — directly competing with SelectHealth in two of its core markets with similar commercial, Medicare, and employer product lines.
• Blue Cross Blue Shield of Utah: BCBS Utah is the incumbent Blue-branded carrier in SelectHealth's home state, offering comparable individual, employer, and Medicare products to overlapping employer and consumer segments.
• PacificSource Health Plans: PacificSource is a nonprofit regional health plan serving Oregon, Idaho, Montana, and Washington, with comparable commercial, Medicare Advantage, and Medicaid managed care offerings — a structural analog to SelectHealth in adjacent Mountain West states.
• Moda Health: Moda is a nonprofit regional health plan headquartered in Oregon serving Oregon, Alaska, and parts of the broader Pacific Northwest — comparable to SelectHealth in scale, product mix, and nonprofit orientation.
• Kaiser Permanente: Kaiser Permanente is a nonprofit integrated payer-provider serving multiple U.S. regions — closely comparable to SelectHealth's Intermountain-integrated payer-provider model and nonprofit orientation, though at much larger scale.
• Health Net: Health Net is a Centene-owned regional health plan operating in California, Oregon, and Nevada — directly competing with SelectHealth in Nevada across Medicaid, Medicare, and commercial products.
• Molina Healthcare: Molina is a publicly-traded managed care company with deep Medicaid and D-SNP expertise operating across multiple states, including Colorado and Nevada — a direct competitor in SelectHealth's government program segments.

Broad incumbents

• Humana: Humana is the second-largest U.S. Medicare Advantage carrier and a major competitor in SelectHealth's MA segment, with much greater scale and national brand recognition.
• UnitedHealthcare: UnitedHealthcare is the largest U.S. health insurer, with national scale across commercial, Medicare, Medicaid, and exchange products — competing with SelectHealth across all of its lines of business.
• CVS Health (Aetna): CVS/Aetna is a vertically integrated payer-PBM-retail-clinic enterprise with national reach, increasingly competing with regional plans like SelectHealth through Aetna and Caremark offerings.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/selectHealth
• Facebookfacebook.com/selecthealth
• LinkedInlinkedin.com/company/selecthealth

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about SelectHealth