Colorado Health Insurance

Health Insurance Overview

Colorado residents have many options for health care coverage. There are numerous Colorado insurance providers to choose from, along with a variety of Colorado medical insurance plans designed to meet the specific needs of individuals, families and groups.

Whether you need independent self-employed health coverage, or your employer simply doesn’t offer group Colorado health insurance benefits. Whether you are looking to cover your spouse and children under the same low rate, or you are a small business that wants to provide your employees with affordable coverage. Whatever your situation, we are your one stop resource for all your health care needs – including reliable Colorado medical insurance from the best Colorado insurance providers around.

Each state is unique in its laws and regulations, as well as the types of coverage it offers. Here you will find an array of resources and useful information to help you better understand Colorado health insurance and the range of options available to you. This includes current facts and statistics about residents, important state legislation, financial assistance and public Colorado health insurance programs, and even details on some of the top Colorado insurance providers.

To compare specific Colorado medical insurance plans offered by the various Colorado insurance providers, and get a personalized quote for the options that are right for you, contact us now for free. We’ll connect you with a highly qualified insurance agent near you who will be happy to help you with all of your Colorado health insurance needs.

At Healthcare Solutions Team, we’re committed to making affordable health care accessible to everyone. Our group of elite Colorado health insurance advisors is dedicated to helping match the right coverage to fit the unique needs of all families, individuals and groups. Not a resident of Colorado? Find your state here.

Colorado Health Insurance Facts & Statistics

Total Colorado Residents – 4,986,300

Total Health Insurance Coverage In Colorado:
Employer – 52%
Individual – 8%
Medicaid – 13%
Medicare – 11%
Other Public – 2%
Uninsured – 14%

Average Individual Monthly Premiums – $194

Average Annual Single Employee Contribution for Employer-Based Health Insurance Plan – 20%

Average Annual Single Employee Premium for Employer-Based Health Insurance Plan – $1,059

Average adjusted hospital cost per inpatient day – $1,190

Source data according to the Kaiser Family Foundation (http://www.kff.org/) (2009-2012 data) and http://www.statehealthfacts.org/

Colorado Medical Insurance Laws, Regulations & Policies

There are several Colorado health insurance laws and regulations that are put in place to protect policyholders living in the state, and Colorado insurance providers are required to follow set guidelines. According to state law, every Colorado medical insurance plan is guaranteed renewable. This means that insurance companies cannot cancel coverage if a policyholder gets sick or injured.

According to state law, Colorado health insurance plans must cover certain medical services and screenings, including:

  • Screening for breast and prostate cancer
  • Treatment for certain diabetes-related conditions
  • Continuity of medical care for pregnant women
  • Vaccinations for children

The state also requires Colorado insurance providers to follow mental health parity, which means that coverage limits and maximums for mental health conditions must be set equal to those for physical conditions.

Residents in Colorado have protection under the federal law HIPAA. Colorado insurance providers are not allowed to exclude coverage or require waiting periods for residents applying for an individual health plan after leaving an employer’s group plan. Residents can also receive continuation of group health coverage from a former employer under the federal law COBRA. Workers may keep coverage for up to 18 months with Colorado’s continuation coverage, and eligible employees can purchase a conversion policy after COBRA benefits are used.

Colorado Health Insurance Resources

Colorado Medical Assistance Program Information Center

The Colorado Department of Health Care Policy and Financing provides information as a resource for the citizens of Colorado. Visit the website.

Colorado Department of Public Health

The mission of the Colorado Department of Public Health and Environment is to protect and preserve the health and environment of the people of Colorado. Visit the website.

Health Reform in Colorado

Explore how the state will implement the provisions of the Affordable Care Act. Visit the website.

Colorado Senior Health Insurance Assistance Program (SHIP)

Colorado Senior Health Insurance Assistance Program (SHIP) provides free counseling for Medicare beneficiaries with questions about Medicare. Visit the Website.

Colorado Department of Health Care Policy and Financing

This is the state agency responsible for the administration of the Medicaid program, Child Health Plan Plus, and the Colorado Indigent Care program. Visit the website.

Health Care for All Colorado

Health Care for All Colorado is a Colorado nonprofit organization working for universal health care under a single-payer system for all people living in Colorado. Visit the website.

Colorado Health Insurance High Risk Pool

The Patient Protection and Affordable Care Act established temporary national high risk pools to provide health insurance to those with pre-existing conditions. Residents in Colorado with pre-existing conditions can get health insurance coverage through the GettingUsCovered program. This works similar to regular Colorado health insurance plans and requires enrollees to pay monthly premiums and out-of-pocket costs.

Enrollees in the Colorado GettingUsCovered program pay around the same amount that people without medical conditions pay for health insurance. The estimated monthly premiums to Colorado residents will range from $115 for children aged 0 to 18 to $806 for a 60—64 year old. There is also a $2,500 deductible for medical services and a $500 deductible for medications. The out-of-pocket limit is set at $5,950, and residents who are eligible for the Colorado plan get access to health insurance coverage for hospital and doctor visits, emergency services, prescription drugs, and more.

Individuals may apply for the GettingUsCovered program if they are a United States’ citizen, have an existing medical condition, and have been without health insurance for six months. For more information on the Colorado health insurance high risk pool visit https://www.gettinguscovered.org.

To stay up-to-date on the latest health care reform news, visit: http://healthreform.kff.org/

Colorado Medical Insurance and Health Care Programs

The state of Colorado offers residents quite a few public health insurance programs to assist low-income residents in getting access to affordable health care and insurance coverage. These programs include:

  • Medicaid
    The Colorado Medicaid program offers full health care coverage for low-income families, children, pregnant women, and disabled citizens. Colorado residents must apply and enroll for coverage through their County Social Services Office. Learn more about the Colorado Medicaid program, click here.
  • CoverColorado Colorado residents who are unable to find insurance, were denied coverage because of a pre-existing health condition, or who have exhausted their COBRA benefits may be eligible for coverage through CoverColorado. To learn more about his Colorado health insurance program, visit http://www.covercolorado.org.
  • Child Health Plan Plus (CHP+) The Colorado CHP+ program provides low-cost health insurance for Colorado’s uninsured children and pregnant women in low-income families who do not qualify for Medicaid. To find out more about the CHP+ program, visit http://www.chpplus.org/.
  • Women’s Wellness Connection (WWC) The WWC program provides low-income women in Colorado who have been diagnosed with breast or cervical cancer full health care coverage through Medicaid. The WWC program is part of the national Breast and Cervical Cancer Early Detection Program; visit http://womenswellnessconnection.org/ to learn more.
  • Colorado Medicare
    Seniors can find Colorado health insurance through Medicare Advantage, Medicare Supplement and Original Medicare.

Some trade workers and early retirees in Colorado can also receive a tax credit to help pay for health plan premiums through the Federal Health Coverage Tax Credit.

Colorado Insurance Providers

Aetna Health Insurance

Aetna is one of the largest health insurance providers in America with more than 30 million members. Its network includes more than 787,000 health care professionals.

Aetna AARP Health Insurance

Aetna covers more than 30 million members and is one of the largest health insurance companies in the country. Policyholders have access to more than 787,000 doctors, hospitals and other health care providers.

Assurant Health Insurance

Assurant Health, headquartered in Milwaukee, has been offering quality insurance products and coverage to more than 1 million members since 1982. Assurant is committed to providing health insurance plans that have broad coverage while providing valuable protection.

Celtic Health Insurance

Celtic concentrates on individual health insurance, offering a wide variety of plans for both individuals and families.

Cigna Health Insurance

CIGNA is one of the oldest insurance companies in America, providing health insurance and other coverage solutions to millions of consumers around the country.

Golden Rule Health Insurance

Golden Rule Insurance Company provides affordable and customized health insurance plans for millions of individuals and families.

Great American Health Insurance

Great American Insurance Company, part of Great American Financial Resources Inc., is a leading provider of health insurance and other coverage solutions.

Humana Health Insurance

Through affordable health insurance options, Humana helps its members better manage their health care and make informed health decisions.

John Alden Health Insurance

John Alden Life Insurance has been selling health coverage throughout America since 1961. Today, it is part of Assurant. John Alden plans include individual health and small group coverage. It also sells Health Savings Account plans.

Kaiser Permanente Colorado Health Insurance

For Colorado residents, Kaiser Permanente is one of the top names in health insurance. The company’s affordable health plans give members access to a large network of healthcare professionals.

Rocky Mountain Health Insurance

Rocky Mountain Health Plans (RMHP) is a well-known non-profit and independent health care benefits company that has been assisting Colorado residents in their medical needs for more than 35 years. RMHP has one of the biggest and most diverse networks in Colorado with close to 12,000 medical care professionals and more than 100 hospitals in its network.

Standard Security Life Health Insurance

The Independence Holding Company (IHC) provides management services to large companies that deliver insurance solutions to groups and individuals. As divisions of IHC, the Standard Security Life Insurance Company of New York and the Independence American Insurance Company offer various lines of life, health and disability insurance.

Time Insurance Health Insurance

Today, Time Insurance is known as Assurant Health with insurance coverage for individuals, students, families, seniors, and businesses.

Time Short Term Health Insurance

Today, Time Short Term health insurance is offered through the Assurant name. Time short-term health plans provide comprehensive coverage for a temporary period of time at affordable rates.

UnitedHealthOne Health Insurance

Golden Rule, a United Healthcare company, has been offering affordable health insurance solutions for more than 60 years.

WorldIns ExpressMed Health Insurance

World Insurance offers several types of individual health insurance ranging from dental coverage to comprehensive major medical plans.

Important Contacts and Links

Colorado Division of Insurance and Public Health and Environment

Find the contact information for the Colorado health insurance and public health and environment departments at:

Colorado Division of Insurance
1560 Broadway, Suite 850
Denver, CO 80202
Phone: (303) 894-7490
http://www.cdphe.state.co.us/