State Government Insurance Programs Offered

CoverColorado

888-770-1120 303-863-1960 (Enrollment)

CoverColorado is a high-risk pool providing Colorado health insurance to individuals who were denied coverage due to an existing health condition. Benefits include physician care, prescription drugs, diagnostic tests, x-rays, hospitalization, and certain mental health care services. If there is a gap in your Colorado health insurance plan within the past 90 days prior to application, you need to wait 6 months before expenses related to your pre-existing condition will be covered. However, this waiting period is not applicable if you have been insured continuously for at least 6 months within 90 days of application. Eligibility: 1. You must be a Colorado resident for at least 6 months prior to application. 2. You may transfer to CoverColorado from another state’s high-risk pool. 3. You may be a HIPAA-eligible applicant. 4. You must not be eligible for Medicaid, Medicare or other health insurance. 5. You must have a qualifying health condition. 6. You may be eligible through the Trade Adjustment Assistance Act (TAA) Coverage or Health Coverage Tax Credit.

GettingUSCovered

877-779-0387 (Enrollment) 877-397-1109 (Customer Service)

GettingUSCovered is Colorado’s Pre-Existing Condition Insurance Plan operated by Rocky Mountain Health Plans and CoverColorado. This is a federal high-risk pool program which offers coverage to individuals with a pre-existing condition who have a hard time finding a private health insurance. This offers a wide range of benefits which include primary and specialty health care, mental health coverage, preventive care services, and prescription drug coverage. Eligibility: 1. Must be a U.S. resident living in Colorado. 2. Must be uninsured for at least six months. 3. Must have a qualified pre-existing health condition.

Colorado Health Plan

303-866-3513 (Metro Denver) 800-221-3943 (outside Metro Denver)

Colorado Health Plan is the state’s Medicaid program which offers coverage to low-income individuals and families who cannot pay for medical care as long as they meet financial and other eligibility requirements. Benefits for this program include physician services, medical and dental check-ups, diagnostics, prescriptions, hospital services, hospice, dental care, family planning, maternity, prenatal, newborn care, drug and alcohol treatment, and mental health services. Eligibility: 1. Must be U.S. citizens or legal residents living in Colorado. 2. Must not exceed income limits: SSI aged or disabled: 75% FPL. Pregnant women and children aged 0 to 5: 133% FPL. Children aged 6 to 18: 100% FPL. Parents or caretakers living with children aged 0 to 18: 66% FPL.

Child Health Plan Plus (CHP+)

800-359-1991

This is a state-sponsored health program providing children and pregnant women with health coverage. This program is designed for low-income families who are ineligible for Medicaid coverage. This program’s benefits include checkups, hospital services, prescriptions, immunizations, eyeglasses, hearing aids, dental services up to $600 a year. This program also covers pre-existing health conditions. Eligibility: 1. Must be U.S. citizens or permanent residents living in Colorado for at least 5 years. 2. Must be children aged 0 to 18; or pregnant women aged 19 and above. 3. Must not be in prison or in a mental institution. 4. Must be uninsured or ineligible for Medicaid. 5. Must be under the income limit of 250% FPL.

Women’s Wellness Connection (WCC)

303-692-2581 866-951-9355

The program provides breast and cervical cancer screening (mammograms, clinical breast exams, Pap tests and pelvic exams) and selected diagnostic services. Cancer treatment for some women qualified through Medicaid.

Indian Health Services

505-248-4500

Indian Health Service (IHS) provides medical and public health services to American Indians and Alaska Natives. IHS provides a broad range of inpatient and outpatient services through health facilities which include hospitals, health centers, field clinics located near population centers. Eligibility Members of a Federally recognized Tribe are eligible for IHS health services. You may qualify if you are not excluded by law, and: 1. Are of Indian and/or Alaska Native descent; or 2. Are an Indian of Canadian or Mexican origin; or 3. Are a non-Indian pregnant woman carrying an eligible Indian’s child. Coverage can be up to 6 weeks post partum; or 4. Are a non-Indian who belongs to an eligible Indian’s household and the medical officer decides that services are needed for public health safety.

Health Coverage Tax Credit

866-628-4282

Health Coverage Tax Credit covers up to 80% of premiums for qualified trade-impacted workers or TAA recipients. This is a federal tax credit created by Congress through the Trade Act of 2002 which aims to make health coverage more affordable and accessible for those who may not afford it. Benefits for HCTC plans include doctor visits, prescription drugs, inpatient and outpatient care, preventive care, medical care, mental health, and substance abuse care. Eligibility: 1. Must be 55 years or older and receiving pension from Pension Benefit Guaranty Corporation; or receiving Trade Adjustment Assistance. 2. Must have a qualified Colorado health insurance plan and must be paying for more than 50% of the premiums. 3. Must NOT be in prison, be listed as a dependent in tax returns, belong to certain state plans, be a recipient of 65% COBRA subsidy.

VA Medical Benefits Package

877-222-8387

The Veteran Affairs (VA) Medical Benefits provides standard health benefits plan to veterans enrolled in the program. Benefits are portable and can be accessed anywhere in the VA system. Benefits include preventive and primary care, and a full range of outpatient and inpatient services. Eligibility 1. Must have veteran status.