Colorado Health Insurance Networks provide access to a range of healthcare providers, such as doctors and hospitals, within a specific network to offer affordable and comprehensive coverage options to residents, ensuring they receive the necessary care at negotiated rates.
Understanding how Colorado Health Insurance Networks work is crucial for selecting a plan that offer access to preferred healthcare providers and services at the most affordable rates, and avoiding unexpected out-of-network costs.
Recently, a newly retired couple approached us confused about why their favorite doctor was no longer covered under their current health insurance plan. They were on a fixed income and worried about unexpected costs.
We took the time to explain the concept of health insurance networks, including how different plans might have narrow or broad networks of providers. After reviewing their healthcare needs and preferences, we uncovered that their insurance company had changed which policy providers were in-network.
We helped them identify a plan that included their preferred doctor and hospital within the network, and we will assist their plan change during their annual renewal. Now, they will be able to enjoy peace of mind knowing that their medical care is covered without surprise bills, all while staying within their budget.
The Colorado Health Insurance Companies
There are six health insurance carriers providing major medical plans on the Colorado State Exchange:
- Anthem Blue Cross Blue Shield
- Cigna Healthcare
- Denver Health Medical Plan
- Kaiser Permanente
- Rocky Mountain Health Plans
- Select Health.
Plans available for each carrier differ across counties.
Types of plans and network functionality:
You must see an in-network provider regardless of the plan and network type, in order to have claims covered in Colorado.
- HMO Plans: you must choose an in-network Primary Care Physician (PCP) and in-network specialists typically require a PCP referral.
- EPO Plans: you are typically able to see a specialist without a referral.
Click Here for the Colorado State Exchange’s plan types explanation.
Click Here for an Ian Young Health Insurance video about how Health Insurance Networks work.
Email Ian Young Health Insurance today or schedule an appointment for assistance with Colorado health insurance networks and how they impact your decisions.
