We do our best to be in good health, sometimes situations go out of hands. To tackle our finances during such health miseries, we need best and affordable medical care. In such hardship, health insurance coverage helps us to stay healthy.
Health Insurance in Colorado: Important Points
In state of Colorado, health care laws are made and implemented to ensure that every qualified person in the state has access to quality health insurance coverage.
People in Colorado can now subscribe health insurance coverage through Health First Colorado. In addition, the people in the state who qualify for the insurance can buy private insurance through the Connect for Health Colorado marketplace.
- Colorado health insurance plans are offered from its state-run marketplace
- As of now, seven insurers are offering 2019 plans through the Colorado exchange
- The average rate increase of insurance coverage for 2019 was 5.6 percent
- Colorado adopted the ACA’s Medicaid expansion. Enrollment growth is fourth highest in the nation.
- Medicare was made available to nearly 879,000 Colorado residents in 2018.
- Colorado’s uninsured rate dropped by 47% from 2013 to 2016
Colorado Health Marketplace:
Insurance coverage in Colorado runs under a state-run health insurance exchange. The state has 7 insurers offering a range of insurance plans for Colorado residents. Colorado Choice and Friday Health are two insurers that have been expanding their coverage area in the state. Their plans are available in all nine rating areas for 2019.
Colorado health Insurance Plans:
In Colorado, Health First Colorado offers adults without kids and parents free or low cost coverage if they are qualified for the same. Insurance plans opted under Health First Colorado offers coverage for doctor visits, hospital stays, emergency room, urgent care and many more.
Following are the major health insurance plans available for the residents of Colorado:
1. Health Insurance for Individual and Family:
A. Family and Individual Plans:
The individual and family health insurance plans are designed to offer Colorado citizens paid coverage against medical emergencies. Then plan keep your life stay afloat in financial strain during preventative health-care services.
The coverage helps people save had earned money on doctor’s visits, prescriptions drugs, preventative care and other health-care services availed during the medical emergency. Such plans for individuals include costs incurred on monthly premium, annual deductible, copayments, and coinsurance.
A Colorado citizen is eligible to avail an individual and family plan if he fulfills following conditions:
- He should be self employed
- He doesn’t avail a group plan by his employer
- If enrolled in the group plan it does not cover spouses or dependents
- If premiums of the existing plans he is availing are high
An Individual health insurance plan in Colorado provides benefits for a broad range of both inpatient and outpatient health-care services.
B. Dental Insurance:
Dental insurance plans in Colorado differ according to your ability to pay monthly for your coverage. Dental insurance in Colorado works like any other medical insurance. The insurance offers eligible patient coverage for certain benefits at certain amount. The benefits include regular dental checkups, cleanings, x-rays, and certain services related to general dental health.
Dental insurance plans cover the expenses on following:
- Preventive and diagnostic exams
- Preventive services
- Restorative dental procedures
In addition, some dental insurance plans offer broader coverage and a greater financial contribution on your part. Some plans may also provide extended coverage for certain types of oral surgery, dental implants, or orthodontia.
Indemnity Dental Insurance Plan:
Indemnity Colorado managed care plans allow patients to choose from a broader selection of dental care providers. With an indemnity plan the service provider pays the coverage amount after receipt of the bill. This means that the patient has to pay up front for the preventive care and then he can present the bills obtain reimbursement from the insurance carrier later.
Managed Dental Care Plans:
Under managed dental care plans a network of Colorado dentists offer services to patients at pre-negotiated rate. They present the claims and bills to dental insurance company on behalf of the patients. In managed plans, patients have to go through lesser paper work and the expenses incurred are also quite lower.
C. Vision Insurance:
Colorado vision Insurance is available for Colorado citizens who are looking for eye care as an individual or for entire family. Standard vision insurance lowers the annual expenses of routine eye examinations and prescriptions.
Unlike standard health insurance plans, vision insurance plans in Colorado is designed to offer wellness benefit such as routine eye care, prescription eyewear and other vision-related services at a lower cost.
Health insurance providers in Colorado offer Vision insurance in two formats, vision benefits package or a discount vision plan.
A vision benefits package provides beneficiaries eye care services in exchange for an annual premium or membership fee, a yearly deductible and co-pay each time a member accesses a service.
A discount vision plan is packaged to provide eye care at fixed discounted rates only after the patient has paid an annual premium or membership fee and a deductible.
Both kinds of vision insurance plans are designed to meet the different requirements of the customers.