Health First Colorado (Colorado’s Medicaid Program) Health Plan Options

What are my health plan choices?

There are two ways to receive your Health First Colorado benefits: through Health First Colorado Basic or through a health plan. Both offer the same basic medical benefits, but the choices of providers and services may be different.

  • In Health First Colorado Basic, you must find your own doctors and other providers.
  • Health First Colorado health plans help you find providers and offer additional benefits.

See the table below for a list of the plans and their benefits and go to Colorado.gov/HCPF/Choose-Plan when you’re ready to choose a plan.

 

Health First ColoradoAccountable Care Collaborative (ACC) Denver Health Medicaid Choice Health First Colorado Basic
Accountable Care Collaborative

1-800-221-3943 • State Relay 711
co.gov/HCPF/ACC

Rocky Mountain Health Plans Prime

970-244-7860 • 1-888-282-8801 rmhpcommunity.org

303-602-2116 • 1-800-700-8140 dhmedicaidchoice.com  1-800-221-3943 • State Relay 711
co.gov/HCPF
Service Area

Statewide

Service Area

Garfield, Gunnison, Mesa, Montrose, Pitkin and Rio Blanco counties

Eligibility requirements apply. Please call Health First Colorado Enrollment to see if you are eligible to enroll.

Service Area

Adams, Arapahoe, Denver and Jefferson counties

Service Area

Statewide

Referral Process

No referral is needed to see any doctor that accepts Health First Colorado.

Referral Process

No referral is required to see a specialist within the Rocky Mountain Health Plan network.

Referral Process

A referral from your primary care doctor is required before getting specialty care, setting up a test and hospital stays.

Referral Process

No referral is needed to see any doctor that accepts Health First Colorado.

Extra Benefits

24-hour Nurse Advice Line:
1-800-283-3221

Care coordination

Health education and wellness programs, including programs for members with asthma, heart disease and diabetes

Provider serves as a medical home and provides comprehensive primary care services

Help finding social and community services for non-medical needs

Health First Colorado covers dental services. Call DentaQuest member services at 1-855-225-1729 or visit co.gov/hcpf/Dental-Benefits

Extra Benefits

24-hour Nurse Advice Line:
1-800-283-3221

Care coordination

Health education and wellness programs, including programs for members with asthma, heart disease and diabetes

Provider serves as a medical home and provides comprehensive primary care services

Help finding social and community services for non-medical needs

Health First Colorado covers dental services. Call DentaQuest member services at 1-855-225-1729 or visit co.gov/hcpf/Dental-Benefits

Extra Benefits

24-hour Nurse Advice Line:
1-800-283-3221

Care coordination

Health education and wellness programs, including programs for members with asthma, heart problems and diabetes

Eye exams and glasses for adults

Two-month supply of disposable diapers for mothers who deliver at Denver Health Medical Center

Health First Colorado covers dental services. Call DentaQuest member services at 1-855-225-1729 or visit co.gov/hcpf/Dental-Benefits

Extra Benefits

24-hour Nurse Advice Line:
1-800-283-3221

Health First Colorado covers dental services. Call DentaQuest member services at 1-855-225-1729 or visit co.gov/hcpf/Dental-Benefits

 

Can I keep my current health plan?

You can keep the health plan you are enrolled in or you can call Health First Colorado Enrollment to choose a different one. Health First Enrollment is able to help find the right plan for you:
Denver Metro area: 303-839-2120
Outside of Denver: 888-367-6557
TDD: 888-876-8864
Colorado.gov/HCPF/Choose-Plan

What are the Health First Colorado benefits?

  • Office visits
  • Preventive services
  • Prescription drugs
  • Vaccinations
  • Hospital stays
  • Emergency care
  • Maternity care
  • Family planning
  • Behavioral health services including mental health and substance use disorders
  • Home health care
  • Medical supplies
  • Nursing home services
  • Physical, occupational and speech therapy
  • Surgery – inpatient and outpatient
  • Lab and X-ray
  • Dental
  • … and more

If you have questions about your benefits, ask your provider or call the Health First Colorado Member Contact Center at 1-800-221-3943 / State Relay 711 / Colorado.gov/HCPF/Contact-HCPF

How much does it cost?

  • Most services, such as office visits, medications and hospital stays have co-pays. Co-pays are a small amount of money you pay for your care.
  • Co-pays range from $1-$3, and no more than $10 per day for hospital stays.
  • Services for children 18 and under, American Indians and Alaska Natives and pregnant women are free.

What if I need behavioral health services?

For behavioral health services, contact your Behavioral Health Organization (BHO). You are automatically enrolled in a BHO based on where you live. Go to Colorado.gov/HCPF/BehavioralHealth for more information.

What if I have questions?

If you have any questions, contact the Health First Colorado Member Contact Center

Toll Free: 1-800-221-3943 / State Relay 711 / Colorado.gov/HCPF/Contact-HCPF