Insurance & Cost
Accepted Insurance Plans:
AETNA
BlueCross BlueShield Anthem
Beacon/Carelon (Kaiser) Medicaid, Commercial & EAP
Cigna/Evernorth & EAP
Colorado Access
Colorado Community Health Alliance
Colorado State Medicaid
Multiplan
Rocky Mountain Health Plan, Medicaid & Commercial
United Healthcare, UMR
Employer Health Network
New Mexico Presbyterian Commercial & Medicaid
Blue Cross Blue Shield New Mexico
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
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• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
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• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
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• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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• Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059
Medicaid Member
Rights & Responsibilities
As a member of Health First Colorado, you have rights and responsibilities.
Your Rights:
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You have the right to:
1. Get the information in this handbook and about your coverage, plans, benefits and services.
2. Be treated with respect and consideration for your privacy and dignity.
3. Get information in a way you can easily understand.
4. Get information from your provider about treatment choices for your health condition.
5. Be involved in all decisions about your health care and say “no” to any treatment offered.
6. Not be secluded or restrained as a punishment or to make things easier for your provider.
7. Ask for and get a copy of your medical records and ask that they be changed or corrected.
8. Get quality health care services in a timely and coordinated way.
9. Use your rights without fear of being treated poorly.
10. Any other rights guaranteed by law, for example HIPAA, ADA
11. Be free from discrimination based on race, color, ethnic or national origin, ancestry, age, sex, gender, sexual orientation, gender identity and expression, religion, creed, political beliefs, disability or health status.
12. Ask your health plan for help if your provider does not offer a service you need because of moral or religious reasons.
Your Responsibilities:
1. Understand your rights.
2. Follow the member handbook.
3. Treat other members, your providers and their staff with respect.
4. Choose a primary care provider and go to Enroll. HealthFirstColorado.com. Or call 303-839-2120 or 888-367-6557 (State Relay 711) if you want to see a different provider.
5. Pay for services you get that are not covered by Health First Colorado .
6. Tell your provider and Health First Colorado if you have any changes to your family, income, jobs, other insurance or address. Tell us within 10 days of the change.
7. Ask questions when you do not understand or want to learn more.
8. Tell your provider information they need to care for you, such as your symptoms
9. Take medications as prescribed and tell your provider about side effects or if your medications are not helping.
10. Invite people who will be helpful and supportive to you to be included in your treatment.
11. Report suspected member or provider fraud or abuse to Member Fraud at 844-475-0444 or Provider Fraud at 855-375-2500. Or go to CO.gov/hcpf/how-reportsuspected-fraud.