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HIV and Enteropathy
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Colorado State Insurance Exchange
Exchange:
The Colorado Insurance Exchange (Marketplace) is called Connect for Health Colorado, Colorado Health Insurance Exchange. Connect for Health Colorado is administered by the State of Colorado.
General information about Connect for Health Colorado can be found at: http://connectforhealthco.com/.
Learn more: Background
Patients:
Connect for Health Colorado is essentially a marketplace for individuals and small businesses with up to 100 employees to shop for health insurance if they do not already have insurance coverage from another source. If they have insurance from another source (such as employment, retirement benefits, or spousal benefits), they do not need to obtain it from the Marketplace.
 
 
HIV Providers:
Providers must contract with each of the plans in the marketplace individually in order to fully participate in the Connect for Health Colorado.
 
This process is similar to enrolling in insurance or managed care organization provider networks. See below for a list of insurers participating in the state marketplace, and information on contacting them.
As an HIV provider, you may qualify for the designation, of an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.
 
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.
 
Reporting Problems:
 
The state office of insurance is primarily responsible for examining and addressing issues with the plans offered within the state Exchange (Marketplace), and the companies that offer them. If you are experiencing problems as a medical provider with the plans or companies in the state exchange, or if your patients are experiencing problems with the plans or companies in the state exchange, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state office of insurance: 
 
Department of Regulatory Agencies
Division of Insurance
1560 Broadway, Suite 850
Denver, CO 80202
303-894-7455

www.dora.colorado.gov/insurance
Complaints: cdn.colorado.gov/cs/Satellite/DORA/CBON/DORA/1251627009957
 
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies. 
 
 
Qualified Health Plans Participating In the Exchange:
Below is a list of the Qualified Health Plans that have publicly announced that they will offer plans in Connect for Health Colorado.
This list is being routinely updated, and may change as insurers join or leave the Exchange. Please check back for updates.
All Savers Insurance Company
Provider Enrollment: http://www.uhc.com/provider
Plan types offered: Individual
 
Cigna Health and Life Insurance Company
Plan types offered: Individual
 
Colorado Choice Health Plans
Plan Website: http://cochoice.com/
Plan types offered: Individual, SHOP
 
Colorado Health Insurance Cooperative, Inc.
Plan types offered: Individual, SHOP
 
Denver Health Medical Plans
Plan types offered: Individual
 
Freedom Life Insurance Company of American
Plan types offered: Individual
 
HMO Colorado, Inc. (Anthem)
Plan types offered: Individual, SHOP
 
Humana Health Plan, Inc.
Plan types offered: Individual, SHOP
 
Humana Insurance Company
Plan types offered: Individual, SHOP
 
Kaiser Foundation Health Plan of Colorado
Plan types offered: Individual, SHOP
 
Kaiser Permanente Insurance Company
Plan types offered: SHOP
 
National Foundation Life Insurance Company
Plan types offered: Individual
 
New Health Ventures, Inc. (Access Health)
Plan types offered: Individual
 
Rocky Mountain Health Maintenance Organization
Plan Website: http://www.rmhp.org/
Plan types offered: Individual, SHOP
 
Rocky Mountain Healthcare Options, Inc.
Plan Website: http://www.rmhp.org/
Plan types offered: SHOP
 
Rocky Mountain Hospital and Medical Services (Anthem)
Plan types offered: Individual, SHOP
 
Time Insurance Company
Plan types offered: Individual
 
United Healthcare Insurance Company
Plan Website: http://www.uhc.com/
Provider Enrollment: http://www.uhc.com/provider
Plan types offered: SHOP
 
United Healthcare Life Insurance Company
Plan Website: http://www.uhc.com/
Provider Enrollment: http://www.uhc.com/provider
Plan types offered: Individual
 
United Healthcare of Colorado
Plan Website: http://www.uhc.com/
Provider Enrollment: http://www.uhc.com/provider
Plan types offered: SHOP

 

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