Keep Coloradans Covered | Department of Health Care Policy and Financing (2024)

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Keep Coloradans Covered | Department of Health Care Policy and Financing (1)

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Health First Colorado and CHP+ Members

Keep Coloradans Covered | Department of Health Care Policy and Financing (2)Keep Coloradans Covered | Department of Health Care Policy and Financing (3)

See our renewals page for help with the renewal process and your health coverage options.

Community Partners and Stakeholders

See below for outreach materials and other information.

The Department of Health Care Policy & Financing (HCPF) administers the Health First Colorado (Colorado's Medicaid Program) and Child Health Plan Plus (CHP+) health insurance programs. Health First Colorado and CHP+ are required to review information annually to make sure Coloradans enrolled still qualify for coverage. These eligibility reviews will be done in the anniversary month of when the member enrolled. For instance, if a member enrolled in July 2024, their eligibility review will take place in July 2025. Some members are automatically renewed based on information we have on file, others will need to complete a renewal and provide required documentation by deadline or risk losing coverage. For more information visit healthfirstcolorado.com/renewals.

If a current member’s circumstances have changed since enrollment - such as starting a new job that might put them over income for Medicaid - they should begin researching other insurance coverage options to avoid becoming uninsured and the consequences that can follow.

Income eligibility limits are increased in April each year to account for inflation. While a household may be over-income for Medicaid, it’s possible the children in that household could be covered by Child Health Plan Plus (CHP+). CHP+ also covers pregnant women throughout pregnancy and delivery and for 12 months postpartum.

Medicaid Income Eligibility

2023

2024

Family of 1

Up to $19,392/year

Up to $20,030/year

Family of 4

Up to $39,900/year

Up to $45,000/year

CHP+ Income Eligibility

2023

2024

Family of 1

Up to $38,637/year

Up to $39,156/year

Family of 4

Up to $79,500/year

Up to $81,120/year

Other Coverage Options

If someone no longer qualifies for Health First Colorado or CHP+ coverage, they may qualify for reduced-cost health insurance coverage through Connect for Health Colorado. Losing Health First Colorado or CHP+ coverage is a “qualifying event,” which means they can apply for health insurance through Connect for Health Colorado during a special enrollment period.

Assistance enrolling in Connect for Health Colorado coverage is available from Connect for Health Colorado’s network of certified assisters and brokers. Coloradans can enroll in a plan during their special enrollment period and find local enrollment assistance by calling the Customer Service Center at 855-752-6749.

Another option is that Medicaid members may qualify to be added as a dependent to another family member’s health insurance plan, such as a spouse, or a parent if the person is 25 or younger. If someone meets these criteria, they should talk with their spouse or parent as soon as possible to avoid a gap in coverage.

If a Medicaid member is eligible for Medicare and needs a plan or has any questions about Medicare, they can contact the Colorado State Health Insurance assistance Program (Colorado SHIP - a Medicare assistance program) at 888-696-7213.

Employers and Medicaid Providers

HCPF encourages employers across the state to proactively remind their employees about any health coverage options their organization may offer and how to apply. When a person no longer qualifies for Health First Colorado or CHP+ coverage, it is typically allowed for that person to join an employer’s plan; however, people should check with the employer on specific rules and time limits.

Health care providers and others who provide support services to Medicaid members should remind their Medicaid customers to look for and complete their Medicaid renewals this year and seek other coverage options if they no longer qualify for their current coverage. HCPF requests the health care industry to work together to make sure we keep Coloradans covered by getting them connected and enrolled into affordable health coverage options.

Keep Coloradans Covered for Health Care

Losing Medicaid coverage is a “qualifying event” for special enrollment periods. Some employees now covered through Medicaid need to be enrolled in employer-sponsored health plans, now through June 2024.

Employers should extend their special enrollment period (SEP) from 60 days to 1 year, per the federal government’s letter to employers, plan sponsors and issuers.

We need employers to help navigate hundreds of thousands of Coloradans back onto employer coverage. Communications for employers to use are at KeepCOCovered.com and Downloadable Resources: #KeepCOCovered.

Outreach Resources

Use and share these outreach materials to encourage members to update their contact information, they are available in English, Spanish and 11 additional languages.

Downloadable Resources: #KeepCOCovered

Flyers for digital and print use are available to download.

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Direct-to-Member Email Script

Sample Messaging for Transitioning to Marketplace or Other Coverage for use with “over income” denial code – call scripts or emails

Your health care coverage is important to us. Because you no longer qualify for Health First Colorado or Child Health Plan Plus (CHP+) coverage, we want to let you know that you may have other coverage options available to you. If you or a family member are employed, your employer may offer a health plan option for you; if you are age 25 or under, you may be able to be covered on your parent’s plan. Check with your employer to learn more about rules and deadlines.

You do qualify for a special enrollment period to sign up for a health insurance plan, AND you may qualify for reduced-cost health insurance through Connect for Health Colorado, which is the state’s official health insurance marketplace. Depending on your income and household size, you may qualify to have very low or no monthly premiums, plus health care discounts on co-pays, deductibles and prescriptions.

[RAE/MCO name] has plans available on Connect for Health Colorado’s marketplace that may include access to your current health care provider. If you need help understanding your health coverage options or finding a plan that allows you to keep seeing your current provider, you can get free help from a certified enrollment expert either in person in your area or virtually.

Go to: https://connectforhealthco.com/we-can-help/ to find a certified community-based assister. They can help you apply for financial help for premium costs and review plans that meet your health needs and your budget. You can also apply and enroll in a plan during your special enrollment period by calling the Customer Service Center at 855-752-6749.

Spanish

Su cobertura de cuidados de salud es importante para nosotros. Debido a que usted ya no es elegible para la cobertura de Health First Colorado o de Child Health Plan Plus (CHP+), queremos informarle que es posible que tenga otras opciones de cobertura disponibles. Si usted o un familiar están empleados, su empleador podría ofrecerles una opción de plan de salud; si usted tiene 25 años o menos, es posible que pueda tener cobertura a través del plan de sus padres. Consulte con su empleador para obtener más información sobre las reglas y las fechas límite.

Usted es elegible para un período especial de inscripción para inscribirse en un plan de seguro de salud, Y podría ser elegible para un seguro de salud de costo reducido a través de Connect for Health Colorado, que es el mercado de seguros de salud oficial del estado. Según sus ingresos y el tamaño de su hogar, es posible que usted sea elegible para tener cuotas mensuales bajas o para no tener que pagarlas, además de obtener descuentos en copagos, deducibles y medicamentos con receta.

[RAE/MCO name] tiene planes disponibles en el mercado de seguros de salud de Connect for Health Colorado que podrían incluir acceso a su proveedor de cuidados de salud actual. Si necesita ayuda para entender sus opciones de cobertura de salud o encontrar un plan que le permita seguir viendo a su proveedor actual, puede obtener ayuda gratuita de un especialista certificado en inscripciones, ya sea en persona en su área o en forma virtual.

Vaya a: https://connectforhealthco.com/es/podemos-ayudar/ para encontrar un asistente certificado con base en la comunidad. Ellos pueden ayudarle a solicitar ayuda financiera para los costos de las cuotas y revisar planes que satisfagan sus necesidades de salud y presupuesto. También puede solicitar e inscribirse en un plan durante su período especial de inscripción, llamando al Centro de Atención al Cliente al 855-752-6749.

Social Media Posts

You can find social media content and images tailored to each phase of outreach in a member’s renewal cycle on the webpages below. Please include the hashtag #KeepCOCovered wherever possible!

Twitter

  1. Avoid a GAP in health care coverage. Learn about coverage options by visiting keepcocovered.com. #KeepCOCovered
  2. Need help understanding your health coverage options? Certified assisters and brokers can help you get the right health insurance coverage. Schedule a free, in-person or virtual appointment today: connectforhealthco.com/we-can-help/
  3. Did you know if you lose health coverage you could qualify for a reduced cost plan at Connect for Health Colorado? Explore health plans and savings: connectforhealthco.com/ #KeepCOCovered

Facebook and Instagram

  1. If you no longer qualify for Health First Colorado or CHP+, you may be able to buy a health plan through Connect for Health Colorado AND get help paying for it. Plans cover things like prescription drugs, doctor visits, urgent care, hospital visits, and more. Explore health plans and savings on Connect for Health Colorado: connectforhealthco.com/. #KeepCOCovered
  2. Need help understanding your health coverage options? Certified assisters and brokers can help you get the right health insurance coverage and apply for financial help. Schedule a free, in-person or virtual appointment today: connectforhealthco.com/we-can-help/ #KeepCOCovered
  3. No longer qualify for Health First Colorado or CHP+? Don’t worry: you still have health coverage options. You may be able to get coverage through
    • Your employer (check with your employer to learn about options, rules and deadlines).
    • A family member’s health insurance, such as a spouse, or parent if you are 25 or younger
    • Connect for Health Colorado (Colorado’s official health insurance marketplace). You might qualify for financial assistance to reduce the cost of your premium.
    • Medicare - for people age 65 or older or people under 65 with certain disabilities or end-stage renal disease
    • Veterans health care if you have served in the active military, naval or air service.
    • If you no longer qualify because you missed the deadline to respond, you can reapply for Health First Colorado.

Spanish

Twitter

  1. Evite una interrupción en su cobertura de cuidados de salud. Para más información sobre opciones de cobertura, visite (agregar página de DOI aquí) #KeepCOCovered #MantenerCOCubierto
  2. ¿Necesita ayuda para entender sus opciones de cobertura de salud? Los agentes y asistentes certificados pueden ayudarle a conseguir la cobertura del seguro de salud que se ajuste a sus necesidades. Programe una cita gratuita, en persona o virtual hoy: connectforhealthco.com/es/podemos-ayudar/
  3. ¿Sabía que si pierde la cobertura de salud podría ser elegible para un plan de costo reducido en Connect for Health Colorado? Explore los planes de salud y los ahorros: connectforhealthco.com/es/ #KeepCOCovered #MantenerCOCubierto

Facebook e Instagram

  1. Si usted ya no es elegible para Health First Colorado o CHP+, es posible que pueda comprar un plan de salud a través de Connect for Health Colorado Y reciba ayuda para pagarlo. Los planes cubren medicamentos con receta, visitas al médico, atención de urgencia, visitas al hospital y más. Explore los planes de salud y los ahorros en Connect for Health Colorado: connectforhealthco.com/es/. #KeepCOCovered #MantenerCOCubierto
  2. ¿Necesita ayuda para entender sus opciones de cobertura de salud? Los agentes y asistentes certificados pueden ayudarle a conseguir la cobertura del seguro de salud que ajuste a sus necesidades y solicitar ayuda financiera. Programe una cita gratuita, en persona o virtual hoy: connectforhealthco.com/es/podemos-ayudar/ #KeepCOCovered #MantenerCOCubierto
  3. ¿Ya no es elegible para Health First Colorado o CHP+? No se preocupe, usted todavía tiene opciones de cobertura de salud. Es posible que pueda obtener cobertura a través de:
    • Su empleador (consulte con su empleador para conocer las opciones, reglas y fechas límite).
    • El seguro de salud de un familiar, como un cónyuge, o padre si tiene 25 años o menos.
    • Connect for Health Colorado (el mercado de seguros de salud oficial del estado de Colorado). Es posible que usted sea elegible para obtener asistencia financiera para reducir el costo de su cuota.
    • Medicare para personas de 65 años o más o personas menores de 65 años con ciertas discapacidades o enfermedad renal terminal.
    • Veterans health care si ha sido parte del servicio activo militar, naval o aéreo.
    • Si ya no es elegible porque no cumplió con la fecha límite para responder, puede volver a presentar su solicitud para Health First Colorado.

Text Messages

English

  1. [RAE/MCO name]: To avoid a gap in health coverage, review your options now. Go to hfcgo.com/optionsReply STOP to opt out.
  2. [RAE/MCO name]: If you don't qualify for Colorado Medicaid or CHP+, you have a limited amount of time to apply for other health coverage. Understand your options: hfcgo.com/options
  3. [RAE/MCO name]: If you or a family member no longer qualify for Colorado Medicaid or CHP+, review your health coverage options and stay covered. Don't delay: Go to hfcgo.com/options

Spanish

  1. [RAE/MCO name]: Para evitar una interrupción en la cobertura de salud, revise ahora sus opciones. Vaya a hfcgo.com/opciones STOP para desactivar mensajes.
  2. [RAE/MCO name]: Si usted no es elegible para Medicaid de Colorado o CHP+, tiene una cantidad de tiempo limitada para solicitar otra cobertura de salud. Entienda sus opciones: hfcgo.com/opciones
  3. [RAE/MCO name]: Si usted o un familiar ya no son elegibles para Medicaid de Colorado o CHP+, revise sus opciones de cobertura de salud y mantenga su cobertura. No se retrase, vaya a hfcgo.com/opciones

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