Colorado Health Insurance Laws
In Colorado, child and senior care take top priority, which is why the state ensures that many laws are in place to keep these two groups healthy and insured. In addition to this, the state has tried to keep insurance companies as transparent as possible by mandating that they provide their participants and partial participants with ample information on their coverage, fees and any applicable rules and regulations that may apply.
Coverage
Under Colorado state law, all health insurance companies must cover mammograms, prostate screenings, home health and hospice services, childhood immunizations, diabetes and prosthetic devices. Coverage must also be provided to newborns, adopted children and pregnant women, among other provisions.
Insurance Provisions
In Colorado, insurance companies must also cover Alzheimer's disease, senile dementia and other organic brain syndromes. The companies must also provide a notification to its participants if their health insurance lapses due to missed payments.
Affordable Insurance Options
Colorado aims to provide health insurance for all its residents. If an individual cannot afford the plans offered by private companies he can look into other insurance programs, including Medicaid, the Colorado Indigent Care Program and the Child Health Plan Plus. To contact these plans, call 800-221-3943, 303-866-2580 or 303-692-2960, respectively.
Benefit Plan Description Form
Before a potential health insurance participant signs up for a new insurance policy, Colorado law mandates that the desired insurance company must provide the individual with a copy of the "Colorado Health Benefit Plan Description Form." The form provides a summary of all coverages, fees and expense maximums, along with information on how the participant can receive specialty care, contact the company or file a complaint.
Self-Insured Plans
If an employer chooses to pay for his employees' health insurance, which is provided by an insurance company of his choosing or a third-party agent, Colorado cannot regulate these plans. They are, however, regulated by the federal government under the Employee Retirement Income Security Act of 1974 (ERISA). Individuals should check with their employers to see if their policies are self-insured.
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