Colorado Choice Medicare (Cost)

Plans & Premiums to Choose From: If you live in Bent, Chaffee, Crowley, Custer, Fremont,  Huerfano, Las Animas, Otero, Prowers and Yuma Counties. Click on the Evidence of Coverage below to view the  detailed benefit  information for contract year 2014 This information provides comprehensive benefit information and explains covered & non-covered benefits, what to do if you are unhappy with our services and other detailed plan information.

Plan Premium*
Colorado Choice Silver Plan (Cost) Evidence of Coverage $15/Month
Colorado Choice Gold Plan (Cost) Evidence of Coverage $40/Month
Colorado Choice Platinum Plan (Cost) Evidence of Coverage $65/Month

Click on the Summary of Benefits document below for  an overview and comparison of our plans and benefits.

2014 Summary of Benefits Multi-Language Insert

*You must continue to pay your Medicare Part B premium. Benefits, premium, and/or copayments/coinsurance may change each year on January 1. Benefits may be subject to copayments, limitations and/or restrictions. See the Evidence of Coverage or contact Customer Service at 719-589-3696 for details. If you live in Alamosa, Conejos, Costilla, Mineral, Rio Grande, and  Saguache. Click on the Evidence of Coverage below to view the  detailed benefit  information for contract year 2014. This information provides comprehensive benefit information and explains covered & non-covered benefits, what to do if you are unhappy with our services and other detailed plan information.

Plan Premium*
Colorado Choice Silver SV Plan (Cost) Evidence of Coverage (Español coming soon) $15/Month
Colorado Choice Gold SV Plan (Cost) Evidence of Coverage (Español coming soon) $40/Month
Colorado Choice Platinum SV Plan (Cost) Evidence of Coverage (Español coming soon) $65/Month

Click on the   Summary of Benefits document below for an overview and comparison of our plans and benefits for San Luis Valley Counties.

2014 Summary of Benefits Multi-Language Insert

*You must continue to pay your Medicare Part B premium. Benefits, premium, and/or copayments/coinsurance may change each year on January 1. Benefits may be subject to copayments, limitations and/or restrictions. See the Evidence of Coverage or contact Customer Service for details. If you know which plan is right for you, click below to see how to enroll. How to Enroll Link Here If  you would like to discuss your personal situation, Colorado Choice’s Medicare Coordinators are available to meet with you.  Please call 800-475-8466 or 719-589-3696, 8:00 a.m. to 8:00 p.m., 7 days a week for more information.

HOW TO ENROLL – Call us at 1-800-475-8466 toll free or 719-589-3696, 8:00 a.m. to 8:00 p.m., 7 days a week.

PLAN RATINGS – View our Plan Ratings. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

DISCLAIMER
Colorado Choice Health Plans is a health plan with a Medicare Contract. Enrollment in Colorado Choice’s Medicare cost plan depends on contract renewal.

The benefit information contained herein is a brief summary, not a comprehensive description of benefits. For more information contact Colorado Choice Health Plans at 719-589-3696.

Limitations, copayments, and restrictions may apply.

Benefits, premium and/or copayments/coinsurance may change each year on January 1. Benefits may be subject to copayments, limitations and/or restrictions. See the Evidence of Coverage or contact Customer Service for details.

You are eligible to enroll if you are entitled to Medicare Part A and enrolled in Medicare Part B and you live in the Colorado Choice Health Plans service area. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. Eligible beneficiaries can enroll in Colorado Choice at any time.

You can use any doctor who is part of Colorado Choice’s network. You may also go to doctors outside of our network. We may not pay for services you receive outside of our network, but Medicare will pay for its share of charges it approves. You will be responsible for paying the Medicare deductible and coinsurance for those services, unless they were authorized in advance by Colorado Choice.

Please reference the Evidence of Coverage for information on premiums, cost-sharing, out-of-network coverage, rights and responsibilities upon disenrollment and any applicable conditions associated with using the plan benefits.

Information is available in alternative formats or languages. Please call 1-800-475-8466 for details. Se puede presentar la información acerca del plan en un formato o idioma distinto. Para solicitar un documento en español, favor de llamar a Atención al Cliente, al número telefónico indicado debajo.

For more information, contact Customer Service at 1-800-475-8466 toll free or 719-589-3696, 8:00 a.m. to 8:00 p.m., 7 days a week. If you are hearing impaired and use TTY equipment, call 1-800-659-2656 (Para asistencia en español llame al 1-800-475-8466).

Information is current as of 12/31/2013. Please contact our Customer Services department to verify that you have the most up to date information.

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