How to Enroll
Now that you’ve selected the plan that’s right for you, it’s easy to enroll!
All you have to do is click below to download an Application, complete it, sign it, and mail it to us at:
Colorado Choice Health Plans
Attn: CO Choice Medicare Coordinator
700 Main St, Suite 100
Alamosa, CO 81101
It’s that simple!
If you live in Bent, Chaffee, Crowley, Custer, Fremont, Huerfano, Las Animas, Otero, Prowers, and Yuma Counties, click here to download an application.
If you live in Alamosa, Conejos, Costilla, Mineral, Rio Grande, and Saguache Counties, click here (Español coming soon) to download an application.
Call us at 800.475.8466 (TTY users should call 1-800-659-2656)! Colorado Choice Medicare Coordinators are available to talk with you.
After you enroll:
- Shortly after we receive your Application we will confirm it is complete and signed then send you a letter confirming receipt. The letter will include your proposed effective date.
- We will send your application to the Centers for Medicare and Medicaid Services (CMS) for approval to notify them that you have applied to join one of Colorado Choice’s Medicare Plans (Cost).
- Once approved, you will receive a welcome letter confirming your effective date with us, along with your member identification (ID) card and other member materials.
Customer Service can be reached at 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).
Colorado Choice Health Plans is a health plan with a Medicare Contract. Enrollment in Colorado Choice’s Medicare cost plan depends on contract renewal.
This information is not a complete description of benefits. Contact the plan for more information.
Limitations, copayments, and restrictions may apply.
You are eligible to enroll if you are entitled to Medicare Part A and/or 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 (TTY users should call 1-800-659-2656) 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 719-589-3696 if calling from within the San Luis Valley or at 1-800-475-8466 if calling from outside the San Luis Valley. (TTY users should call 1-800-659-2656). Hours are 8:00 am to 8:00 pm, 7 days a week , Oct 1 – Feb 14, and 8:00 am to 8:00 pm., Monday through Friday, Feb 15 – Sep 30. (Para asistencia en Español, llame al 719-589-3696 o al 1-800-475-8466).
Information is current as of 6/30/2016. Please contact our Customer Services department to verify that you have the most up to date information.
H0657_02102017 Website Plan Information pending