Medicare Provider Directory
You will be using our network of over 3,000 physicians, hospitals, and other healthcare professionals. You may see any doctor without getting a referral or preauthorization. However, some procedures, services and any in-patient admissions do require preauthorization. Please read your Evidence of Coverage (EOC) for more details.
As a Medicare Cost Plan, our Members not only have access to our extensive provider network but members retain the ability to access care under their Original Medicare benefit as well. Meaning that you are still able to go to a doctor outside the Colorado Choice network for Medicare-Covered services. We may not pay for the 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 original Medicare deductible and coinsurance for those services.
Click on the Provider Directory (Español coming soon) to view our network.
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_2016 Website Plan Information