Colorado fall means ski season is around the corner. It also means it is time to choose the right health insurance plan for 2026.
While hitting the slopes is straightforward, selecting health coverage can be a bit more complex.
With the open enrollment approaching, now’s the time to explore your options and find the best health insurance plan to meet your needs. Here’s a quick guide to help you make the right choice before the deadline.
COLORADO HEALTH INSURANCE QUOTES
How To Choose the Best Colorado Health Plans:
The best health insurance for you is going to depend on a number of factors, including your age, zip-code, and specific medical needs. You’ll also need to consider the following questions:
Do I qualify for a premium tax credit (APTC)?
The most significant variable that will affect your health insurance cost is the ACA Advanced Premium Tax Credit.
The income limit for the Advanced Premium Tax Credit (APTC) is $58,320 for individuals. This is the equivalent of 400% of the Federal Poverty Level (FPL). For a family of four, the maximum income is $120,000.
The American Rescue Plan and the Inflation Reduction Act temporarily expanded access beyond this income threshold. As a result, you may still qualify for a reduced subsidy even if you earn above the standard limit. This applies if your health insurance premiums exceed 8.5% of your household income?.
Qualifying for the Advanced Premium Tax Credit (APTC) can make a difference to your monthly premiums. Those who qualify pay significantly less for their health insurance than those who don’t. However, earning just a little more than the qualifying limit can disqualify you from receiving the credit. If you don’t qualify, there are still alternatives available, such as health sharing plans, which might help reduce your healthcare costs.
What’s the difference between Bronze, Silver, & Gold insurance plans?
Colorado divides its health insurance plans into three main tiers: Bronze, Silver, and Gold.
Each tier offers different levels of coverage and cost, designed to meet various healthcare needs. Here’s a breakdown to help you choose the best option:
1. Gold Plans: Ideal for Frequent Healthcare Needs
- Coverage: Gold plans offer the most comprehensive coverage available. They come with the lowest out-of-pocket costs, meaning you pay less for deductibles, coinsurance, and copays.
- Who it’s for: Best for those who require frequent, specialized, or complex medical care.
- Cost: The monthly premium for a Gold plan is higher than other tiers. But if you visit the doctor often or need regular care, the savings on out-of-pocket costs can outweigh the higher premium.
2. Silver Plans: Balanced Coverage for Most People
- Coverage: Silver plans offer a middle ground with moderate premiums and out-of-pocket costs. They provide the best value for most people.
- Who it’s for: Ideal for individuals with average healthcare needs.
- Cost: If you qualify for cost-sharing reductions, a Silver plan could provide even better coverage than a Gold plan.
3. Bronze Plans: Cost-Effective for Minimal Healthcare Needs
- Coverage: Bronze plans come with the lowest monthly premiums. The trade-off is that you will pay more out of pocket when you need medical care.
- Who it’s for: Suitable for healthy individuals who don’t anticipate needing much medical care. That said, it is important to set money aside for unexpected medical costs. A serious illness or injury can lead to high out-of-pocket expenses quickly.
4. Medicaid: Best for Low-Income Individuals
- Coverage: Medicaid is a federal program offering comprehensive coverage for individuals with low incomes.
- Who it’s for: Medicaid may be your best option if you earn under $20,000 as an individual. For a family of four, the income threshold is under $41,000. Check if you are eligible before looking at other plans. You may also qualify if you’re pregnant or under 19, even with higher income levels.
This tiered approach allows you to choose a plan that best fits your healthcare needs and financial situation. Be sure to compare options carefully, especially between Silver and Gold plans, to find the most cost-effective coverage.
The Best Health Insurance Providers in Colorado:
Anthem BlueCross BlueShield
Anthem Blue Cross Blue Shield (BCBS) is a popular choice among Colorado residents. Its subsidy-eligible HMO plans give members access to an extensive and diverse provider network.
These networks provide broad access to healthcare providers across the state, making it easier for members to find the care they need. Anthem BCBS also offers a wide range of Health Savings Account qualified plans. They are a great way to reduce your tax bill while putting money aside for healthcare expenses.
Anthem BCBS plans also come with added benefits like telehealth services, wellness programs, and preventive care options. These extras make them an even more attractive choice for Colorado residents.
Anthem BCBS has built a strong name in Colorado. They offer wide coverage and a large provider network. Both keep them at the top of the list for many Colorado residents.
Kaiser Permanente
Kaiser Permanente is one of the top health insurance providers in Colorado. Kaiser Permanente earns a near-perfect 4.8 out of 5 from HealthCare.gov. On top of that, customers rate their experience highly repeatedly.
Kaiser Permanente also stands out for its competitive pricing. The average cost of a Silver plan in Colorado is around $441 per month.
Kaiser Permanente’s popularity is evident, as nearly half of all health insurance plans in Colorado are through them. One reason for this widespread preference is the flexibility their plans offer. With Kaiser, you can change your primary doctor at any time. Each family member can also choose a different doctor if they prefer.
Additionally, the convenience of the Kaiser Permanente app enhances the overall experience. The Kaiser Permanente app makes it easy to stay connected to your care. Schedule visits, message your provider, and order prescription refills directly from your smartphone.
For Colorado residents, Kaiser Permanente ticks all the boxes. Great service, competitive pricing, and user-friendly tools make it a leading health insurance choice in the state.
Friday Health Plans
One of the newest insurance options in the state comes from Friday Health Plans. Their catastrophic plan is a great fit for those who need only basic coverage. It includes preventive services and three annual primary care visits.
Friday Health Plans also offers three metal-tiered plans. The Bronze plan is also HSA qualified. Plans are available in Denver, Colorado Springs, NE Colorado, and the San Luis Valley.
Rocky Mountain Health Plans
Rocky Mountain Health Plans is a small nonprofit HMO built around the needs of Colorado residents. It delivers quality care at prices that are easy on the wallet.
Rocky Mountain Health Plans is one of the few health insurers on this list with deep roots in Colorado. This means they have a strong understanding of the needs of local residents. They provide a range of options, including PPO plans and HSA-qualified plans available statewide. Additionally, HMO plans are accessible for residents of Denver, Colorado Springs, and Mesa County.
This year, Rocky Mountain Health Plans and United Healthcare have teamed up. Together, they now offer the Colorado Doctors Plan across eight front range counties. These include Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, and Jefferson.
Through this plan, members can access a strong network of local healthcare providers. It blends the best of Rocky Mountain Health Plans and United Healthcare to offer comprehensive care with a local touch.
OneShare Health: Colorado’s favorite health share plan
If traditional health insurance feels too expensive and you don’t qualify for tax credits, there is another option. Health sharing plans like OneShare Health can provide a more affordable alternative.
In Colorado, OneShare Health is the most popular health sharing plan. It offers three plan levels to suit a range of needs and budgets.
OneShare Health’s plans are not technically insurance but function as a community-based sharing program. Members contribute a monthly amount to help cover each other’s medical costs. This often works out to about half the price of unsubsidized insurance.
Health sharing plans offer both flexibility and low cost. Many Colorado residents find these plans fit their budget and their values perfectly.
Keep in mind that OneShare Health is not a traditional insurance plan. As a result, it does not come with the same guarantees or legal protections that insurance provides. OneShare Health is a popular and affordable solution for Colorado residents who want an alternative to high insurance premiums.
What Is the Cheapest Health Insurance in Colorado?
The silver tier seems to be the most common plan type in Colorado as it has the best balance of cost and coverage.
Rocky Mountain Health Plans offers the most affordable Silver plan in Colorado. The average One Colorado Option Silver is $412 a month. This rate is the starting point for anyone who does not qualify for subsidies. Your actual cost may be higher or lower depending on your age, sex, smoking status, and location.
Run an Instant Quote To Find the Best Health Insurance CO
You have no need to wait when searching for a new health insurance plan.
You can get an instant quote and sign up for a plan online right now. Or if you prefer, one of our Personal Benefits Managers is happy to walk you through the process and get you signed up. If you are curious about alternatives to traditional insurance, we can help with that too. Just ask and we will show you what is available.
Keep in mind that open enrollment ends on January 15th. To get a January 1st start date, you need to sign up by December 15th. The sooner you act, the better your options will be. Sign up for a no obligation appointment today!
Leslie Alford is a Personal Benefits Manager at ColoHealth. Her aim is to help you make smart and informed healthcare coverage decisions that will fit your needs and budget. Read more about Leslie on her Bio page.