Elevate by Denver Health Medical Plan
ACA-Qualified Health Plans
Elevate by Denver Health Medical Plan Overview
Elevate Denver Health Medical Bronze Plan
BRONZE HDHP
➤ DEDUCTIBLE
$6,550 Individual/$13,100 Family
➤ OUT-OF-POCKET MAX
$6,600 Individual/$13,200 Family
➤ PREVENTIVE CARE
No charge
➤ COINSURANCE
50%
➤ PCP/SPECIALIST
50% Coinsurance after Deductible
➤ EMERGENCY/URGENT CARE
50% Coinsurance after Deductible
BRONZE STANDARD RX COPAY
➤ DEDUCTIBLE
$8,150 Individual/$16,300 Family
➤ OUT-OF-POCKET MAX
$8,150 Individual/$16,300 Family
➤ PREVENTIVE CARE
No charge
➤ COINSURANCE
NA
➤ PCP/SPECIALIST
0% Coinsurance after Deductible
➤ EMERGENCY/URGENT CARE
0% Coinsurance after Deductible
Elevate Denver Health Medical Silver Plan
SILVER STANDARD RX COPAY
➤ DEDUCTIBLE
$3,750 Individual/$7,500 Family
➤ OUT-OF-POCKET MAX
$7,150 Individual/$14,300 Family
➤ PREVENTIVE CARE
No charge
➤ COINSURANCE
30%
➤ PCP/SPECIALIST
30% Coinsurance after Deductible
➤ EMERGENCY/URGENT CARE
30% Coinsurance after Deductible
SILVER SELECT
➤ DEDUCTIBLE
$6,500 Individual/$13,000 Family
➤ OUT-OF-POCKET MAX
$8,150 Individual/$16,300 Family
➤ PREVENTIVE CARE
No charge
➤ COINSURANCE
50%
➤ PCP/SPECIALIST
$45 Copay/$90 Copay
➤ EMERGENCY/URGENT CARE
$150 Copay/$300 Copay
Elevate Denver Health Medical Gold Plan
GOLD STANDARD RX COPA
DEDUCTIBLE
$2,750 Individual/$5,500 Family
OUT-OF-POCKET MAX
$7,000 Individual/$14,000 Family
PREVENTIVE CARE
No charge
COINSURANCE
10%
PCP/SPECIALIST
10% Coinsurance (Deductible does not apply)/10% Coinsurance after Deductible
EMERGENCY/URGENT CARE
10% Coinsurance after Deductible
GOLD SELECT
DEDUCTIBLE
$2,750 Individual/$5,500 Family
OUT-OF-POCKET MAX
$7,000 Individual/$14,000 Family
PREVENTIVE CARE
No charge
COINSURANCE
10%
PCP/SPECIALIST
$15 Copay/$25 Copay
EMERGENCY/URGENT CARE
$75 Copay/$150 Copay
Elevate by Denver Health Medical Plan FAQ
Does Denver Health Insurance Plans offer the Colorado Option for health insurance?
Yes. With Denver Health Insurance Plans, you can enroll in any of these Colorado Option tiers: Bronze, Silver, and Gold.
The Bronze tier covers approximately 60% of your out of pocket health care costs, after you meet your deductible. The silver tier covers 70%, and the gold plan covers about 80%.
However, each of these plans have an annual out-of-pocket cap. So regardless of which plan you choose, you are covered for 100% of costs above the out-of-pocket limits.
Does Elevate by Denver Health Medical Plans have a limited care network?
Yes, although you can receive emergency treatment from any provider. Elevate is a managed care plan, and so the organization sharply limits benefits they will pay if you receive care from an out-of-network provider.
However, some of DHMP’s Elevate plans give you more latitude to choose your doctor than others.
The lower-premium options have a narrow network that includes Denver Health facilities and providers, Clinica Family Health, Salud Family Health Centers, and the Metro Community Provider Network.
If you want a plan that has a broader network, you can choose from the two HighPoint plans available under the Elevate series of products.
Does Elevate include mental health benefits?
Yes. As an Affordable Care Act-qualified health insurance plan, Elevate includes benefits for mental and behavioral health issues. Elevate members have access to counseling services, drug and alcohol addictions treatment, psychiatric treatment, and more. Outpatient services from any in-network provider are covered without a referral.
Does Elevate include dental and vision coverage?
Yes. Elevate plans include dental and vision coverage from nationally-known insurance carriers at no additional cost to you.
Does Elevate by Denver Health Insurance Plans cover telehealth visits?
Yes.
We’re Here to Help!
ColoHealth Personal Benefits Managers are backed by 25 years of health insurance expertise and can help you find the plan that’s right for you! We keep it simple and easy to understand with a quick phone call to 800-913-6381 or with our instant quote system.
HEALTH INSURANCE INFORMATION
- Plans approved and authorized under the Affordable Care Act
- Covers Pre-Existing conditions
- Low cost subsidized plans available to those earning
< 400% of the federal poverty level - Unlimited lifetime benefits
- Available during open enrollment (November 1 – January 15), or if you qualify for a Special Enrollment Period
HEALTH COST-SHARING INFORMATION
- Not health insurance, but a way for like-minded individuals to share medical expenses
- Waiting periods on pre-existing conditions
- May exclude sharing for certain conditions or activities
- Enroll any time
- Much lower monthly cost than unsubsidized health insurance
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