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2024 Contracted Insurance List

About Contracted Insurance Plans

    • As a patient, you are responsible for knowing if Boulder Medical Center BMC) doctors are contracted with your insurance plan. The best way to confirm this is by contacting your insurance company and/or your Human Resources Department if your insurance is through your workplace;
    • Boulder Medical Center doctors are not contracted with any Exclusive HMO plans;
    • Any other commercial (non-government Medicare/non-Medicaid) plans that are not listed below may be able to be set up as self-pay plans. Contact the Boulder Medical Center business office prior to making an appointment with your provider so that we can work with you to verify insurance coverage and patient balance payment options;
    • Insurance contracts are subject to change without notice.

About Non-Contracted Insurance Plans

    • Patients with insurance plans that are not with a company that contracts with Boulder Medical Center, are asked to pay $207 at the time of service. Patients are responsible for all charges incurred during their visit and will be billed for the remaining balance;
    • As a service for our patients who are with non-contracted insurance companies, Boulder Medical Center will copy/scan your insurance card and file a one-time courtesy claim with your insurance;
    • Boulder Medical Center is out-of-network for all non-contracted insurances.

Boulder Medical Center (BMC) accepts these Health Insurance Plans

Aetna

  • EPO
  • GEHA
  • HMO
  • Indemnity NAP
  • Meritan
  • NC NAP
  • Open Access
  • POS, POS II
  • PPO, PPO Open Choice
  • QPS
  • Select
  • US Access

Anthem Blue Cross Blue Shield

  • Anthem Ameriben CU Student Insurance
  • Blue Priority/Blue Priority HMO-needs a referral
  • Federal Employee Program
  • HMO/HMO Colorado
  • Indemnity
  • All Pathway products need a referral to be seen
  • PPO
  • Mountain Enhanced —with referral only
  • WellChoice PPO
  • NO CU Exclusive/Exclusive2 HMO plans except for Foothills and Longmont OB
  • NO MediBlue Plus
  • NO MediBlue Dual Advantage HMO/SNP
  • BlueCard out-of-area/state must have a suitcase logo on the identification card, and the back of the card says “File claims to your local BCBS”

Cigna

  • Connect — Not valid for Avista OB services
  • EPO
  • HMO – Card must say “Cigna of Colorado”
  • Indemnity
  • Local Plus/Local Plus IN
  • Network – Card must say “Cigna of Colorado”
  • Open Access Plus (card might say OA plus)
  • POS – Card must say “Cigna of Colorado”
  • PPO
  • Surefit — Not valid for Avista OB services
  • Vantage

Devoted

Cofinity

  • PPO

Devoted Medicare Advantage

First Health Network

Friday Health Plan

  • HMO – Expires August 31, 2023

Medicaid

  • New-to-Medicaid patient by referral only
  • NO out-of-state Medicaid plan is accepted
  • NO Denver Health Medicaid plan
  • NO UHC Community Plan
  • NO CHP+ plans

Medicare

  • Medicare Part B, with or without any Medicare Supplemental Plan

Medicare Advantage

  • Medicare Advantage Devoted Health Plans
  • United Healthcare Medicare Advantage HMO — Patient must have a Boulder Medical Center PCP or medical referral from a non-BMC primary care provider
  • UHC AARP Medicare Advantage HMO/PPO
  • UHC AARP Medicare Advantage Choice PPO
  • UHC AARP Medicare Advantage Passport HMO/PPO
  • UHC AA RP Medicare Advantage Patriot HMO
  • UHC AARP Medicare Advantage SecureHorizons HMO
  • UHC AARP Medicare Advantage Walgreens PPO
  • UHC AARP Medicare Complete Secure Horizons
  • UHC Dual Complete Medicare Advantage Plan
  • UHC PERA Medicare Advantage Plan
  • UHC PPO Medicare Advantage Plans

Non-Contracted Insurance Plans

  • If Boulder Medical Center is not contracted with your insurance company, you will be asked to pay $207 at the time of service. Please note that this is a minimum amount, and additional charges may be incurred for treatments and procedures during your visit. You will be responsible for all charges and billed for any remaining balance;
  • BMC will copy/scan your insurance card to file a one-time-only courtesy claim.

PHCS – Private Health Care Systems

  • PPO
  • Multi-Plan PPO

Select Health (effective 5/1/24)

Tricare (Military Insurance)

  • Prime — Requires a referral
  • Remote — No referral required
  • Select — No referral required

TriWest (VA Benefits)

  • Patients have an Authorization Letter and bring the letter to their appointment.

United Healthcare

  • All Savers
  • Charter— Patient must have a Boulder Medical Center PCP or medical referral from a non-BMC primary care provider
  • Choice, Choice Plus
  • Colorado Doctors Plan
  • Compass — Patient must have a Boulder Medical Center PCP or medical referral from a non-BMC primary care provider
  • NO Community Plan (Medicaid)
  • Expatriate Ins Choice Plus
  • Golden Rule
  • Harvard Pilgrim
  • Heritage-River Valley
  • Indemnity
  • Managed Indemnity
  • Navigate & Navigate IHP — Patient must have a Boulder Medical Center PCP or medical referral from a non-BMC primary care provider
  • Options PPO
  • Oxford
  • PERA
  • Select & Select Plus
  • Sierra Health + Life
  • Shared Services
  • Student Resources
  • Surest (formerly Bind)
  • Travelers
  • UMR
  • United Health One
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