Engaging patients in high-quality, compassionate health care

Contracted Insurance List

About contracted insurance plans

    • As a patient, you are responsible for knowing if Boulder Medical Center 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 $205 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 one-time courtesy claim with your insurance;
    • Boulder Medical Center is out-of-network for all non-contracted insurances.

Boulder Medical Center accepts these Health Insurance Plans

AETNA

  • EPO
  • GEHA
  • HMO
  • Indemnity NAP
  • 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
  • Federal Employee Program
  • HMO/HMO Colorado
  • Indemnity
  • Pathway/Pathway Essentials/Pathway Network
  • Pathway PPO/EPO
  • PERA
  • PPO
  • Mountain Enhanced-with referral only
  • WellChoice PPO
  • CU Exclusive/Exclusive2 HMO plans are only accepted for Foothills and Longmont OB/GYN departments
  • NO MediBlue Plus
  • NO MediBlue Dual Advantage HMO/SNP
  • BlueCard-out of area/state must have the suitcase logo on their id card and the back of card says to “File claims to your local BCBS”

BRIGHT HEALTH INSURANCE-CENTURA HEALTH NETWORK

  • Patients should call the insurance to find out if the doctor/provider is “in network”

CIGNA

  • Connect
  • 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
  • Vantage

COFINITY

  • PPO

FRIDAY HEALTH PLAN

  • HMO

MEDICAID

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

MEDICARE

  • Medicare Part B – Boulder Medical Center accepts patients whose Medicare Part B benefits are administered by Novitas for the Federal Government; with or without any type of Medicare Supplemental or Medigap plan.

MEDICARE ADVANTAGE

  • United HealthCare AARP Medicare SecureHorizons HMO/PPO-see United Healthcare for more plan names
  • Anthem BCBS Medicare Advantage PERA ONLY

PHCS – PRIVATE HEALTH CARE SYSTEMS

  • PPO
  • Multi-Plan PPO

TRICARE

  • Prime – referral required
  • Remote – referral NOT required
  • Select – referral NOT required

TRIWEST (VA Benefits)

  • Must have an Authorization Letter and bring the letter to your appointment.

UNITED HEALTHCARE

  • AARP Medicare Advantage HMO/PPO
  • AARP Medicare Advantage Choice PPO
  • AARP Medicare Advantage Passport HMO/PPO
  • AARP Medicare Advantage Patriot HMO
  • AARP Medicare Advantage SecureHorizons HMO
  • AARP Medicare Advantage Walgreens PPO
  • AARP Medicare Complete Secure Horizons
  • All Savers
  • Bind
  • Charter— need Boulder Medical Center PCP or referral from outside PCP
  • Choice, Choice Plus
  • Colorado Doctors Plan
  • Compass— need Boulder Medical Center PCP or referral from outside PCP
  • Boulder Medical Center does not accept the Community Plan (this is a Medicaid plan)
  • Expatriate Ins Choice Plus
  • Golden Rule
  • Harvard Pilgrim
  • Heritage-River Valley
  • Indemnity
  • Managed Indemnity
  • Medica
  • Medicare Advantage/Community Plan/Solutions—-HMO/PPO/Dual Complete/SNP-Card must say one of these in the lower right-hand corner on the front of the card.
  • Navigate & Navigate IHP — need Boulder Medical Center PCP or referral from outside PCP
  • Options PPO
  • Oxford
  • Rocky Mountain Health Plans
  • Select & Select Plus
  • Sierra Health + Life
  • Shared Services
  • Student Resources
  • Travelers
  • UMR
  • United Health One

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