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
    • 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 X/Pathway Network
    • PERA
    • PPO
    • Mountain Enhanced-with referral only
    • WellChoice PPO
    • We do NOT accept CU Exclusive/Exclusive2 HMO; MediBlue Plus; MediBlue Dual Advantage HMO/SNP.
    • BlueCard:  Out-of-area/state must have the suitcase logo on ID card and the back of card says to “File claims to your local BCBS.”

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

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 – BMC accepts patients whose Medicare Part B benefits are administered by Novitas for the U.S. Federal Government; with or without any type of Medicare Supplemental or Medigap plan

Medicare Advantage

    • UnitedHealthCare AARP Medicare SecureHorizons HMO/PPO
    • Anthem BCBS Medicare Advantage PERA only

PHCS — Private Healthcare Systems Care

    • PPO
    • Multi-plan PPO

Rocky Mountain Health Plans

    • HMO  –  Patient must confirm with insurance that Boulder Medical Center is in-network.
    • PPO

TRICARE

TriWest

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

UnitedHealthcare

    • AARP Medicare Advantage SecureHorizons HMO
    • AARP Medicare Advantage Walgreens  (Local PPO)
    • AARP Medicare Complete Secure Horizons
    • All Savers
    • Bind
    • Charter— need a Boulder Medical Center primary care provider or referral from outside PCP
    • Choice, Choice Plus
    • Colorado Doctors Plan
    • Compass— need Boulder Medical Center PCP or referral from outside PCP
    • Community Plan-NO-Medicaid plan
    • Expatriate Ins Choice Plus
    • GEHA
    • Golden Rule
    • Harvard Pilgrim
    • Heritage-River Valley
    • Indemnity
    • Managed Indemnity
    • Medica
    • Medicare Advantage HMO/PPO/Dual/SNP
    • Navigate & Navigate IHP — need Boulder Medical Center PCP or referral from outside PCP
    • Options PPO
    • Oxford
    • Select & Select Plus
    • Sierra Health + Life
    • Shared Services
    • Student Resources
    • Travelers
    • UMR
    • United Health One
    • Wells Fargo
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