Engaging patients in high-quality, compassionate health care

Important information regarding contracted insurance plans at Boulder Medical Center

  • 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.

Boulder Medical Center accepts the following Health Insurance (effective January 1, 2019):

AETNA

  • Ameriben- CU Student Insurance—patient needs a referral from Wardenburg
  • EPO
  • HMO
  • Indemnity NAP
  • NAP
  • Open Access
  • POS, POS II
  • PPO, PPO Open Choice
  • QPS
  • Select
  • US Access

ANTHEM / BLUE CROSS BLUE SHIELD

  • 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
  • NO CU Exclusive/Exclusive2 HMO plans
  • NO MediBlue Plus
  • NO MediBlue Dual Advantage HMO/SNP
  • BlueCard out-of-area/state must have the suitcase logo on your ID card and the back of card says “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

 HUMANA

  • Choice Care PPO
  • HMO Select
  • HMO Premier
  • HMO X  –  All services must be authorized by the Primary Care Physician (PCP) listed on your insurance card
  • Humana Gold Medicare Advantage Plan
  • Humana One
  • National POS Open Access (NPOS)

MEDICAID

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

MEDICARE 

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

MEDICARE ADVANTAGE

  • Humana Gold Medicare Advantage Plan
  • United HealthCare AARP Medicare Complete Secure Horizons
  • PERA

NON-CONTRACTED INSURANCES
Patient will be asked to pay $185 at time of service. You are responsible for all charges and will be billed for any remaining balance. Boulder Medical Center will copy/scan your insurance card to file a one-time only courtesy claim for you.

 PHCS – PRIVATE HEALTH CARE SYSTEMS

  • PPO
  • Multi-Plan PPO

ROCKY MOUNTAIN HEALTH PLANS

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

UNITED HEALTHCARE

  • AARP Medicare Complete Secure Horizons
  • All Savers
  • Charter— need a Boulder Medical Center primary care provider (PCP) or referral from outside PCP
  • Choice, Choice Plus
  • Colorado Doctors Plan
  • Compass— need Boulder Medical Center PCP or referral from outside PCP
  • 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
  • Student Resources

UMR

  • United Health One
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