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HIV and Enteropathy
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Colorado State Insurance Exchange
Exchange:
The Colorado Insurance Exchange (Marketplace) is called Connect for Health Colorado, Colorado Health Insurance Exchange. Connect for Health Colorado is administered by the State of Colorado.
General information about Connect for Health Colorado can be found at: http://connectforhealthco.com/.
Learn more: Background

Patients:
Connect for Health Colorado is essentially a marketplace for individuals and small businesses with up to 100 employees to shop for health insurance if they do not already have insurance coverage from another source. If they have insurance from another source (such as employment, retirement benefits, or spousal benefits), they do not need to obtain it from the Marketplace.
 
 
HIV Providers:
Providers must contract with each of the plans in the marketplace individually in order to fully participate in the Connect for Health Colorado.
 
This process is similar to enrolling in insurance or managed care organization provider networks. See below for a list of insurers participating in the state marketplace, and information on contacting them.
As an HIV provider, you may qualify for the designation, of an “Essential Community Provider (ECP).” The Qualified Health Plans participating in the Insurance Exchange (Marketplace) are required to contract with a minimum number of ECPs and Specialists to ensure network adequacy.
 
Visit our Provider Resources Section for more specific instructions to assist you in contacting health plans.
 
Reporting Problems:
 
The state office of insurance is primarily responsible for examining and addressing issues with the plans offered within the state Exchange (Marketplace), and the companies that offer them. If you are experiencing problems as a medical provider with the plans or companies in the state exchange, or if your patients are experiencing problems with the plans or companies in the state exchange, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state office of insurance: 
 
Department of Regulatory Agencies
Division of Insurance
1560 Broadway, Suite 850
Denver, CO 80202
303-894-7455

www.dora.colorado.gov/insurance
Complaints: cdn.colorado.gov/cs/Satellite/DORA/CBON/DORA/1251627009957
 
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies. 
 
 
Qualified Health Plans Participating In the Exchange:
Below is a list of the Qualified Health Plans that have publicly announced that they will offer plans in Connect for Health Colorado.
This list is being routinely updated, and may change as insurers join or leave the Exchange. Please check back for updates.
Cigna Health and Life Insurance Company
 
Colorado Choice Health Plans
Plan Website: http://cochoice.com/
Provider Enrollment: http://cochoice.com/providers/
 
Colorado Health Insurance Cooperative
 
Denver Health Medical Plan
 
HMO Colorado, Inc.- Anthem
 
Humana Health Plan
 
Humana Insurance Company
 
Kaiser Foundation of Colorado 
Provider Enrollment: Not available
 
Kaiser Permanente Insurance Company
Provider Enrollment: Not available
 
New Health Ventures- Colorado Access
 
Rocky Mountain Health Care Options
Plan Website: http://www.rmhp.org/
 
Rocky Mountain HMO
Plan Website: http://www.rmhp.org/
 
Rocky Mountain Hospital and Medical Service- Anthem
 
SeeChange Health Insurance
 
Time Insurance Company
Provider Enrollment: Not available
 
United Healthcare Insurance Company
Plan Website: http://www.uhc.com/
 
United Healthcare of Colorado
Plan Website: http://www.uhc.com/
 
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