Health First Colorado

Medicaid is a federal program that provides health coverage (or health insurance) to children, seniors, pregnant women, individuals living with disabilities, and some adults. Each state has its version of Medicaid. Here in Colorado, the Medicaid program is Health First Colorado. Currently, there are just over 1.5 million residents enrolled.

Qualifying for Medicaid in Colorado

Health First Colorado logo

Applying to the state Medicaid program is easy. You can apply online, in person, by phone, or by mail. They even have an app that makes it easy to see whether or not your coverage is active. Plus, you can use it to update your address, access your member ID card, and call the nurse advice line or crisis line.

To qualify for the state's Medicaid program, you must be a resident of the state and either a citizen, permanent resident, or legal alien. You also must be considered low-income.

You also need to fall under one of the following categories:

  • Pregnant
  • Blind
  • Age 65 or older
  • Be responsible for a child aged 18 or younger
  • Either you or someone in your household has a disability

To apply, you will need to provide proof of your age, citizenship or residency status, and proof of income (and partner's income if you have one).

Approximate Monthly Income to Qualify 

Medicaid income chart

We Understand

Sometimes people on Medicaid may be stigmatized or treated unjustly because of their financial situation. You will experience none of that with Care On Location. Our providers genuinely care for our patients, no matter their income, religious beliefs, sexuality, gender, or where they live.

What Does Medicaid Cover?

Colorado Medicaid covers many of the usual health services a person may need. Coverage includes:

  • In-patient/out-patient hospitalizations
  • Family planning
  • Transportation to medical services
  • Physician services
  • Immunizations
  • Behavioral and mental health services (this includes substance abuse services)

Seniors can receive long-term care while enrolled in Medicaid. This care can either be in their home, an assisted living facility or a nursing home and has its own set of income and asset limits for eligibility.

Medicaid also provides dental benefits for those enrolled. There’s a children's plan covering those 20 and younger, and the adult plan covers all those 21 and older.

The children's plan includes:

  • Exams, cleanings, x-rays, fluoride treatments
  • Restorative procedures such as fillings, crowns, root canals
  • Orthodontics such as braces

The adult's benefits cover:

  • Annual dental exams and cleanings
  • Extractions
  • Crowns
  • Dentures
  • Periodontal scaling
  • Restorative and diagnostic services such as fillings and x-rays
  • Root canals

Vision is covered for children and adults. For children, it covers eye exams and standard eyeglasses. For adults, it covers an annual eye exam.

What to Know About Medicaid

One of the most important things to know about Medicaid is that not every provider accepts it. It can be challenging for many people who use Medicaid to find a provider who will take it. That's why we accept Medicaid: We want to make it as easy as possible for those who need it to access health care.

Medicaid programs recognize telehealth's value, particularly for those who live far from providers. There is no copay for either children or adults for telehealth services and no limits on how many telehealth visits you can have.

Here are a few other things you may not know about Medicaid:

  • Unlike most health insurances, you can enroll any time of the year.
  • There is no enrollment fee.
  • There is no monthly premium and no deductibles.
  • There might be some small copays with some services, but not all.
  • For those who don't speak English as a first language, it's important to know that Medicaid does not include translators for doctor visits.
  • In Colorado, the law states that after the death of someone who has received medical assistance, certain assets of theirs can be used to repay the state.

What if I Don’t Qualify for Medicaid but Still Can’t Afford Health Insurance?

Many people fall into the gap where they make too much to qualify for Medicaid but still can't afford health insurance. If this is you, there are still more options.

Child Health Plan Plus (CHP+) is considered low-cost insurance for children and pregnant women.

Connect for Health Colorado helps provide financial help to lower the cost of private health insurance. The financial aid you can receive depends on the cost of premiums where you live, your estimated yearly income, and how many people live in your house.

What’s the Difference Between Medicaid and Medicare?

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Medicaid is available to people of all ages who are considered low-income or meet other requirements. The federal program is administered by the state government.

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Medicare is for those aged 65 and older. There are no income requirements to enroll in Medicare. The federal program is administered by the federal government.

Care On Location Knows Medicaid

Get gender affirming care telehealth colorado

Care On Location was created specifically for people who qualify for Medicaid. We recognize that it can be challenging for many people on Medicaid to find a provider who will take this insurance. It's also particularly hard for those who live in rural areas where access to healthcare is limited or those with mobility issues. That’s precisely why we provide telehealth over in-office visits and accept Medicaid.

Our medical providers, all of whom have lived and worked in Colorado, know the state's Medicaid system well. This is one of the benefits of receiving our care. Suppose, during a visit, it is determined that you need follow-up care or other services. In that case, we can easily connect you to another provider or facility that we know accepts Medicaid.

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