Can I get Denver Health Medical Plan in Basalt?

Yes, Denver Health Medical Plan is one of 6 carriers offering health insurance plans on Connect for Health Colorado in Rating Area 7, which includes Basalt and the wider Eagle County, for the 2026 plan year. You can compare their plans with other local carriers during Open Enrollment or a Special Enrollment Period.

What types of health insurance plans are available in Basalt, Colorado?

In Basalt, Colorado, marketplace shoppers can choose from HMO, EPO, and PPO plans. PPO plans are available on-exchange in Colorado, offered by carriers like Denver Health Medical Plan and HMO Colorado, providing more flexibility in provider choice compared to HMOs or EPOs.

What are the income limits for Medicaid (Health First Colorado) in Basalt?

Colorado expanded Medicaid, known as Health First Colorado, in 2014. Adults in Basalt with household income up to 138% of the Federal Poverty Level (FPL) may qualify for Medicaid at little to no cost. For a single individual, this threshold is approximately $20,782 per year for 2026. Higher thresholds apply for pregnant women (up to 195% FPL via CHP+) and children (up to 260% FPL via CHP+).

Denver Health Health Insurance Plans in Basalt, CO

Updated July 2026 · ColoradoPlanFinder.com — Licensed Health Insurance Producer (NPN #21249133)

Denver Health Medical Plan is one of 6 health insurance carriers offering plans in Basalt's Rating Area 7 for 2026.
Basalt residents can choose from HMO, EPO, and PPO plans on Connect for Health Colorado, with PPO options available.
Subsidies are available for individuals and families in Basalt with incomes between 100% and 400% FPL, reducing monthly premiums.
Medicaid (Health First Colorado) covers adults in Basalt with incomes up to 138% FPL, and pregnant women up to 195% FPL via CHP+.

Navigating health insurance options in Basalt, Colorado, involves understanding the plans available through Connect for Health Colorado, the state's official marketplace. For 2026, residents of Basalt, located in Eagle County, have access to a variety of health plans, including those offered by Denver Health Medical Plan. Colorado's marketplace offers choices across HMO, EPO, and PPO plan structures, allowing individuals and families to select coverage that best fits their healthcare needs and budget. Eligibility for financial assistance, such as premium tax credits and cost-sharing reductions, can significantly lower the cost of coverage for many households.

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What Health Insurance Options Does Denver Health Medical Plan Offer in Basalt?

Denver Health Medical Plan is a confirmed carrier participating in Colorado's health insurance marketplace for Basalt and the surrounding Rating Area 7. This means Basalt residents can explore Denver Health Medical Plan's offerings alongside other local carriers when shopping for coverage. Denver Health Medical Plan, like other carriers in Colorado, offers a range of plan types, including PPOs, which provide more flexibility in choosing healthcare providers compared to HMOs or EPOs. When reviewing Denver Health Medical Plan's options, consider factors like monthly premiums, deductibles, out-of-pocket maximums, and their network of doctors and hospitals to ensure it aligns with your specific healthcare needs.

How Do Subsidies and Medicaid Work in Basalt, Colorado?

Many Basalt residents qualify for financial assistance to make health insurance more affordable. This assistance is primarily available through Connect for Health Colorado.

Premium Tax Credits and Cost-Sharing Reductions

Premium tax credits (subsidies) can lower your monthly health insurance premiums. Eligibility is based on household income and family size, generally for incomes between 100% and 400% of the Federal Poverty Level (FPL). Cost-sharing reductions (CSRs) further reduce out-of-pocket costs like deductibles, copayments, and coinsurance for those with incomes up to 250% FPL, provided they choose a Silver-tier plan.

Health First Colorado (Medicaid) and CHP+

Colorado expanded Medicaid in 2014, known locally as Health First Colorado. Adults in Basalt with household incomes up to 138% FPL may qualify for this low-cost or no-cost health coverage. For pregnant women, Colorado's Child Health Plan Plus (CHP+) covers those with incomes up to 195% FPL, offering comprehensive prenatal, delivery, and postpartum care. Children in households up to 260% FPL can also qualify for CHP+. Applications for these programs can be submitted through Colorado PEAK at colorado.gov/PEAK.

Health Insurance Carriers in Basalt

In 2026, 6 carriers offer marketplace plans in Rating Area 7, which covers Eagle, Grand, Jackson, Routt, and Summit counties, including Basalt. This provides a robust selection for residents seeking coverage through Connect for Health Colorado. The confirmed carriers for this rating area are:

Cigna
Denver Health Medical Plan
HMO Colorado
Kaiser Permanente
Select Health
United Healthcare

When comparing plans from these carriers, it's important to verify network doctors and hospitals, especially considering Basalt's local healthcare facilities. For example, Vail Health Hospital, the acute care hospital in Eagle County, may be in-network with some carriers but not others.

Understanding Your Healthcare Landscape in Basalt

Basalt, Colorado, with a population of 4,335 and a median age of 41.2 years, is part of Eagle County. The uninsured rate in Basalt stands at 7.5%, per U.S. Census Bureau ACS 2024 5-year estimates. Eagle County, with a population of 55,135 and an uninsured rate of 10.9%, relies on facilities like Vail Health Hospital in Vail for acute care. This local context is important when selecting a health plan, as residents will want to ensure their chosen carrier provides access to necessary medical services within a reasonable distance. Considering the specific demographics and healthcare infrastructure of Basalt and Eagle County helps in making an informed decision about health insurance coverage.

Choosing the Right Health Plan in Basalt

Selecting a health plan involves evaluating your specific needs, budget, and access to care. Consider the following steps:

Assess Your Budget: Determine how much you can comfortably afford for monthly premiums and potential out-of-pocket costs.
Estimate Healthcare Needs: If you anticipate frequent doctor visits, specific medications, or upcoming procedures, a plan with a lower deductible and higher premium might be more cost-effective. If you expect minimal healthcare use, a high-deductible plan with a lower premium could be suitable.
Check Provider Networks: Ensure your preferred doctors, specialists, and local hospitals (like Vail Health Hospital) are in-network with the plans you are considering.
Compare Plan Types: Decide if an HMO, EPO, or PPO best fits your preference for provider flexibility and referral requirements. PPO plans are available on-exchange in Colorado, offering more choice than in some other states.
Utilize Subsidies: If your income qualifies, apply for premium tax credits and cost-sharing reductions through Connect for Health Colorado to significantly reduce your costs.

A licensed health insurance producer can help you compare plans from Denver Health Medical Plan and other carriers, understand your subsidy eligibility, and enroll in the best option for you and your family at no additional cost.

Frequently Asked Questions

Can I get a PPO plan on the Colorado marketplace in Basalt?

Yes, PPO plans are available on-exchange through Connect for Health Colorado in Basalt. Carriers like Denver Health Medical Plan and HMO Colorado offer PPO options, which typically provide more flexibility in choosing healthcare providers compared to HMO or EPO plans, often without needing a primary care physician referral to see specialists.

What is Connect for Health Colorado?

Connect for Health Colorado is the official state-based health insurance marketplace for Colorado. It's where individuals, families, and small businesses in Basalt can compare health plans, determine their eligibility for financial assistance, and enroll in coverage. It serves as the primary platform for accessing Affordable Care Act (ACA) compliant plans in the state.

When can I enroll in a health insurance plan in Basalt?

The primary time to enroll is during the annual Open Enrollment Period, which typically runs from November 1st to January 15th each year for coverage starting the following year. Outside of this period, you may qualify for a Special Enrollment Period (SEP) if you experience a qualifying life event, such as marriage, birth of a child, loss of other coverage, or moving to a new service area.