Denver Health Health Insurance Plans in Broomfield, Colorado
- In 2026, 6 carriers, including Denver Health Medical Plan, offer marketplace plans in Broomfield's Rating Area 1.
- Broomfield residents with incomes up to 400% FPL may qualify for significant subsidies on Connect for Health Colorado.
- Colorado's Medicaid program, Health First Colorado, covers adults with income up to 138% FPL.
- Broomfield has a population of 76,304 and an uninsured rate of 4.4%, per U.S. Census Bureau ACS 2024 5-year estimates.
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What Are My Health Insurance Options with Denver Health Medical Plan in Broomfield?
Denver Health Medical Plan offers health insurance coverage primarily through Health Maintenance Organization (HMO) plans on Connect for Health Colorado. These plans emphasize coordinated care, typically requiring you to choose a primary care provider (PCP) within their network. Your PCP then manages your care and provides referrals to specialists if needed. This structure can be a cost-effective choice for many, offering a focused network of providers. Broomfield is part of Colorado Rating Area 1, which also covers Adams, Arapahoe, Denver, Douglas, and Jefferson counties. This means that the plans and carriers available to you are consistent across this multi-county region. When evaluating Denver Health Medical Plan, consider their network of hospitals and clinics, which is centered around the Denver Health system. While Broomfield County is home to Centura Health-st Anthony North Health Campus, it's essential to verify if this or other preferred local facilities are in-network for any specific Denver Health Medical Plan you are considering.Who Qualifies for Financial Assistance in Colorado?
Colorado has expanded its Medicaid program, known as Health First Colorado, making coverage accessible to more residents. Adults with household incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Health First Colorado with little to no cost. For those with incomes above the Medicaid threshold, significant financial assistance is available through Connect for Health Colorado:- Premium Tax Credits (Subsidies): These reduce your monthly premium payments and are available to individuals and families with incomes between 100% and 400% of the FPL. The exact amount depends on your income, household size, and the cost of the benchmark Silver plan in your area.
- Cost-Sharing Reductions (CSRs): These are additional savings on out-of-pocket costs like deductibles, copayments, and coinsurance. CSRs are available to those with incomes between 100% and 250% FPL who enroll in a Silver-tier plan.
Health Insurance Carriers in Broomfield
In 2026, 6 carriers offer marketplace plans in Rating Area 1, which covers Adams, Arapahoe, Broomfield, Denver, Douglas, and Jefferson counties. These carriers provide a range of options for Broomfield residents seeking health coverage through Connect for Health Colorado. The confirmed-local carriers for Broomfield's Rating Area 1 include:- Cigna
- Denver Health Medical Plan
- HMO Colorado
- Kaiser Permanente
- Select Health
- United Healthcare
Understanding Plan Types Available in Broomfield
Connect for Health Colorado offers a variety of plan types to Broomfield residents, allowing you to choose the structure that best fits your healthcare needs and budget. Unlike some states, Colorado's marketplace includes PPO plans, giving consumers more flexibility. The primary plan types available are:- HMO (Health Maintenance Organization): These plans typically have lower monthly premiums and out-of-pocket costs. They require you to choose a primary care provider (PCP) within the network, who then coordinates all your care, including referrals to specialists. Denver Health Medical Plan primarily offers HMOs.
- EPO (Exclusive Provider Organization): EPO plans offer a network of doctors and hospitals you can use without a referral. You generally do not have coverage outside the network, except in an emergency.
- PPO (Preferred Provider Organization): PPO plans offer the most flexibility. You don't need a referral to see a specialist and can see out-of-network providers, though you'll pay more for out-of-network care. PPO plans are available on-exchange in Colorado, offered by carriers like Denver Health Medical Plan and HMO Colorado, among others.
Making an Informed Decision About Your Health Plan
Choosing the right health insurance plan, especially one from a specific carrier like Denver Health Medical Plan, requires careful consideration of your healthcare needs, budget, and preferred providers.Consider the following steps to ensure you select the best plan for you and your family in Broomfield:
- Assess Your Healthcare Needs: Think about your typical medical usage. Do you visit specialists regularly? Do you have ongoing prescriptions? Do you prefer a specific hospital or doctor?
- Review Carrier Networks: If you are considering Denver Health Medical Plan, ensure that their network includes your preferred doctors, specialists, and any hospitals you might use, such as Centura Health-st Anthony North Health Campus, the acute care hospital serving Broomfield County.
- Compare Plan Types and Costs: Look at the balance between premiums, deductibles, copayments, and out-of-pocket maximums across different metal tiers (Bronze, Silver, Gold, Platinum). Remember that Silver plans offer Cost-Sharing Reductions for eligible individuals.
- Check Subsidy Eligibility: Use the Connect for Health Colorado website or consult with a licensed agent to determine if you qualify for Premium Tax Credits or Cost-Sharing Reductions, which can significantly reduce your costs.
- Consider Health First Colorado (Medicaid): If your household income is at or below 138% FPL, explore Health First Colorado for comprehensive, low-cost coverage.
Frequently Asked Questions
What types of health plans does Denver Health Medical Plan offer in Broomfield, Colorado?
Denver Health Medical Plan typically offers HMO (Health Maintenance Organization) plans through Connect for Health Colorado in Broomfield. These plans generally require you to choose a primary care provider (PCP) within their network and get referrals for specialists.
Can I get a PPO plan from Denver Health Medical Plan in Broomfield?
Denver Health Medical Plan primarily offers HMO plans in Broomfield, focusing on coordinated care within their established network. While PPO plans are available on Connect for Health Colorado from other carriers, Denver Health Medical Plan's offerings in Rating Area 1 are generally HMO-based. It's best to verify specific plan types directly on the Connect for Health Colorado marketplace for the latest options.
How do I know if I qualify for subsidies to help pay for a Denver Health Medical Plan?
Eligibility for subsidies, including Premium Tax Credits and Cost-Sharing Reductions, is based on your household income relative to the Federal Poverty Level (FPL). For 2026, individuals and families with incomes between 100% and 400% FPL may qualify for Premium Tax Credits, which can significantly lower your monthly premiums for plans like those from Denver Health Medical Plan on Connect for Health Colorado. Cost-Sharing Reductions are available for those between 100% and 250% FPL who choose a Silver-tier plan.
What hospitals are in the Denver Health Medical Plan network in the Broomfield area?
Denver Health Medical Plan's network is centered around the Denver Health system. While Broomfield County itself has Centura Health-st Anthony North Health Campus, Denver Health Medical Plan's network largely includes Denver Health's main campus and associated clinics. It is crucial to verify if your preferred doctors and any specific hospitals, including Centura Health-st Anthony North Health Campus, are in-network for any Denver Health Medical Plan you consider before enrolling.