Health Insurance in Englewood, Colorado
- Englewood residents are part of Colorado Rating Area 1, which covers Adams, Arapahoe, Broomfield, Denver, Douglas, and Jefferson counties.
- In 2026, 6 health insurance carriers offer marketplace plans in Rating Area 1, including Cigna and Kaiser Permanente.
- Colorado's Medicaid program, Health First Colorado, covers adults with incomes up to 138% of the Federal Poverty Level.
- PPO plans are available on-exchange through Connect for Health Colorado, alongside HMO and EPO options.
- Englewood's uninsured rate is 8.4%, slightly lower than Arapahoe County's 9.3%, per U.S. Census Bureau ACS 2024 5-year estimates.
Finding the right health insurance in Englewood, Colorado, is streamlined through Connect for Health Colorado, the state's official health insurance marketplace. Residents of Englewood, which is located in Arapahoe County, have access to a variety of plans and potential financial assistance to make coverage more affordable. Colorado is a Medicaid expansion state, meaning many individuals and families with lower incomes may qualify for Health First Colorado, the state's Medicaid program, at little to no cost. For those above Medicaid thresholds, subsidies are available on the marketplace to help reduce monthly premiums and out-of-pocket expenses. Understanding your options, from plan types like HMO, EPO, and PPO to local carriers and enrollment periods, is key to securing comprehensive coverage.
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What ACA Plans Are Available in Englewood, Colorado?
Englewood residents purchasing health insurance through Connect for Health Colorado can choose from a range of plan types and metal tiers. Unlike some states, Colorado's marketplace offers Health Maintenance Organization (HMO), Exclusive Provider Organization (EPO), and Preferred Provider Organization (PPO) plans. This means you have flexibility in how your plan manages network access and referrals.
- HMO Plans: Typically require you to choose a primary care provider (PCP) within the network and get referrals for specialists.
- EPO Plans: Offer a network of doctors and hospitals, but generally do not require a PCP referral for specialists. Out-of-network care is usually not covered, except in emergencies.
- PPO Plans: Provide the most flexibility, allowing you to see any doctor or specialist without a referral, both in-network and out-of-network (though out-of-network care typically costs more). PPO plans are offered on-exchange in Colorado by carriers such as Denver Health Medical Plan and HMO Colorado, among others.
Plans are categorized into metal tiers: Bronze, Silver, Gold, and Platinum. Bronze plans have the lowest premiums but highest out-of-pocket costs, while Platinum plans have the highest premiums but lowest out-of-pocket costs. Silver plans are unique because they are eligible for Cost-Sharing Reductions (CSRs) for those who qualify, which further reduces deductibles, copayments, and out-of-pocket maximums.
Understanding Medicaid and CHIP Eligibility in Colorado
Colorado expanded its Medicaid program in 2014, known as Health First Colorado, offering crucial support for low-income residents in Englewood and across the state. Adults with incomes up to 138% of the Federal Poverty Level (FPL) may qualify for Health First Colorado, providing comprehensive health coverage at little to no cost. This expansion ensures that more Coloradans have access to essential healthcare services without falling into a coverage gap.
For pregnant women and children, Colorado also offers the Child Health Plan Plus (CHP+). Pregnant women with household incomes up to 195% FPL can receive comprehensive prenatal, delivery, and postpartum care through CHP+. Children in families with incomes up to 260% FPL are eligible for CHP+. Applications for both Health First Colorado and CHP+ can be submitted through Colorado PEAK at colorado.gov/PEAK.
Health Insurance Carriers in Englewood
Englewood is located in Colorado Rating Area 1. In 2026, 6 health insurance carriers offer marketplace plans in Rating Area 1, providing Englewood residents with diverse choices. These carriers include:
- Cigna
- Denver Health Medical Plan
- HMO Colorado
- Kaiser Permanente
- Select Health
- United Healthcare
When selecting a plan, it is important to review each carrier's specific network to ensure your preferred doctors and hospitals are included. Connect for Health Colorado allows you to compare plans side-by-side, considering factors like premiums, deductibles, copayments, and covered services.
Englewood's Healthcare Landscape and Demographics
Englewood, located in Arapahoe County, is part of Colorado Rating Area 1, which covers Adams, Arapahoe, Broomfield, Denver, Douglas, and Jefferson counties. With a population of 34,129 and an uninsured rate of 8.4% (per U.S. Census Bureau ACS 2024 5-year estimates), Englewood residents have access to acute care facilities like Hca-healthone DBA Swedish Medical Center within Arapahoe County. The broader Arapahoe County, with a population of 659,844 and an uninsured rate of 9.3%, also hosts The Medical Center of Aurora & South Hospital in Aurora and Adventhealth Littleton in Littleton, ensuring a robust healthcare infrastructure for the region.
The median household income in Englewood is $86,800, with a poverty rate of 7.7%, according to U.S. Census Bureau ACS 2024 5-year estimates. These demographic factors influence the type of financial assistance residents may qualify for when seeking health insurance coverage.
Making Your Health Plan Decision in Englewood
Choosing the best health insurance plan in Englewood depends on your unique financial situation, health needs, and preferences. Here’s a guide to help you navigate your options:
- If your income is at or below 138% FPL: You likely qualify for Health First Colorado (Medicaid). Apply through Colorado PEAK for comprehensive, low-cost coverage.
- If your income is between 100% and 400% FPL: You are likely eligible for Advance Premium Tax Credits (APTCs) to lower your monthly premiums on Connect for Health Colorado. If your income is closer to the lower end of this range, you may also qualify for Cost-Sharing Reductions (CSRs) on Silver plans, which significantly reduce your out-of-pocket costs.
- If your income is above 400% FPL: You can still purchase a plan through Connect for Health Colorado at full price, or explore off-marketplace options directly from carriers.
Consider your expected healthcare usage. If you anticipate frequent doctor visits or have chronic conditions, a Gold or Platinum plan with higher premiums but lower out-of-pocket costs might be more economical. If you are generally healthy and primarily want coverage for emergencies, a Bronze plan might suffice. A licensed health insurance producer can provide personalized guidance, helping you compare plans, understand subsidies, and enroll in the best option for your needs—at no additional cost to you.
Frequently Asked Questions
How can I find affordable health insurance in Englewood, Colorado?
Englewood residents can find affordable health insurance through Connect for Health Colorado, the state's official marketplace. Depending on your income, you may qualify for subsidies (Advance Premium Tax Credits) to lower your monthly premiums, or Cost-Sharing Reductions to reduce out-of-pocket costs. Additionally, individuals and families with lower incomes may qualify for Health First Colorado (Medicaid).
What are the income limits for Health First Colorado (Medicaid) in Englewood?
Colorado expanded Medicaid in 2014, meaning adults in Englewood may qualify for Health First Colorado if their income is up to 138% of the Federal Poverty Level. For pregnant women, Colorado's Child Health Plan Plus (CHP+) covers those with incomes up to 195% FPL, and children in households up to 260% FPL may qualify for CHP+.
Are PPO plans available on the health insurance marketplace in Englewood, Colorado?
Yes, PPO plans are available on-exchange through Connect for Health Colorado for Englewood residents. Unlike some other states, Colorado offers a choice of HMO, EPO, and PPO plan structures on its state-based marketplace, provided by carriers such as Denver Health Medical Plan and HMO Colorado, among others.
Which hospitals serve Englewood and Arapahoe County?
Englewood residents have access to several acute care hospitals within Arapahoe County. These include Hca-healthone DBA Swedish Medical Center in Englewood, The Medical Center of Aurora & South Hospital in Aurora, and Adventhealth Littleton in Littleton. These facilities provide comprehensive medical services to the region.