The financial help you can get to lower your out-of-pocket costs are healthcare discounts called Cost-Sharing Reductions. Connect for Health Colorado is the only place you can apply for financial help to lower the cost of private health insurance.
Healthcare discounts apply to your deductible, copays and medications
If you do qualify for lower out-of-pocket costs AND you enroll in a Silver plan, healthcare discounts are applied automatically when you go to the doctor or fill a prescription. You will also have a lower out-of-pocket maximum—the total amount you’d have to pay for covered medical services per year.
Healthcare discounts will lower your:
- Out-of-pocket maximum
- Copays for seeing a doctor
- Copays for drugs
- Coinsurance for hospitalization
See if you may qualify for healthcare discounts—more detail:
|If you are a family of||With this income range, you may qualify for BOTH healthcare discounts and lower monthly premiums|
|1||$16,972 – 31,900|
|2||$22,930 – 43,100|
|3||$28,889 – 54,300|
|4||$34,847 – 65,500|
|5||$40,805 – 76,700|
|6||$46,764 – 87,900|
If your income is not in the range to qualify for lower out-of-pocket costs, Gold and Bronze plans will likely be more affordable options than a Silver plan.
Example: How healthcare discounts save you money when you use your plan
Healthcare discounts only apply to Silver plans sold through Connect for Health Colorado. While a Bronze plan may have cheaper premiums, that plan has the highest cost when you go to the doctor or hospital. Below is an example of how much you might expect to pay for a broken bone if you are enrolled in a Bronze plan or a Silver plan with healthcare discounts.
(In-network emergency room visit and follow up care)
|Total Estimated Cost for a Broken Bone||$1,810||$780|
|Specialist Cost Sharing||40%||30%|
* This chart is for example purposes only and it is not an accurate representation of what every consumer can expect to pay. You must qualify for Cost-Sharing Reductions and purchase a Silver plan to receive these discounts.
If your income changes, report the change to see if you qualify for health care discounts
Always report changes in your income and family size to Connect for Health Colorado when they happen. The level of financial help you can get might qualify you for a special enrollment period to switch into a Silver plan with healthcare discounts.
Consider a Silver plan if your Health First Colorado (Medicaid) coverage recently ended
People who have lost coverage through Health First Colorado often qualify for plans that include health care discounts. Apply through Connect for Health Colorado within 60 days of losing your Health First Colorado (Medicaid) coverage to take advantage of the monthly and out-of-pocket savings on your healthcare.