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. Due to the American Rescue Plan, Coloradans are now eligible for more savings than ever before.
Consider a Silver plan if your Health First Colorado (Medicaid) coverage recently ended or your income is over the limit to qualify
Connect for Health Colorado launched a new state-funded program recently to provide even more healthcare savings to people shopping on the Marketplace for 2022 whose income is just over the limit to receive Health First Colorado (Medicaid) and who enroll in a Silver-level plan.
If you’re eligible for this program, all you need to do to get the higher level of benefits is apply through Connect for Health Colorado and enroll in a Silver-level plan. You will see those extra savings automatically applied to Silver-level plans when you are shopping.
If you’ve lost coverage through Health First Colorado, apply through Connect for Health Colorado within 60 days of losing your coverage to take advantage of the monthly and out-of-pocket savings on your healthcare.
Healthcare discounts will lower your:
- Out-of-pocket maximum
- Copays for seeing a doctor
- Copays for prescriptions
- Coinsurance for hospitalization
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, so we can adjust the amount of savings you’re receiving to pay for health insurance. If we determine that you qualify for health care discounts after you update your account, you will have a Special Enrollment Period, during which you can switch into a Silver plan to take advantage of the healthcare discounts.
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||$18,075 – 33,975|
|2||$24,352 – 45,775|
|3||$30,630 – 57,575|
|4||$36,908 – 69,375|
|5||$43,185 – 81,175|
|6||$49,463 – 92,975|
If your income is not in the range to qualify for lower out-of-pocket costs, Gold and Bronze plans may 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.