Colorado UnitedHealthcare Exchange Plans
Effective January 1, 2021, UnitedHealthcare will be expanding options for members in to purchase health insurance using a Health Insurance Marketplace, otherwise known as an Exchange. These new plans will be offered on the Individual Marketplace where individuals and families can shop for a health plan and apply for federal subsidies.
In Colorado, new Exchange plans will be offered using the Colorado Doctors Plan network. Plans will be known as Colorado Doctors Plan Gold, Colorado Doctors Plan Silver and Colorado Doctors Plan Bronze. These plans:
- Are specifically designed for Exchanges.
- Utilize a customized network with an Accountable Care group of providers.
- Require the member to be assigned a PCP to manage their health care needs.
- Require prior authorization and notifications.
To see full plan details please visit https://www.rmhp.org/family-individual-health-insurance/healthcare-plans/front-range-plans-from-rmhp.
Out of Network / Out of Area Benefit Coverage
It is important to note that Exchange members have NO OUT-OF-NETWORK or OUT-OF-AREA benefit coverage, except for emergency services and related admissions, unless specifically approved by Rocky Mountain Health Plans, a UnitedHealthcare Company. Members must receive eligible services at participating provider locations within the service area if they are to be considered as covered.