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HMO Colorado
PW_AD092390
HMO Colorado is an open access HMO, meaning you do NOT need to get a referral to seek specialty care. HMO Colorado offers in-network coverage only, except in cases of an emergency. The Prescription Drug Formulary for HMO Colorado is limited to Tiers 1 (Generic) and 2 (Brand Name Formulary). Medications listed as Non-Formulary are NOT covered. Certain medications will require prior authorization. You can request mail order drugs through Anthem’s Pharmacy Benefit Manager (WellPoint NextRx) at 1-800-962-8192. *This plan is available to Colorado residents only (see Service Area Eligibility below).
Service Area Eligibility
HMO Colorado is available statewide to employees residing OUTSIDE Adams, Arapahoe, Broomfield, Denver, Douglas, and Jefferson counties, which are identified by specific ZIP code areas. To determine eligibility for this plan, employees need to check the link below.
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