HMO Colorado

PW_AD092390
Please Note: Only employees and eligible dependents with effective dates prior to 7/1/2010 may elect to continue this coverage. 
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. *This plan is available to Colorado residents only (see Service Area Eligibility below).  
Find a Doctor
Formulary
Lista de Medicamentos
Formulary Search
Mail Order Prescriptions
2011 Health Plan Description Form
2011 Vision Benefit Booklet
2011 Medical Benefit Booklet
2010 Medical Plan Booklet (August revision)
2010 Health Plan Description Form
2010 Vision Benefits
2010 Vision Health plan Description Form
Pre-Certification/Authorization List
Continuity of Care Form
Coverage While Traveling
RX Edits and Prior Authorizations

Rx Edit - Prior Authorization

Rx Edit - Quantity Limits

Rx Edit - Step Therapy

Rx Edit - Dose Optimization

 
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.  
Zip Codes where HMO Colorado is not available
 

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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use