Holly, Jolly Health Wonk Holiday edition of the Health Wonk Review

Now that you’re (hopefully) finished enrolling in your 2019 health insurance plan, head on over to Health System Ed. The Holly, Jolly Health Wonk Holiday edition of the Health Wonk Review will keep you informed of upcoming changes.

How to calculate ACA MAGI or “household income” for subsidies

We talk a lot around here about the subsidies provided by the ACA.  In Colorado, people with household incomes up to 138% of poverty (133% plus the built-in 5% income disregard) are eligible for Medicaid.  If your household income is between 138% and 400% of poverty, you most likely qualify for a subsidy to help […]

HSA Contribution Limits for 2019 Have Been Increased By the IRS

The IRS published Revenue Procedure 2018-30 last week, most importantly specifying the HSA contribution limits for 2019. In addition, the minimum deductibles for HDHP’s remained unchanged. However, the maximum out-of-pocket exposure on HSA-qualified plans increased.  HSA contribution limits for 2019 For individual coverage under an HSA-qualified plan, the limit is $3,500, which is up from $3,450 in 2018. For family coverage […]

2018 Colorado Individual/Family Market Specialist Maps

Last week, I shared charts showing how many total providers are in each individual market insurer’s network, and compared that with total enrollment for each insurer. But the total number of providers doesn’t tell the whole story. Network adequacy issues still arise for specific consumers when an insurance plan might have many primary care providers, but […]

2018 Colorado Individual Market Enrollment and Total Medical Providers

2018 Connect for Health Colorado Individual Market Enrollment

2018 Essential Community Provider Maps

Network coverage is an important part of picking a health insurance policy. And while the insurers and the exchange have tools that will let you check to see if your doctor is in-network with the plan you’re considering, those tools aren’t as helpful if you don’t have a specific provider in mind and just want […]

Spring Is Here! Health Wonk Review

Welcome to the Spring edition of the Health Wonk Review. With condolences to our east-coast and Great Lakes friends who have been dealing with what probably seems like 47 straight months of winter. Maybe they can call it the “Spring is eventually coming” edition? We’ve got a great round-up of health care articles in this […]

Open enrollment for 2019 coverage

In Colorado, open enrollment for 2019 coverage begins November 1, 2018, and will end January 15, 2019. This is shorter than the open enrollment periods that have been used before 2018, but it’s longer than the open enrollment periods that most states are using for 2019 coverage. In most states, open enrollment ends December 15, 2018, but Colorado […]

Yuma County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Yuma county contains the city of Wray. Totals By Carrier for Yuma County Anthem BCBS 2 Bright 2 Cigna 2 Colorado Choice 47 Denver Health 0 Kaiser 0 RMHP 84 Per Carrier Breakdown Anthem BCBS Anthem BCBS has 2 unique providers in Yuma County. Anthem […]

Weld County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Greeley and parts of Thornton, Brighton, and Longmont are in Weld county. Colorado Choice will be called Friday Health in 2018. Totals By Carrier for Weld County Anthem BCBS 390 Bright 27 Cigna 36 Colorado Choice 326 Denver Health 1 Kaiser 617 RMHP 613 Per […]

Washington County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Anthem BCBS and Colorado Choice (Friday Health Plans) are the only insurance carriers offering individual/family plans in Washington county. Akron is the largest town in Washington county. Totals By Carrier for Washington County Anthem BCBS 2 Bright 0 Cigna 0 Colorado Choice 9 Denver Health […]

Teller County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Anthem BCBS and Kaiser are the only insurance carriers selling individual/family plans in Teller county. Totals By Carrier for Teller County Anthem BCBS 32 Bright 41 Cigna 4 Colorado Choice 18 Denver Health 0 Kaiser 70 RMHP 52 Per Carrier Breakdown Anthem BCBS Anthem BCBS […]

Summit County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties The only carriers selling plans in Summit county are: Anthem BCBS, Bright Health, Cigna, and Kaiser. RMHP is only for sale in Mesa county. Totals By Carrier for Summit County Anthem BCBS 39 Bright 148 Cigna 7 Colorado Choice 21 Denver Health 0 Kaiser 92 […]

Sedgwick County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties The only insurance carriers for sale on the individual market in Sedgwick county are Anthem BCBS and Colorado Choice (Friday Health). Anthem BCBS shows 0 providers based in Sedgwick county, so all doctors are traveling from out of the county, which drives higher costs. Most […]

San Miguel County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Telluride is in San Miguel county. The only insurance carrier selling plans in San Miguel county is Anthem BCBS. I’m curious how this compares to the total providers in that county. You know the market better- do ESI plans have better networks? — Wesley San-Demon […]

San Juan County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Silverton is in San Juan county, which is the least populous county in Colorado with 701 people. The only insurance carrier selling plans on the individual/family market in San Juan county is Anthem BCBS. Interestingly, the only insurance company with ANY providers in the county […]

Saguache County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Totals By Carrier for Saguache County Anthem BCBS 12 Bright 13 Cigna 0 Colorado Choice 4 Denver Health 0 Kaiser 0 RMHP 3 Per Carrier Breakdown Anthem BCBS Anthem BCBS has 12 unique providers in Saguache County. Anthem BCBS has 0 unique facilities in Saguache […]

Routt County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Anthem BCBS is the only insurance company for sale on the individual/family market in Routt county. Even though the RMHP PPO has so many more providers here, it’s only sold in nearby Mesa county. Steamboat Springs is in Routt county, which has a population of […]

Rio Grande County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Monte Vista is in Rio Grande county. Totals By Carrier for Rio Grande County Anthem BCBS 14 Bright 25 Cigna 3 Colorado Choice 31 Denver Health 0 Kaiser 0 RMHP 23 Per Carrier Breakdown Anthem BCBS Anthem BCBS has 14 unique providers in Rio Grande […]

Rio Blanco County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Meeker is in Rio Blanco county. Anthem BCBS is the only option for residents of Rio Blanco county to purchase. Totals By Carrier for Rio Blanco County Anthem BCBS 2 Bright 3 Cigna 2 Colorado Choice 0 Denver Health 0 Kaiser 0 RMHP 26 Per […]

Pueblo County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Totals By Carrier for Pueblo County Anthem BCBS 139 Bright 213 Cigna 28 Colorado Choice 421 Denver Health 1 Kaiser 739 RMHP 466 Per Carrier Breakdown Anthem BCBS Anthem BCBS has 139 unique providers in Pueblo County. Anthem BCBS has 0 unique facilities in Pueblo […]

Prowers County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Lamar is in Prowers county. Totals By Carrier for Prowers County Anthem BCBS 3 Bright 9 Cigna 2 Colorado Choice 39 Denver Health 0 Kaiser 0 RMHP 28 Per Carrier Breakdown Anthem BCBS Anthem BCBS has 3 unique providers in Prowers County. Anthem BCBS has […]

Pitkin County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Oddly enough, Anthem BCBS is the only carrier available for purchase on the individual market in Pitkin county (Aspen), however Anthem BCBS shows 0 total unique providers + facilities here. Totals By Carrier for Pitkin County Anthem BCBS 0 Bright 1 Cigna 3 Colorado Choice 0 […]

Phillips County Colorado Individual Market Network Size Rating Based on SERFF Data

Statewide Results, Scientific Methodology, and links to other Colorado Counties Holyoke is the largest town in Phillips county, which is located in northeast Colorado. Totals By Carrier for Phillips County Anthem BCBS 0 Bright 1 Cigna 2 Colorado Choice 9 Denver Health 0 Kaiser 0 RMHP 60 Per Carrier Breakdown Anthem BCBS Anthem BCBS has […]