Speak to a Licensed Insurance Agent 1-855-792-0088 TTY 711
Mon - Sun, 7am - 10pm
Menu

Medicare in Colorado

Valuable guidance for Colorado residents seeking answers to their Medicare questions

Reviewed by: Eboni Onayo, Licensed Insurance Agent. Written by: Bryan Strickland.

Key Takeaways

  • People aged 65 or older and some younger living with disabilities qualify for Medicare in Colorado.

  • Colorado offers cost-savings programs for residents facing financial needs and for anyone on Medicare looking to control costs related to out-of-pocket expenditures like copays and coinsurance.

  • GoHealth licensed insurance agents are licensed in the state of Colorado to help you navigate Medicare resources.

 

You know the natural beauty of Pikes Peak. You know what the chances are that your beloved Broncos will reach the Super Bowl. You know where to order green chili – and where to pass.

You know Colorado. But do you know Medicare in Colorado? GoHealth does.

Who qualifies for Medicare in Colorado?

You qualify for Medicare in Colorado if any of the following are true:

How does Medicare work in Colorado?

To enroll in Medicare in CO when you turn 65, you have the opportunity during your Initial Enrollment Period — a seven-month period that begins three months before your 65 birthday month.

  • Original Medicare includes Part A (hospital insurance) and Part B (medical insurance). If you enroll in both, you have the option of switching to Medicare Advantage in Colorado.
  • Because Original Medicare doesn’t cover all your needs, you have the option to add a Part D drug plan as well as Medicare supplement coverage called Medigap to help with out-of-pocket costs.
  • Medicare Advantage (Medicare Part C) replaces your Parts A and B coverage while also offering benefits like dental and vision coverage, and some Medicare plans in Colorado also include a monthly stipend for purchasing over-the-counter supplies.

A GoHealth licensed insurance agent can help you decide whether Medicare Advantage is a good fit for you.

Does Colorado have free healthcare?

You may qualify for free or low-cost health insurance through Medicaid in Colorado. If you qualify for Medicaid and Medicare, your plans cover the cost of healthcare. You may also qualify for programs that cover prescription drug costs. In most cases, the beneficiary can receive treatment at healthcare facilities without costs.

When it comes to Medicare plans in Colorado, Medicare Part A doesn’t have a monthly premium for anyone who has paid Medicare and Social Security taxes through an employer for at least 10 years.

What is the income limit for Medicaid in Colorado?

Your state’s guidelines state that an individual couldn’t make more than $1,415 a month or a family of two more than $1,911 a month in 2020. You may, however, qualify even if you make more. [1]

What is the cost of Medicare when you turn 65?

When you are eligible for Medicare at 65, the cost of your plan depends on your needs. To get started, you have two options for Medicare in CO: Original Medicare or Medicare Advantage.

Original Medicare

  • Part A: Most people get it free but some don’t.
  • Part A and Part B: Together they cover most of your costs but not all.
  • Part D and Supplement: Require additional premiums to cover costs.

Medicare Advantage

  • Replaces your Original Medicare Part A and Part B.
  • Part D included for most plans.
  • Networks play a huge role in costs.

While Medicare Part A doesn’t have a monthly premium for most Coloradans age 65 or older, Medicare Part B usually does carry a monthly premium. The monthly premium for 2021 is $148.50.

If you need the type of medical coverage that Part B covers, you may be able to reduce or even cover your Medicare Part B premium by switching to a Medicare Advantage plan. A GoHealth licensed insurance agent who is knowledgeable about Medicare in CO can help you weigh your options.

What is the downside to Medicare Advantage plans?

You should understand networks if you want to compare the upside and downside of Medicare Advantage and Original Medicare.

If your providers are in-network with Medicare Advantage in Colorado, you may be able to save money compared to an Original Medicare plan. Still, Original Medicare may be what you want if you desire the flexibility to visit any provider in the U.S. that accepts Medicare.

Is Medicare Advantage better than traditional Medicare?

You will have to consider your needs to determine if Medicare Advantage is better for you than traditional Medicare. Your Part A and Part B are available through the public federal Medicare program, or you have a private insurance option for Part A and Part B.

A GoHealth licensed insurance agent, without any obligation, can look at your specific situation and determine what Medicare plans in Colorado fit you best. While there is just one Original Medicare plan available, Medicare Advantage in Colorado has many options.

Medicare in Colorado by the Numbers

Thousands of older adults enroll in Medicare every day across the United States. The latest CMS data shows that 818,436 people are enrolled in Medicare in Colorado. The total number of beneficiaries enrolled in Medicare Advantage in Colorado is 347,546. The previous year, 331,291 enrolled in Medicare Advantage. Medicare Advantage participation in Colorado went from 41.97% to 42.46% year over year. If you’d like to dive deeper into how Medicare in Colorado breaks down across the state, we provide a glance at who is using Medicare, and how.

Outline of Colorado
818,436
Beneficiaries with Part A & Part B
347,546
Medicare Advantage Beneficiaries
42.46%
Medicare Advantage Participation Rate
53.08%
% Female
46.92%
% Male
0.87
Average HCC Score
$9,213.43
Actual Per Capita Costs
15.89%
% Eligible for Medicaid
28.87%
% of Beneficiaries with an Emergency Department Visit
14.42%
Hospital Readmission Rate
83.43%
% Non-Hispanic White
2.79%
% African American
9.10%
% Hispanic
4.68%
% Other/Unknown

Table reflects the latest Beneficiary Demographics data: 2018, All Beneficiaries by State, Centers of Medicare & Medicaid Services (CMS)

Average HCC Score: The Hierarchical Condition Category score gauges a population’s overall health. The score is based on a value of 1.0. Populations with an HCC score of less than 1.0 are considered relatively healthy. The score can be used to estimate health costs.

Resources for Medicare in Colorado

Beneficiaries spend an average of $9,226 each year on Medicare in Colorado. To be certain you are not leaving anything on the table, let us help. A GoHealth licensed insurance agent can assess your coverage or explain which Colorado-based resources, like these, may be able to help:

Colorado Division of Insurance

1-800-930-3745

https://doi.colorado.gov/

What Should I know about the Colorado Division of Insurance?
This state organization answers questions and responds to insurance-related complaints.

Health First Colorado (Colorado Medicaid)

1-800-221-3943
Phone lines open M-F, 8 a.m. to 4:30 p.m. (except Fridays 2:30-3:30 p.m.)

https://www.healthfirstcolorado.com/

What Should I know about Health First Colorado?
Administers Medicaid for the state of Colorado, accepting applications year-round for Colorado residents in need.

Colorado Department of Human Services

1-303-866-5700
COVID-19 questions: call 2-1-1

https://cdhs.colorado.gov/

What Should I know about the Colorado Department of Human Services?
Coloradans can turn to this department for support and resources at any stage of life.

Colorado Division of Veterans Affairs

1-303-284-6077
Fax: 1-303-284-3163
M-F, 8 a.m. to 4 p.m. (Denver office)

https://www.colorado.gov/vets

What Should I know about the Colorado Division of Veterans Affairs?
Helps family members and survivors secure benefits earned through military service.

Nationwide Resources

Speak with an insurance agent that is licensed in Colorado about your Medicare questions.

1-855-792-0088 TTY: 711

Monday - Friday, 8 AM - 9 PM CT

Medicare & Medicaid

If you have general questions about Medicare in CO, or need help with current Medicare benefits.

1-800-MEDICARE (1-800-633-4227)

Social Security Administration

You can reach the SSA by phone for general questions. Not all questions can be answered over the phone.

Also, SSA.gov provides online resources for the following: Review information, apply for benefits, or manage your account online

Speak to SSA Representative, Monday - Friday, 8 AM - 7 PM ET

Medicare Learning Guides

Healthcare is personal. So is choosing insurance. If you are new to Medicare, a beneficiary researching options, or a caregiver, we have tailored Medicare Guides for you

Previous Next

New to Medicare Guide

Helpful information to get you started with enrolling in Medicare.

Medicare Beneficiary Guide

For those currently enrolled in Medicare.

Medicare Plans Guide

Costs, coverage and enrollment details for each Medicare plan.

Low Income & Medicare Guide

For individuals with a qualifying income status.

A Caregiver’s Guide

For those helping a loved one with Medicare.