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Welcome to our new and improved CHP+ page! Here you can find important information about benefits and services and answers to some of the most frequently asked questions about CHP+.
Child Health Plan Plus (CHP+) is public low-cost health insurance for certain children and pregnant women. It is for people who earn too much to qualify for Medicaid, but not enough to pay for private health insurance.
See the Child Health Plan Plus Comparison Chart for details on the plans available in your area.
CHP+ costs vary depending on your household size and income. CHP+ members may have to pay an annual enrollment fee. This fee is due within 30 days of your CHP+ approval. Some CHP+ clients may also have to pay co-payments to their health care provider at the time of service. Prenatal women, Native American and Alaskan Natives do not have to pay annual enrollment fees or co-payments.
The standard fees are:
Families earning more than 214% and up to 260% of the Federal Poverty Level (FPL) will pay higher fees:
You may also have to pay small co-payments when you or your child receives CHP+ services. There are no co-payments for preventative care, such as prenatal care and check-ups. Other services may require co-payments that vary based on your income. Native Americans and Alaskan Natives do not have to pay co-payments
The chart below is a summary of the changes, not an all inclusive list.
Each year, the maximum amount of money (referred to as out-of-pocket limit) that you are required to spend on health care payments for all members of your household that are enrolled in CHP+ is 5% of your annual income. For more information about your out-of-pocket limit, please contact CHP+ customer service at 1-800-359-1991.
You may qualify for the CHP+ Prenatal Program.
Be less than 19 years of age or be a pregnant woman.
Have a household income under 260% of the Federal Poverty Level (FPL).
Be a Colorado resident.
Be a permanent legal resident who has had an Alien Registration number for at least 5 years, a refugee, or an asylee.
Be ineligible for Colorado Medicaid.
Have no other health insurance.
It is free to enroll in the CHP+ Prenatal Care Program. All pregnancy care is free, including prenatal care, labor and delivery, and visits after you deliver. Other medical care, such as prescriptions, may have small co-payments depending on your family size and income.
If you are found eligible, your coverage will last for at least 60 days after your pregnancy ends. Coverage will end 60 days after the last day of the month when your pregnancy ended. For example, if you give birth on June 26th, your coverage will last until August 30th.
Once CHP+ is notified of your baby’s birth, your baby will be given CHP+ coverage for a full year from their date of birth. To enroll your newborn, call CHP+ Customer Service at (800) 359-1991.
You may visit any of our prenatal providers. For medical care not related to your pregnancy, you may need to see a family health care provider. To find a CHP+ doctor or other provider see the CHP+ section of our Find a Doctor page.
If you are pregnant, you may qualify for a program called Presumptive Eligibility (PE). PE is a way for pregnant women to receive prenatal care right away without having to wait to see if you are eligible. To apply, you must visit a PE Site and they will do a quick review. If found eligible you will get enrolled for up to 60 days while you wait to see if you qualify. Find a PE Site in your area.
Yes. Fill out one application. CHP+ will see if your children qualify for CHP+ and if you qualify for the CHP+ Prenatal Care Program.
CHP+ works with Health Maintenance Organizations (HMOs) to provide medical care. Each HMO has their own network of doctors that your child can see on CHP+. The county you live in will determine which HMO your child enrolls with. If more than one HMO is available in your county, you must select an HMO.
CHP+ members have the option of joining a Health Maintenance Organization (HMO). An HMO is an organized system that provides a wide range of health care services including Primary Care Providers (PCP) to manage your health care needs. Each HMO uses different hospitals, pharmacies and doctors for the counties it serves.
For those clients that are part of or applying for CHP+ Prenatal benefits, Presumptive Eligibility, or reside in El Paso, Sedgwick or Teller counties please refer to the State Managed Care Network information below.
For all other clients please look at the HMO Chart to review what HMOs are available in your county. Please remember that an HMO MUST be selected on your application.
If you have any other questions regarding your HMO please contact the HMO or visit their website:
To find a CHP+ doctor or other provider see the CHP+ section of our Find a Doctor page.
Delta Dental of Colorado provides dental benefits to all eligible and enrolled CHP+ child members. These benefits include preventive and diagnostic services, restorative services, endodontic, periodontic, prosthodontic, oral surgery and, limited orthodontic services. There will be a maximum allowable of $1000.00 per child per calendar year (January 1 - December 31). As with all CHP+ benefits, higher income families may be required to pay a small fee when they receive services. If you have any questions about CHP+ dental benefits call Delta Dental at 1-800-610-0201.
To find a dentist see the Delta Dental CHP+ Provider Directory. Choose the directory based on the Group Number on your child's member identification number.
4582 South Ulster Street, Suite 800
Denver, Colorado 80237
Toll free: 1-800-610-0201 / Fax 303-741-2116
P.O. Box 5468 Denver, Colorado 80217-5468
Claims and Related Information:
P.O. Box 173803 Denver, Colorado 80217-3803
Your CHP+ Health Maintenance Organization (HMO) can help you understand your CHP+ benefits.
To get a new membership card, contact your CHP+ Health Maintenance Organization (HMO).
Call CHP+ Customer Service at (800) 359-1991 to see if your baby qualifies for CHP+.
Call us and tell us your new address as soon as you move. CHP+ sends letters to families letting them know about their benefits, so it is very important that we have a correct address. If you move out of state, you no longer qualify for CHP+ benefits. To find programs in other states, visit insurekidsnow.gov.
Your CHP+ Health Maintenance Organization (HMO) can help you get medical bills paid.
Visit the How To Apply page for more information.
You may qualify for a program called Presumptive Eligibility (PE). PE is a way for children and pregnant women to receive care right away without having to wait to see if you are eligible. To apply, you must visit a PE Site and they will do a quick review. If found eligible you will get enrolled for up to 60 days while you wait to see if you qualify. Find a PE Site in your area.