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Cover Colorado-it's not just for those needing Colorado HIPAA or coming off of their Colorado Cobra

have you been declined for health insurance due to a pre-existing condition? Thankfully we live in a state that has what's called a "High Risk Pool".

CoverColorado is here for people who have been denied/declined health insurance due to a pre-existing medical condition, or who have exhausted all of their Colorado COBRA benefits. While CoverColorado is not a low income plan, this may very well be your only option if you are unable to obtain coverage elsewhere. CoverColorado cannot compete in our health insurance market so the premiums are going to be a tad higher. But in my opinion the higher premium is a small price to pay for coverage that in some states you would not even be able to get.

There is one very important catch to CoverColorado that I want you to understand. If you have not had health insurance for the last 90 days prior to applying for coverage you will not be covered for any pre-existing conditions for the first 6 months that you are on the plan. But in a worst case scenario it's still better than nothing if you have a pre-existing condition.

CoverColorado also offers a Coordination of Benefits (COB) plan to those disabled individuals under age 65 who cannot purchase Medicare supplement policies outside the open enrollment period.

Who is Eligible for CoverColorado?

Any person who has been a Resident of Colorado for at least six (6) months and who
is residing in the United States as a citizen or under a legal alien status is eligible for
coverage under the CoverColorado Plan, if able to provide evidence satisfactory to the Plan that one of the following conditions has been met:

  1.  You have applied to an Insurer for a Health Benefit Plan and:

    a. The application has been rejected or refused because of the health or medical
    condition of the applicant; or

    b. The application has been accepted, but at a premium rate exceeding the rate
    available through the CoverColorado Plan (compared to the $1,000 Deductible
    plan); or

    c. The application has been accepted with a reduction or exclusion of coverage
    for a pre-existing medical or health condition for a period exceeding six (6) months.
  2. You have had coverage under a Health Benefit Plan involuntarily terminated by an
    Insurer in Colorado for any reason other than nonpayment of a premium or
    premiums.
  3.  You have one of the medical conditions on the presumptive list of medical
    conditions. The list of medical conditions is available by calling 888-770-1120 or by
    visiting the CoverColorado web site at www.covercolorado.org.
  4.  You are a Federally Eligible Person (six-month residency requirement does not
    apply).
  5. You are Colorado HIPAA eligible

More CoverColorado Facts and Resources

At last count there were 37 states that have high risk pools such as CoverColorado. Some are good and others are pretty much worthless. In my opinion CoverColorado is one of the better ones out there.

State Health insurance risk pools are special programs created by state legislation to provide a safety net for the "medically uninsurable" population. These are people who have been denied health insurance coverage because of a pre-existing health condition, or who can only access private coverage that is restricted or has extremely high rates.

Each of the current 37 state risk pool-type programs is different. For the most part, the programs operate as a state-created nonprofit Association overseen by a board of directors made up of industry, consumer and state insurance department representatives. The board contracts with an established insurance company to collect premiums and pay claims and administer the program on a day-to-day basis. High Risk Pool Insurance benefits vary from state to state with Colorado being near the top for benefits; the lesser  risk pools typically offer benefits that are comparable to basic private market plans -- 80/20 major medical and outpatient coverage, a choice of deductible and co-payments. Maximum lifetime benefits vary by state from as low as $350,000 to $2 million.