The six medical plan options offered to eligible City employees are: Denver Health Medical Plan's HMO and Deductible HMO, Kaiser Permanente's HMO and Deductible HMO, United Healthcare's HMO and Navigate Plan. All six medical plans are effective the first of the month following your date of hire.
All six medical plans feature free preventive care. Click here for a list of services considered preventive and free.
Denver Health Medical Plan (DHMP)
As a member of DHMP, you receive your care through the doctors at 10 community health centers throughout Denver. All locations have free, easily accessible parking for DHMP members. Several convenient pharmacy options are available, including online prescription refills and Pharmacy Delivery by Mail, offering a 90-day prescription supply for one copay. To learn more about DHMP visit www.denverhealthmedicalplan.com or call member services at (303) 602-1200. The plan summaries for the 2 DHMP options (HMO and DHMO) are linked below.
- 2014 Summary of Benefits and Coverage - HMO
- 2014 Summary of Benefits and Coverage - DHMO
- 2015 Summary of Benefits and Coverage - HMO
- 2015 Summary of Benefits and Coverage - DHMO
Kaiser Permanente is the largest nonprofit health plan in the United States. They are an integrated health delivery system, meaning they provide and coordinate the entire scope of care for members, including: preventive care, well-baby and prenatal care, immunizations, emergency care, screening diagnostics, hospital and medical services, pharmacy services. The City contracts with Kaiser's Denver/Boulder network, but also offers service in both Northern and Southern Colorado. To learn more about Kaiser and their facilities, go to www.kp.org or call (303) 338-4545. The plan summaries for the 2 Kaiser options (HMO and DHMO) are linked below.
United Healthcare Choice Copay Plan
The UnitedHealthCare Choice Copay plan is similar to a traditional HMO which coordinates your care through a primary care physician and allows you to pay a low flat fee (copayment) for most covered services. To find out more about UnitedHealthCare Choice Copay Plan, visit www.welcometouhc.com/cityandcountyofdenver
or call 1-800-842-5520. This is the City's only medical plan that offers full coverage outside of Colorado.
The plan's summary is linked below.
UnitedHealthCare Navigate Plan
Members enrolled in this plan must select a Primary Care Physican (PCP) and the network of physicians is limited to only Colorado. In exchange for lower premiums, members may be required to pay a deductible and coinsurance for certain services. See this plan's summary below.
Important: If enrolled in Navigate, you must choose a PCP. In order to see the doctor of your choice, email firstname.lastname@example.org with your PCP's 11 digit Provider ID. You can find the Provider ID by going to https://www.myuhc.com/member/prewelcome.do, clicking "Find Physician, Laboratory or Facility" and then selecting the "UnitedHealthcare Navigate/Navigate Balanced" plan and searching for your PCP.
UPDATE: EFFECTIVE AUGUST 1, 2014, UnitedHealthcare will pay any outpatient laboratory claims from out-of-network laboratories at the out-of-network rate, even if you have a referral from a doctor who participates in UnitedHealthcare's network. To receive the less expensive in-network rate, please be sure to request and use only in-network labs. For more details on using in-network labs, please see the attached flyer - UHC Network Labs.
To see a side-by-side comparison of all of our medical plans and their biweekly costs, see pages 13 through 15 of the 2014 Health Benefits Guide.
To see a list of preventive services covered by the City medical plans, click on preventive services.