Table of Contents
Health First Colorado is Colorado’s Medicaid program. It provides health coverage to low-income residents, including children, pregnant women, parents, seniors, and individuals with disabilities.
| Program Name | Health First Colorado |
| Expanded Medicaid | Yes |
| Website | healthfirstcolorado.com |
| Phone | 800-221-3943 |
| Apply Online | Colorado PEAK |
| Appeal a Denial | Office of Administrative Courts |
| Find a Local Office | County Departments |
Eligibility Requirements
To be eligible for Colorado Medicaid, you must be a resident of the state of Colorado, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:*
- Pregnant
- Be responsible for a child 18 years of age or younger
- Blind
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
| Household Size* | Maximum Income Level (Per Year) |
| 1 | $17,131 |
| 2 | $23,169 |
| 3 | $29,207 |
| 4 | $35,245 |
| 5 | $41,284 |
| 6 | $47,322 |
| 7 | $53,360 |
| 8 | $59,398 |
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
| Ambulance services | Organ & transplants |
| Behavioral health | Outpatient hospital services |
| Dental services | Physical, occupational, or speech therapy |
| Emergency room | Prescription drugs |
| Family planning | Preventive and wellness services |
| Home health | Provider visits |
| Hospice | Radiation therapy |
| Immunizations | Specialist visits |
| Laboratory services | Substance use treatment |
| Maternity & newborn care | Telemedicine |
| Mental health services | Urgent care centers |
| Non-emergency medical transportation | Vision care |
Copayments
Some services covered by Health First Colorado (Colorado’s Medicaid Program) have a copay. Copays are dollar amounts some members must pay to their provider when they receive certain services.
| Hospital services | $10 |
| Outpatient surgery | $0 |
| Outpatient emergency for non-emergency | $6 |
| Outpatient hospital services | $4 |
| Primary Care Physician and specialist services | $2 |
| Clinic services | $2 |
| Laboratory services | $1 |
| Radiology services | $1 |
| Prescription drugs | $3 |
Copay Maximum
There is a monthly copay maximum for Health First Colorado members. This means once a member has paid up to a certain amount in copays in a month, they don’t have to pay any more copays for the rest of that month.
This maximum is based on a formula: 5% of the member’s monthly household income. For example, a household with a monthly income of $900 would pay no more than $45 in copays for that month.
Local Colorado Springs life insurance agency helps you get life insurance that doesn’t count against Colorado Medicaid assets.
