We are privately owned and not affiliated or endorsed by any government agency.

Take the Benefits Quiz

Colorado Medicaid (Health First Colorado)

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.

Benefits.com Advisors

With expertise spanning local, state, and federal benefit programs, our team is dedicated to guiding individuals towards the perfect program tailored to their unique circumstances.

Rise to the top with Peak Benefits!

Join our Peak Benefits Newsletter for the latest news, resources, and offers on all things government benefits.

Related Articles

District of Columbia Medicaid

Maryland Medicaid

How Delaware Medicaid Benefits Work

Georgia’s Medicaid Benefits

Maine Medicaid (MaineCare)

x