Understanding health insurance can be difficult. FIRC can help.

Open enrollment is closed. If you qualify for a life changing event, FIRC’s Health Navigators can help you determine if you qualify for plan discounts and what options work best for your lifestyle. Make an appointment online or call for an appointment. A little guidance can make a big difference.

How FIRC can help: 

Health insurance is important and the Health Navigators at the Family & Intercultural Resource Center (FIRC) are here to provide free assistance, answer your questions and help you determine what plans are right for you and your family. The insurance system is hard to understand, but we can walk you through the process and make it much easier. You probably even qualify for a discount.

OPEN ENROLLMENT FOR THE COLORADO MARKETPLACE IS NOVEMBER 1, 2018 -JANUARY 15, 2019. 

FIRC’s Health Navigators can help you determine your income, which can be especially difficult if you have multiple or seasonal jobs. Once we estimate your income, we can help you determine if you qualify for a discount on your plan.

  • FIRC is offering appointments at the FIRC Offices in Breckenridge and Silverthorne and Summit Community Care Clinic.
  • FIRC is offering walk-in events throughout open enrollment. It may be difficult to get an appointment, so we encourage you to take advantage of our walk-in hours. Visit our calendar of events for dates.

DID YOU KNOW…

  • Over 90% of the people FIRC helped enroll last year qualified for discounts on plans
  • Insurance plans have to cover medical services, free annual visits and mental health services
  • Even if you have a pre-existing condition, you can still get insurance
  • Seasonal jobs make it difficult to determine your income, but FIRC’s Health Navigators can make the process easier.

DO YOU QUALIFY FOR A DISCOUNT  ON YOUR PREMIUM?

Many people qualify for plan  discounts.  Insurance companies may no longer deny you do to pre-existing conditions.
Yearly income limits for premium discounts

EXAMPLE MONTHLY RATES FOR SUMMIT COUNTY:

2018 Insurance Example Rates – Summit County
Family Size  Household Income Age Federal Poverty Level  Monthly Premium – Bronze Plans
1  $                               16,152 25 Medicaid  $                                    –
1  $                               35,000 35 260%  $                                 110
1  $                               47,000 40 399%  $                                 212
1  $                               49,000 40 401+%  $                                 452
1  $                               49,000 60 401+%  $                                 961
2 – single parent  $                               21,900 35 Medicaid  $                                    –
2 – single parent  $                               42,000 35 260%  $                                 27
2 – single parent  $                               64,000 35 399%  $                                 254
2- single parent  $                               68,000 35 401%  $                                 800
2 – adults  $                               21,900 35 Medicaid  $                                    –
2 – adults  $                               42,000 35 260%  $                                   88
2- adults  $                               64,000 35 399%  $                                 309
2- adults  $                               65,000 35 401+%  $                                 839
3  $                               27,648 35 Medicaid  $                                    –
3  $                               53,000 35 260%  $                                   95
3  $                               80,000 35 399%  $                                 360
3  $                               85,000 35 401%+  $                             1,140
4  $                               33,384 35 Medicaid  $                                    –
4  $                               70,000 35 260%  $                                 195
4  $                               98,000 35 399%  $                                 454
4  $                            102,000 35 401+%  $                             1,364
5  $                               39,132 35 Medicaid  $                                    –
5  $                               73,000 35 260%  $                                 107
5  $                            110,000 35 399%  $                                 489
5  $                            120,000 35 401%  $                             1,660
** Rates will vary depending on age
** The tax penalty for not having insurance is 2% of your income

You are welcome to try to enroll on your own through ConnectforHealthco.com or try to determine if you can get a discount on the Colorado Peak website, but if you get confused, give us a call. We are happy to provide free confidential support.

You may qualify for a discount on your plan. Information about PEAK.

Life Change Events

Enrollment is open year round if you experience a qualified life changing event such as getting married, having a child, losing insurance through your job or turning 26, please contact us and we can help you enroll in a plan. You have up to 60 days to enroll in a new plan after this life change. Enrollment for Medicaid and CHP+ is open year-round as well.

DO I STILL NEED HEALTH INSURANCE?

Starting in 2019, there is no requirement for individuals to have a Qualified Health Plan or pay a penalty. However, for 2018, the penalty remains the law. You will no longer be penalized for not having health insurance, but FIRC still recommends you have coverage to protect the health and financial future of you and your family. Broken bones, disease and other chronic conditions aren’t political, but can happen at any time. And, in some cases, are preventable if you have access to care and health insurance.

The Marketplace is a tool to help locals avoid financial downfalls due to medical bills. FIRC’s health coverage guides can help people and small businesses understand what is available, compare plans, understand what people are buying and ultimately avoid future bills that lead to bankruptcy.

Connect for Health Colorado , is an online health insurance Marketplace for Coloradans who don’t get insurance through work and need to buy their own health insurance.  For many with lower incomes, discounts on the insurance plans are available under the Affordable Care Act (Obamacare) to those who qualify.  FIRC has trained, certified Health Coverage Guides who can help local residents navigate through the sometimes complex process of choosing a health insurance plan and determining eligibility for discounts on the insurance premiums.

You can enroll directly through the Connect for Health Colorado site, but FIRC is here to help if you need assistance.

DID YOU KNOW

  • If you are enrolled by December 15 your coverage will start January 1
  • Many people qualify for discounts on plans
  • Insurance plans have to cover medical services, free annual visits and mental health services
  • Even if you have a pre-existing condition, you can still get insurance
  • Seasonal jobs make it difficult to determine your income, but Health Navigators can make the process easier.
  • If you DON’T get insurance between November 1-January 15, 2019 you cannot enroll for insurance until November of 2019. The only way you can enroll after January 15 is if you have a “Qualifying Life Change” such as a new job, turning 26, birth of a child, etc.
  • Depending on your income, you may qualify for Medicaid or your children may qualify for CHP+. FIRC can assist with enrollment into those programs as well.

HELPFUL ARTICLES

Which Health Plan is Cheaper?

Need to Pick an Insurance Plan? Start Here.

Insurance is difficult to understand. FIRC’s goal is to help you understand what you are buying in a health insurance plan and empower you as a consumer. Here are some links to give you more information if you are trying to move forward on a plan by yourself.

Insurance Terms

Estimate the cost of a plan with the Subsidy Calculator

Tips on choosing insurance

How does the tax penalty work if I don’t have insurance?

Appointments in Breckenridge

Appointments in Silverhtorne

Appointments

Appointments with FIRC Health Navigators are available at our Breckenridge and Silverthorne office locations.

Items to Bring to your Appointment (please bring as much as possible)

  • Social security card for all dependents, spouse, and applicant
  • If you are not able to bring a physical copy of the card(s), please know all social security numbers and how names are written on the cards
  • Driver’s License numbers for all applicants
  • Documentation of immigration status (if applicable)
  • Documentation of any other income you receive (pension, retirement, investments, child support, etc.)
  • Information about any job-related insurance you or your family may be eligible for
  • List of all current prescription drugs (if applicable)
  • List of all current medical providers (if applicable)
  • Pay stubs of all dependents, spouse, and applicant (last the last three months if possible)
  • 2014 Tax Return (if possible)
  • W-2 forms (if self-employed, you should bring your W-9 form)