Prospective Member Resources | Denver Health Medical Plan

Prospective Member Resources

  • Where can I learn more about what benefits are covered and what benefits are not covered?

    The Member Handbook, Explanation of Coverage (EOC) and Annual Notice of Coverage (ANOC) detail what benefits are covered, as well as what benefits are not covered.

  • Where can I learn more about network, service or benefit restrictions?

    The Member Handbook, Explanation of Coverage (EOC), Annual Notice of Coverage (ANOC) and Quick Reference Guide (QRG) detail network, service or benefit restrictions.

  • Where can I learn more about which providers and practitioners I can see?

    The Find a Provider Directory can be used to learn more about which providers and practitioners a member can see based on which plan they select.

  • Where can I learn more about provider and practitioner availability?

    The Member Handbook, Explanation of Coverage (EOC), Annual Notice of Coverage (ANOC) and Quick Reference Guide (QRG) detail provider and practitioner availability.

  • Where can I learn more about Utilization Management (UM) Procedures?

    The Member Handbook, Explanation of Coverage (EOC), Annual Notice of Coverage (ANOC) and Quick Reference Guide (QRG) detail UM procedures.

  • Where can I learn more about Pharmaceutical Management Procedures?

    The Member Handbook, Explanation of Coverage (EOC), Annual Notice of Coverage (ANOC) and Quick Reference Guide (QRG) detail Pharmaceutical Management Procedures.

  • Where can I learn more about privacy and Protected Health Information (PHI) practices?

    The Notice of Privacy Practices details practices regarding collection, use and disclosure of PHI.