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City and County of Denver / DERP

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CALL US: 303-602-2100

Comprehensive Coverage.
Diverse Network Options.

Whether you’re looking for individual or family health insurance, Denver Health Medical Plan (DHMP) offers plans to fit your unique needs with two network options to choose from. Have a question or need help accessing care? We’re here when you need us. As a local nonprofit health plan, we’re truly dedicated to your health and the personalized service you deserve.

Which Plan Fits You Best?

HDHP

Lower monthly premiums in exchange for higher deductibles and copays: good choice if you don’t access care often, but want the security of having coverage when you need it

TIER 1: DENVER HEALTH NETWORK

  • Includes the Denver Health network only
  • Deductibles: $1,350 individual/$2,700 family
  • Out-of-pocket max: $2,700 individual/$5,400 family
  • 10% coinsurance for both PCP and specialist visits

TIER 2: HIGHPOINT & COFINITY NETWORKS

  • Includes:
    • UCHealth
    • Children's Hospital Colorado
    • Cofinity Network
  • Deductibles: $2,500 individual/$4,000 family
  • Out-of-pocket max: $5,000 individual/$8,000 family
  • 20% coinsurance for both PCP and specialist visits

DHMO

Higher monthly premiums in exchange for lower deductibles and copays: good choice if you need to access health care more often 

TIER 1: DENVER HEALTH NETWORK

  • Includes the Denver Health network only
  • Deductibles: $500 individual/$1,500 family
  • Out-of-pocket max: $3,000 individual/$6,000 family
  • Copays: $25 PCP/$50 specialist

TIER 2: HIGHPOINT & COFINITY NETWORKS

  • Includes:
    • UCHealth
    • Children's Hospital Colorado
    • Cofinity Network
  • Deductibles: $750 individual/$1,750 family
  • Out-of-pocket max: $3,000 individual/$6,000 family
  • Copays: $30 PCP/$50 specialist

NOTE: Since deductibles accrue separately for each plan and each tier, it will be most cost-effective to select either Tier 1 or Tier 2 and then stick with providers from that particular tier.

All Plans Include:

  • Access to any urgent care center or emergency department in the United States
  • Access to the entire Denver Health provider network:
    • 9 Family Health Centers
    • Many School-Based Health Centers
    • Denver Health Medical Center
  • Integrated care through your PCP who coordinates all aspects of your care — from your primary care, specialty care and pharmacy needs to lab work, behavioral/mental health care and hospitalization (Denver Health network only)
  • 24/7 NurseLine to answer your questions and call in certain prescriptions
  • 50-75% off prescription costs at Denver Health Pharmacies (prescription must be written by a Denver Health provider)
  • DispatchHealth (in-home urgent care, 8 a.m. - 10 p.m., 365 days a year)
  • Nest Rewards incentive program that provides gift cards to expecting moms and their babies when they receive care in the Denver Health network
  • MyChart for online/mobile, private access to your health records: message your provider, schedule an appointment, request prescription refills and more from your smart phone or computer (Denver Health network)
  • Premium Perks to receive discounts on a variety of services, such as Crunch Fitness, Lyft and Weight Watchers
  • Large network of chiropractic providers

Member Resources

Member
Handbook
Summary of benefits and coverage Quick reference guide Online Provider Directory
Covered Benefits found found found
Network, Service and Benefit Restrictions found found found
Providers found
Provider and Practitioner availability found found
Pharmaceutical management procedures found found found
Utilization management (um) procedures found found found
  • Covered benefits
  • Network, service, benefit restrictions
  • Provider and practitioner availability
  • Pharmaceutical management procedures
  • Utilization management (UM) procedures
  • Covered benefits
  • Network, service, benefit restrictions
  • Pharmaceutical management procedures
  • Utilization management (UM) procedures
  • Covered benefits
  • Network, service, benefit restrictions
  • Provider and practitioner availability
  • Pharmaceutical management procedures
  • Utilization management (UM) procedures
  • Providers

We care about your privacy. Our Notice of Privacy Practices details how Protected Health Information (PHI) about you may be collected, used and disclosed and how you can get access to this information.