Your State of Colorado Medical Plans
Great benefits start with a great medical plan. The State of Colorado offers you options through Cigna and Kaiser Permanente for a total of six different plans to choose from. These plans are designed to offer a range of coverage and cost options to fit as many care and financial situations as possible.
Understanding Your Medical Plans
The first step to great health is choosing a plan that fits your level of need and budget—and that means understanding a few basics.
Employee Premium. Your employee premium is the cost of your plans and is deducted from your paycheck. Plans with lower premiums tend to have a higher deductible, coinsurance, and out-of- pocket maximum.
Deductible. Your deductible is the amount you pay before the plan begins paying for covered services. For plans that utilize coinsurance, you’ll typically pay 100% of medical costs, including prescriptions, until you meet your deductible. For copay plans, your deductible does not need to be met in order for your plan to pay for certain services.
Copays. Copays are a flat fee you pay for a covered service.
Coinsurance. Coinsurance is your share of a covered service after you’ve met your deductible. Each plan (including copay plans) has a coinsurance rate. Typically, you’ll see a better coinsurance rate for plans with higher premiums.
Out-of-Pocket Maximum. Your out-of-pocket maximum is the most you will pay within a plan year for covered services. The plan you choose should have an out-of-pocket maximum that you can tolerate financially in the event of a high usage of health care or catastrophic health event.