2014-2015 Colorado Health insurance

See if Your Doctor is in the Network

Note: Pick the right network for your Plan.


Universal Doctor Look Up

  1. Use this website to research Doctors.
  2. Great way to get the Doctors name and address.
  3. Easy, just enter the Dr. Name in the orange search box
    Click Magnifying Glass.


Pathway HMO
Only In-Network coverage (Except Emergencies)
Unusual HMO in that you don't need a referral

  1. Click Button on right, follow instructions below on new window.
  2. On the right side..

    Click "Search by Plan or Selecting a Network"
  3. What Type of Care...Medical
    What State.....Colorado
    Select a Plan / Network...Pathway/PathwayX
    Continue
  4. I'm looking for a....Doctor/Medical Professional
    Who Specializes in....All Specialties
    Location Near....Zip Code
    Whose Name is......
    Hopefully your doctor shows in the Anthem Pathway HMO Network.


EPO
Centura Dr. & Hospital Network with the addition of Childrens Hospital and a few others, referral recommneded
No out of Network Coverage except Emergencies.

  1. Click Button on right, follow instructions below on new window.
  2. Search by Doctor name, specialty....


Connect EPO
Smaller network, need referral
No out of Network Coverage except Emergencies.

  1. Click Button on right, follow instructions below on new window.
  2. Search location...Zip Code or City, State
  3. Click the pink button under Select Plan, Pick Medical Plans.
  4. Select ''Connect Network" and then hit the pink "Choose" button.
  5. Looking For....Doctor Name, hospital
    Search
  6. If your Doctor Shows up He/She should be in the Cigna Connect EPO Network.


Colorado Choice HMO
No Coverage Out of Network except Emergencies

  1. Click Button on right, follow instructions below on new window.
  2. This is an easy one, Pick "Physician Listing" or "Facility Listing"
  3. It will download a pdf directory
  4. Use 'Ctrl' 'F' to search pdf directory or just page through.


Mostly Doctors and Facilities
associated with Denver General Hospital

  1. Mostly Doctors and Facilities associated with Denver General Hospital, including DHMP, MCPN, Clinica, and Salud Family Health Centers


Kaiser HMO
Denver/Boulder
No Coverage Out of Denver/Boulder Network
except Emergencies

  1. Click Button on right, follow instructions below on new window.
  2. Find a Doctor...Select an Area...Colorado Denver/Boulder...Go
  3. Search All Doctors...Plan Type...HMO
    Provider Type or Medical Group...Kaiser Permanente Provider
    ZIP Code...Zip Code
    Key Word or Doctor Name...Dr. Name
    Search
  4. If your Doctor Shows up He/She should be in the Kaiser Denver/Boulder Network.


Kaiser HMO
Northern Colorado & a Little Mountains
Mostly Fort Collins, Loveland and Greeley
Northern Kaiser Members can use Kaiser Facilities in Denver/Boulder
No Coverage Out of Northern or Denver/Boulder Network
except Emergencies

  1. Click Button on right, follow instructions below on new window.
  2. Find a Doctor...Select an Area...Colorado Northern Colorado...Go
  3. Search All Doctors...Plan Type...HMO
    Provider Type or Medical Group...Kaiser Permanente Provider or Affiliated/contracted practitioner/phycisian
    ZIP Code...Zip Code
    Key Word or Doctor Name...Dr. Name
    Search
  4. If your Doctor Shows up He/She should be in the Kaiser Northern Colorado Network.


Kaiser KP Select HMO
Southern Colorado, KP Selecet
Smaller Kaiser network, mostly Colorado Springs
Southern Kaiser Members can also use Kaiser Facilities in Denver/Boulder
No Coverage Out of KP Select or Denver/Boulder Network
except Emergencies

  1. Click Button on right, follow instructions below on new window.
  2. Find a Doctor...Select an Area...Colorado Southern Colorado...Go
  3. Search All Doctors...Plan Type...KP Select
    Provider Type or Medical Group...Kaiser Permanente Provider or Affiliated/contracted practitioner/phycisian
    ZIP Code...Zip Code
    Key Word or Doctor Name...Dr. Name
    Search
  4. If your Doctor Shows up He/She should be in the Kaiser KP Select Network (Mostly Colorado Springs).


Kaiser HMO
Southern Colorado
Larger Southern Kaiser network
Typically offered on Small Group Plans, Southern Kaiser Members can also use Kaiser Facilities in Denver/Boulder
No Coverage Out of Southern Colorado or Denver/Boulder Network
except Emergencies

  1. Click Button on right, follow instructions below on new window.
  2. Find a Doctor...Select an Area...Colorado Southern Colorado...Go
  3. Search All Doctors...Plan Type...HMO
    Provider Type or Medical Group...Kaiser Permanente Provider or Affiliated/contracted practitioner/phycisian
    ZIP Code...Zip Code
    Key Word or Doctor Name...Dr. Name
    Search
  4. If your Doctor Shows up He/She should be in the Kaiser Southern Network.


PPO in limited areas and Various HMO Networks

  1. Click Button on right, follow instructions below on new window.
  2. Click ''Find a Provider'' link on the top and center of page

  3. Search by Name, Location, and/or Specialty in Blue Box...Search
  4. Click on Doctor...Networks View Details... make sure they take individual Plan.

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