Colorado approves 541 health plans that meet Patient Protection & Affordable Care Act standards

DENVER - Coloradans without health insurance found out Friday what it will cost them to comply with the insurance mandate taking effect next year.

The Division of Insurance released rates Friday of plans that comply with the health care overhaul. Eighteen insurance companies will offer 541 separate plans for individuals and small groups.

For a 40-year-old individual customer, monthly premiums will range from $177 a month to $774 a month. The wide range of rates is because premiums depend on the level of coverage and where in the state a person lives. By 2015, insurers will also be charging different rates for smokers and nonsmokers.

Colorado opens a marketplace Oct. 1 to help customers shop for insurance. The health insurance exchange, called Connect For Health Colorado, has hired "navigators" to explain the health insurance options at health fairs and community events, and the exchange has also taken out TV ads to get the word out about shopping for insurance.

Colorado has about 716,000 people without insurance. Many of them will be eligible for free health care through Medicaid, or subsidized health insurance depending on their incomes. Coloradans who aren't eligible for free health care but choose to skip health insurance altogether will be fined at least $95 next year, with fines going up dramatically in subsequent years. For now, health officials are hoping to lure the uninsured into the system, talking up new benefits under the overhaul.

For example, young and healthy customers can now find cheaper premiums for catastrophic health insurance. Health officials are trying to soften the sticker shock by talking up additional benefits those young and healthy consumers will see under the new health insurance plans, such as lower out-of-pocket costs and free preventive care and cancer screenings.

"While it is tempting to compare the costs for the new plans to current ones, it is important to remember that these are new plans with new benefits and new requirements, so it is not an `apples to apples' comparison." Interim Insurance Commissioner Doug Dean said in a statement.

The rates released Friday show the complicated decisions facing Colorado's uninsured.

 First, rates and options will depend on where in Colorado a customer lives.

Let's say 40-year-old customer seeking individual insurance through the exchange wants a "bronze" plan, meaning insurance would cover 60 percent of their health care costs. That 40-year old would have 16 insurers to choose from, with monthly premiums from $186 to $364, if they live in Denver. The same customer living in Grand Junction would have just eight insurers to choose from, with monthly premiums ranging from $237 to $400. And if the same customer is living in Greeley, they'd have 13 insurers to choose from, with monthly premiums ranging from $177 a month to $296 a month.

 A 40-year-old customer who wants to use the exchange to buy an individual "platinum" plan, in which insurance would cover 90 percent of their costs, has even fewer options. That customer would have two insurers to choose from in Denver, one insurer to choose from in Colorado Springs, Pueblo and far Eastern Colorado, and no insurers at all through the exchange in Boulder, Fort Collins, Grand Junction or Greeley.

The Insurance Division also approved rates for small group plans, affecting businesses with more than 50 employees. For the least expensive small group plan, monthly base rates for premiums range from $224 with Kaiser Permanente to $1,003 with Humana Insurance Co.

Finally, the Division released rates for 221 kinds of optional dental insurance. For individuals, the dental premiums range from $16 a month to $67 a month, again depending on level of coverage and location in the state.

State officials insist Coloradans will have plenty of help through the state exchange in making sense of the new health care landscape.

"As Colorado consumers and small businesses shop for insurance this fall, they will be able to choose from a great variety of health plans," Dean said.

-- Monthly premiums for a 40-year-old customer in different parts of Colorado --

  PLATINUM: 90 percent of covered medical expenses

   Boulder: No coverage through exchange    

   Colorado Springs: $311

   Denver: $322 to $531

   Fort Collins: No coverage through exchange

   Grand Junction: No coverage through exchange

   Greeley: No coverage through exchange

   Pueblo: $524

   Southeast Colorado: $553

   Northeast Colorado: $691

   Western Colorado: $682

   GOLD: 80 percent of covered medical expenses

   Boulder: $287 to $532

   Colorado Springs: $299 to $488

   Denver: $286 to $533

   Fort Collins: $273 to $549

   Grand Junction: $366 to $591

   Greeley: $273 to $585

   Pueblo: $345 to $503

   Southeast Colorado: $344 to $515

   Northeast Colorado: $273 to $625

   Western Colorado: $430 to $694

   SILVER: 70 percent of covered medical expenses

   Boulder: $245 to $446

   Colorado Springs: $242 to $421

   Denver: $245 to $460

   Fort Collins: $233 to $501

   Grand Junction: $274 to $509

   Greeley: $233 to $447

   Pueblo: $294 to $446

   Southeast Colorado: $294 to $444

   Northeast Colorado: $233 to $546

   Western Colorado: $322 to $598

   BRONZE: 60 percent of covered medical expenses

   Boulder: $186 to $365

   Colorado Springs: $205 to $331

   Denver: $186 to $361

   Fort Collins: $177 to $394

   Grand Junction: $237 to $400

   Greeley: $177 to $373

   Pueblo: $223 to $359

   Southeast Colorado: $223 to $379

   Northeast Colorado: $177 to $473

   Western Colorado: $289 to $470