Child Health Plan Plus (CHP+)

Below is a summary of CHP+ benefits. Check the CHP+ Member Handbook / Folleto de los Beneficios del Miembro para CHP+ for more information.

• Preventive care (well visits, vaccines/shots)
• Family planning and reproductive health benefits
• Routine sick visits and specialist care
• Hospital
• Lab and X-ray services
• Urgent and emergency care
• Mental health and substance use disorder treatment
• Ambulance transportation for emergencies
• Prescriptions/pharmacy and some over-the-counter medications. See CHP+ Pharmacy Services below to learn more.
• Durable medical equipment (DME) (ex. wheelchair, breast pump, diabetic strips)
• Vision services. See CHP+ Vision Services below to learn more.
• Dental care. Call DentaQuest at 888-307-6561 or use State Relay 711 for help.
• Outpatient physical rehabilitation (physical, occupational, and speech therapy). CHP+ offered by Colorado Access members get 10 extra outpatient physical rehabilitation visits, for a total of 40 visits per diagnosis each year.

Your CHP+ pharmacy benefit covers many prescription medications and some over-the-counter medications. Some medications may have coverage guidelines, such as prior authorization or quantity limits. Find out what drugs we cover.

You can go to any in-network pharmacy to get your prescriptions.

Navitus Health Solutions manages your CHP+ pharmacy benefit. Sign up for the Navitus member portal here.

If you had to pay for a prescription after you qualified for CHP+, but before you enrolled in CHP+ offered by Colorado Access, ask your pharmacy for a refund:

• Give the pharmacy your receipt, your CHP+ ID number, BIN number 018902, and PCN  number P303018902.
• You must ask for the refund within 120 days from the date the prescription was filled.
• Refunds are not guaranteed.

We may be able to reimburse you if you pay for a covered prescription at an in-network pharmacy if you did not use other insurance or a discount card. You must request reimbursement within 120 days of filling the prescription. Get an itemized receipt and send it with the Prescription Drug Claim Form to:

Colorado Access
Reimbursements
P.O. Box 17950
Denver, CO 80217-0950

You can find the Prescription Drug Claim Form under “Pharmacy” on our website.

CHP+ offered by Colorado Access members get one routine eye exam and $150 toward eyeglasses or contact lenses each year. To use your benefits:

1. Go to an in-network provider for an eye exam.
2. Take your vision prescription to an in-network provider who sells eyeglasses or contacts.
3. If you find a provider out of our network, you may purchase your eyeglasses or contacts and submit a receipt for reimbursement for up to the $150 annual benefit maximum. To request reimbursement for eyeglasses, call our customer service team at 800-511-5010 (TTY users should call 888-803-4494) or complete a grievance form. In the description box, put “eyeglass reimbursement” and attach your receipt.