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Child Health Plan Plus (CHP+)

Child Health Plan Plus (CHP+) offered by Colorado Access is a low-cost health insurance plan for children through age 18 and pregnant people.

Applying for CHP+

When you apply for health benefits, they will check if you qualify for Health First Colorado (Colorado’s Medicaid program) or CHP+. To apply for benefits:

Enrolling in CHP+ offered by Colorado Access

You are automatically enrolled in a CHP+ health plan based on where you live. If you live within our service area and are not enrolled in CHP+ offered by Colorado Access, you may change your health plan within 90 days after you are first approved for CHP+. Call 888-367-6557 or go to enroll.healthfirstcolorado.com to change your health plan.

African American mom and daughter reading

Getting Your CHP+ ID Card

Bring your CHP+ ID card when you need medical care and have it ready when you make an appointment. If you did not get your ID card or need a new ID card, call us. CHP+ ID cards are not yet available online.

When You Turn 19

CHP+ insurance ends on your 19th birthday. But we can help you find health insurance!  Request an appointment with our application assistance site or call 855-221-4138.

Boy with glasses at school

Benefits and Services

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.

Finding a Doctor and Getting Appointments

To find a doctor or other provider, use our provider search tool or Health First Colorado Find A Doctor search tool. To find a dentist, use the DentaQuest Find A Dentist search. We can also help you find a provider. Call us at 800-511-5010. TTY users should call 888-803-4494.

You should be able to get appointments with in-network providers in these timeframes:

  • Urgent care: Within 24 hours of asking for an appointment.
  • Emergency mental health or substance use treatment: By phone, within 15 minutes after contacting the provider; in person, within one hour of contacting the provider.
  • Non-urgent sick care visit: Within seven days of asking for an appointment.
  • Non-urgent, symptomatic mental health/substance use treatment visit: Within seven days of asking for an appointment.
  • Well-care visit: Within one month of asking for an appointment.
  • Doctor visit after you leave the hospital: Within seven days of leaving the hospital.

If you cannot get an appointment within these timeframes, please call us at 800-511-5010. TTY users should call 888-803-4494.

CHP+ Copays

There is no premium for CHP+ offered by Colorado Access, but some services may have a copay. A copay is an amount you pay each time you get a specific service or prescription medication.

See a list of CHP+ copays here.