Health Insurance for Individuals & Families

Get ready for Open Enrollment, starting November 1st.

Get More Access. Better Coverage. And Pay Less in 2021.

With Southwest Health, you’ll get ACA-compliant coverage, more local access, and features we think you’ll love. If you live in La Plata, Montezuma, Dolores, or San Juan counties, you can sign up beginning November 1st through December 15th.

  • Pre-existing conditions are covered
  • Preventive covered 100%, including annual checkups, flu shots, mammograms, etc.
  • Pediatric dental and vision coverage
  • Expanded mental health provider access with low or no-copay
  • Large network includes Centura Hospitals throughout Colorado, including Mercy Hospital. Animas Surgical Hospital is also included!
  • Low-cost virtual visits: Convenient and innovative care with just a phone call or internet connection
  • Options such as unlimited primary care visits are available

 

Individual Plans

 

The Southwest/Peak Health team evaluates several insurance carriers to find the best fit for our community. For 2021, our carrier is Bright Health. 

The fine print: These are only summaries of the full plans available and are subject to change without notice. Benefits may be subject to deductibles, co-pays, coinsurance, and other limitations. Please check your plan for full details. Visit brighthealthplan.com for more.

Enrollment Event for Individuals, December 12th

A Connecct for Health Event: Join HealthMarkets for a virtual pop-up enrollment event! Click the link to register and get help enrolling in a health insurance plan. Make sure you are covered for 2021. Get help from 9-3pm

Get Covered for 2021: Quick Facts

  • Open Enrollment is the period between November 1st and December 15th when you can enroll for 2021 coverage
  • Enroll through Colorado’s official exchange (Connect for Health), Bright Health, a broker, or a Health Navigator
  • Plan coverage will begin January 1, 2021
  • After December 15th, enrollment continues until Jan. 15 for coverage starting February 1
  • If you miss these deadlines, you must have a “qualifying event” to buy coverage. Learn more at the link below.

Plans in the Southwest Region Include Popular Independent Providers

  • Pediatric Partners of the Southwest
  • Animas Orthopedic
  • Southwest Women’s Health
  • La Plata Family Medicine
  • Ignacio Family Practice
  • Southwest Internal Medicine
  • Dr. Hope Barkhurst
  • Many more!

Why Choose a Southwest Health / Bright Plan?

Affordable Premiums AND Affordable Out of Pocket Costs

  • Our unique model brings deep rate reductions
  • Affordability beyond premiums – lower out of pocket costs, including a family plan with a maximum out of pocket of $1,800!
  • Flat-dollar copays on services outside of office visits: labs, xrays, MRIs
  • Extensive network of local providers in our communities, as well as Centura statewide health care system and other major hospitals for care

Virtual Care Access

  • Access to telehealth visits through Doctor on Demand
  • All telehealth services obtained in connection to COVID-19 testing and diagnosis are covered at no cost to the member
  • All other telehealth services align with the primary care or specialty care benefits on your specific plan

Pediatric Vision Coverage

  • Annual eye exam

  • One standard pair of glasses per year or one-year supply of contacts

  • You can select luxury items such as designer frames at an additional cost. Work with your vision provider to get full details.

100% Coverage for Wellness / Preventive Services

  • Children’s services, like age-appropriate well-child services
  • Vaccinations for members of all ages
  • Annual routine physicals
  • Preventive age-recommended screenings for all members, such as cancer screenings, mammograms, and pap smears

Enhanced Mental Health Coverage

  • Mental health is an important indicator of overall wellness
  • $0 copay for outpatient mental health visits on all non-HSA plans
  • Unlimited number of mental health visits
  • Expanded network of community mental health providers

Pediatric Dental Coverage

  • All plans: 2 cleanings per year; deductible and coinsurance apply to additional services

  • Diagnostic and preventive procedures

  • Basic restorative services

  • Extraction surgery

  • Endodontics

  • Medically necessary orthodontia and prosthodontics (for cleft lip and cleft palate treatment)

Before you shop, get to know the “metal tiers” to better understand the differences between each level of health insurance.

Bronze Plans

If you want the lowest cost and don’t think you will need many healthcare services

  • Lowest monthly premium

  • Costs can be higher when you seek care depending on the plan you choose at this level and your medical needs

Silver Plans

Get the best balance between monthly premiums and out-of-pocket cost

  • Mid-range monthly premium

  • Mid-range cost when you get care, but can be more comprehensive than Gold in some instances

Gold Plans

You require regular medical care and don’t mind paying higher premiums for a lower out-of-pocket expense

  • Highest monthly premium

  • More costs are covered when you seek care

Now, let’s look at an overview of what’s included in the tiered exchange plans for 2021. Plans are carried by Bright Health

Metal TiersIND
Deductible
FAM
Deductible
IND MOOPFAM MOOP
CoinsurancePreventivePrimary CareSpecialist CareUrgent CareEmergency RoomMental Health*Inpatient HospitalOutpatient HospitalTier 1: Preventive RxPharmaceutical
Generics
Tier 3: Pref BrandsTier 4: Non- Pref BrandsTier 5: Specialty  
Bronze
Southwest (SHA) Bronze 8550 Rx Copay$8,550$17,100$8,550$17,1000%$0$250%$750%$00%0%$0$40$200$400$650
Southwest (SHA) Bronze 6500$6,500$13,000$8,550$17,10040%$0$2540%$7540%$040%40%$0$3540%40%40%
Southwest (SHA) Bronze 6850 HSA$6,850$13,700$6,850$13,7000%$00%0%0%0%0%0%0%0%0%0%0%0%
Southwest (SHA) Bronze $0 Medical Deductible$0 Med /
$4,950 Rx
$0 Med /
$9,900 Rx
$8,550$17,10050%$0$50$100$50$1,000$0$2,500/day up to 2 days$1,000$0$30$20050%50%
Southwest (SHA) Bronze $0 Primary Care$7,200$14,400$8,550$17,10050%$0$050%$5050%$050%50%$0$2550%50%50%
Silver
Southwest (SHA) Silver 5000 Rx Copay$5,000$10,000$8,150$16,30040%$0$25$75$75$750$040%40%$0$25$80$180$650
Southwest (SHA) Silver 4600$4,600$9,200$8,550$17,10040%$0$1040%$7540%$040%40%$0$1040%40%$680
Southwest (SHA) Silver $0 Deductible$0$0$8,550$17,10040%$0$30$60$50$750$040%$750$0$30$150$25040%
Southwest (SHA) Silver $0 Primary Care$6,700$13,400$8,550$17,10040%$0$0$60$5040%$040%40%$0$0$90$15040%
Southwest (SHA) Silver 5000 Rx Copay (73% CSR)$5,000$10,000$6,800$13,60040%$0$25$75$75$750$040%40%$0$15$80$180$57573% CSR
Southwest (SHA) Silver 2400 (73% CSR)$2,400$4,800$6,600$13,20040%$0$1040%$7540%$040%40%$0$1040%40%$500
Southwest (SHA) Silver $0 Deductible (73% CSR)$0$0$6,800$13,60040%$0$30$60$30$750$040%$750$0$30$150$25040%
Southwest (SHA) Silver $0 Primary Care (73% CSR)$6,700$13,400$6,800$13,60040%$0$0$60$2540%$040%40%$0$0$90$15040%
Southwest (SHA) Silver 1100 Rx Copay (87% CSR)$1,100$2,200$2,850$5,70015%$0$20$50$75$500$015%15%$0$5$15$100$21587% CSR
Southwest (SHA) Silver 500 (87% CSR)$500$1,000$2,700$5,40030%$0$1030%$5030%$030%30%$0$530%30%$175
Southwest (SHA) Silver $0 Deductible (87% CSR)$0$0$2,400$4,80025%$0$15$30$15$400$025%$400$0$15$75$15025%
Southwest (SHA) Silver $0 Primary Care (87% CSR)$2,500$5,000$2,700$5,40025%$0$0$20$1025%$025%25%$0$0$25$8025%
Southwest (SHA) Silver $5 Primary Care Rx Copay (94% CSR)$500$1,000$2,000$4,0005%$0$5$5$75$100$05%5%$0$0$10$50$16594% CSR
Southwest (SHA) Silver $0 Deductible (94% CSR)$0$0$1,000$2,00025%$0$1025%$2525%$025%25%$0$525%25%$125
Southwest (SHA) Silver $0 Deductible + $5 Primary Care (94% CSR)$0$0$900$1,80010%$0$5$10$5$200$010%$200$0$5$25$5010%
Southwest (SHA) Silver $0 Primary Care (94% CSR)$200$400$1,600$3,20010%$0$0$8$310%$010%10%$0$0$15$6010%
Gold
Southwest (SHA) Gold 3000 Rx Copay$3,000$6,000$8,150$16,30020%$02 $0 Visits, $20 after$40$75$600$020%20%$0$10$50$100$650
Southwest (SHA) Gold 1000$1,000$2,000$8,550$17,10020%$02 $0 Visits, $20 after$40$50$500$020%20%$0$15$50$12520%
Catastrophic
Southwest (SHA) Catastrophic 3 $0 PCP Visits$8,550$17,100$8,550$17,1000%$03 $0 Visits, then deductible0%0%0%0%0%0%$00%0%0%0%

Open Enrollment has begun! Chat with us today to get questions answered by a real human or choose an option below to begin shopping and comparing plans.

Ready to Get a Quote? 

Enrollment period is now through December 15th for January 1 coverage (January 15th for February 1 coverage). Here are your options to get started.

Connect for Health is the official Colorado marketplace for health insurance and the only place to receive and redeem financial assistance. If you have purchased from here before, or get tax subsidies for your healthcare, start here.

Bright Health is our selected insurance carrier for 2021 individual plans, and if you don't receive tax subsidies, you can shop, compare, and sign up directly at Bright. NOTE: If you don't know if you qualify for subsidies, we recommend Connect for Health.

Don't have a broker? Use one of our recommended brokers and get expert advice from brokers certified to help with our plans. You're under no obligation to buy. 

Find a Certified Health Assister

 

Free, in-person help is available from certified Connect for Health Colorado enrollment experts located throughout Colorado. Great for first-time insurance purchasers or complex situations. 

Have a question?
We can help!