Provider and Prescription Information


Before making any decisions about purchasing an insurance plan…

It’s important to make sure that your plan covers your preferred doctors and providers.  Navigating through the insurance world can be challenging.  Below you can find instructions on how to look up providers and prescription information for the main companies available in the Colorado group health insurance market: Anthem, Humana, UnitedHealthcare, and Kaiser Permanente.  If you have any further questions or need assistance, feel free to contact us at any time.

Please note these search tools only apply to group plan offerings, and the results of any search is not definitive. Doctor and facility contracts may change at any time throughout the calendar year.

Anthem health insurance Colorado

How to make sure your doctor is in network:

  1. Go to Anthem
  2. Under Search as a Guest click on ‘Search by Selecting a Plan or Network’
  3. Then select “Medical” in the “Type of Care” dropdown
  4. Answer the State
  5. Select yourAnthem PPO Network
  6. Enter your doctor’s name at the next screen and type in your location, then click ‘Search’

How to make sure your drugs are covered:

  1. Go to Anthem Pharmacy Information
  2. You want to scroll down to the Preferred Drug Lists and choose the Preferred Drug List 4-Tier (Searchable)

Note: Your cost for a drug usually depends on what tier the drug is on. These lists group drugs into tiers, so find your drug, note the tier it’s in. Typically, the higher the tier, the greater your cost. Choose the list for Colorado

How to make sure your doctor is in network:

  1. Go to https://www.humana.com/insurance-through-employer-support/benefits/
  2. Scroll down the page to where it lists “Resources” on the left-hand side
  3. Select “Find a doctor”
  4. Select the “Just Looking” tab and choose “Insurance through your employer,” enter your ZIP code, and select your network
  5. Choose what you want to search for (name, specialty, etc.)
  6. Enter your doctor’s name or the specialty, etc. and click ‘Search’

How to make sure your drugs are covered:

  1. Go to https://www.humana.com/pharmacy/insurance-through-employer/tools/druglist/2017
  2. Choose the “Small Business and SHOP” tab
  3. Scroll down the page to where it lists Colorado’s formularies
  4. Locate your plan’s formulary and choose either Comprehensive or Abbreviated formulary link.

Note: Your cost for a drug usually depends on what tier the drug is on. These lists group drugs into tiers, so find your drug, note the tier it’s in. Typically, the higher the tier, the greater your cost. Choose the list for Colorado

Kaiser health insurance Colorado

To review the qualified physicians in your area:

  1. Go to Kaiser Permanente and click ‘Find a Doctor’
  2. Select Area
  3. Select Plan Type and Provider Type
  4. Search by doctor’s name

How to make sure your drugs are covered:

  1. Go to Kaiser Permanente
  2. Under ‘Health & Wellness’ tab, click ‘Drugs & Natural Medicines’
  3. Click ‘Covered Drugs’ under Formulary
  4. Click ‘Find out what drugs are covered in your area’

How to make sure your doctor is in network:

  1. Go to myuhc.com
  2. On the right side of the page you can select a hyperlink “Find Physician, Laboratory or Facility
  3. Select the “All United HealthCare Plans” Box
  4. Select yourNetwork: either Choice Plus or Navigate HMO
  5. Type in your ZIP code and click “continue”
  6. Enter your doctor’s name and click ‘Search’

How to make sure your drugs are covered:

  1. Go to myuhc.com
  2. On the right side of the page you can select a hyperlink “Pharmacy Information”
  3. You will want to click the hyperlink that says: 2017 Tier 4 Prescription Drug List effective January 1, 2017 

Note: Your cost for a drug usually depends on what tier the drug is on. These lists group drugs into tiers, so find your drug, note the tier it’s in. Typically, the higher the tier, the greater your cost. Choose the list for Colorado

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