Boulder County, CO Medicare Plans for 2027

Which Boulder County hospitals should I check against a plan?

In the CMS Hospital General Information file, five acute care hospitals carry a Boulder County record: Boulder Community Health at 4747 Arapahoe Avenue in Boulder, Good Samaritan Medical Center at 200 Exempla Circle in Lafayette, AdventHealth Avista at 100 Health Park Drive in Louisville, and two in Longmont, Longmont United Hospital at 1950 Mountain View Avenue and Longs Peak Hospital at 1750 East Ken Pratt Boulevard.

Medicare Advantage networks are set plan by plan, so a plan can include one of these hospitals and leave out the one a few miles away. Before you pick a 2027 plan, write down the hospital you would go to in an emergency and the one your specialists use, and check both against every plan you are considering.

Lisa does that check for you, free and with no obligation, by phone or video for Boulder County clients, and then helps you enroll.

I live in the mountains above Boulder. Who helps me?

Boulder County runs Mountain Aging Services for older adults, people with disabilities, caregivers and veterans in the mountain communities. Resource specialists meet clients, learn their needs and build an action plan with them. There is a Northern Mountain Resource Specialist (720-766-8844) and a Southern Mountain Resource Specialist (720-616-9109), and the general aging line is 303-441-1617.

The county is candid about the limits: it says it generally cannot start a service where no provider exists, and that services depend on funding, staff and volunteers. That same reality shapes insurance choices in the mountains:

• Check that the clinic you can actually reach in bad weather is in a plan’s network, not just the hospitals down in Boulder, Longmont, Lafayette and Louisville.
• Ask how a plan handles home health and follow-up care where few providers serve.
• Weigh the wider choice of providers that Original Medicare with a Medigap policy allows against the extra benefits a Medicare Advantage plan may add.

I am losing Health First Colorado, or I am not sure I still qualify. What now?

CMS lists losing Medicaid eligibility as a reason for a Special Enrollment Period: you can join, switch or drop a Medicare drug plan or a Medicare Advantage plan with drug coverage, and the window lasts 3 full months from the date you lose eligibility or are notified, whichever is later. Do not wait for the window to close.

For Health First Colorado questions, renewal notices and address updates, Boulder County Human Services is at 303-441-1000, with offices at 515 Coffman Street in Longmont, 3400 North Broadway in Boulder, and 1755 South Public Road in Lafayette. The same office can answer questions about the Medicare Savings Programs, which help pay Medicare premiums and, at the lowest income tier, deductibles and coinsurance. You can also manage your case on Colorado PEAK, where the county suggests opening your Mailbox and choosing how you want renewal notices delivered, so a letter that affects your coverage does not get lost.

CMS also lists what Original Medicare does not cover, including non-medical long-term care, most dental care and dentures, vision exams for prescription glasses, and hearing aids. When your Medicaid coverage changes, those gaps can appear overnight. Lisa can line up a Medicare plan that starts on time and, where it makes sense, separate dental, vision or hearing coverage.

Local sources: CMS: Special Enrollment Periods · CMS: What’s not covered · Boulder County Area Agency on Aging: Mountain Aging Services · Boulder County Area Agency on Aging: Medicare Savings Program · Colorado Department of Health Care Policy and Financing: Medicare Savings Programs · CMS Hospital General Information (Provider Data Catalog)