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Get the free Short Term Medical PLUS Application – Colorado Only

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This document is an application for short-term medical insurance coverage specifically for residents of Colorado, outlining various plan options, required information from applicants, and conditions
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How to fill out short term medical plus

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How to fill out Short Term Medical PLUS Application – Colorado Only

01
Gather necessary personal information such as your name, address, date of birth, and social security number.
02
Provide details about your employment status and income.
03
Indicate your desired coverage start date.
04
Choose the plan options that best suit your health needs.
05
Fill out the medical history section, disclosing any known pre-existing conditions.
06
Review the terms and conditions of the Short Term Medical PLUS plan carefully.
07
Sign and date the application form.
08
Submit the application online or via mail as instructed on the form.

Who needs Short Term Medical PLUS Application – Colorado Only?

01
Individuals who are between jobs and need temporary health coverage.
02
Those who are waiting for other health insurance coverage to begin.
03
People who recently graduated or aged out of parental insurance.
04
Individuals who do not qualify for Medicaid or other long-term plans.
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It may take up to 45 days — or up to 90 days if the application requires a disability determination — from the date your application was received for a case number to be assigned to you. Once you are assigned a case number, you can check your status and benefits online through Colorado PEAK.
It is important to note that Colorado does not allow short-term health insurance. If you live in Colorado, short-term health insurance is not an option for you. In such cases, you will need to explore other health insurance alternatives, such as: ACA Marketplace Plans: Explore options through the ACA Marketplace.
Apply by phone: Call 1-800-221-3943 / State Relay: 711. Apply by mail: Download and print a paper application. Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site.
A short-term medical insurance plan can help. It provides temporary health insurance to help offset costs if you have a medical emergency unrelated to a pre-existing condition. You can apply for coverage for a specific period — typically 1 month to 364 days (and in some cases, up to 36 months).
Child Health Plan Plus (CHP+) is public low-cost health insurance for certain children and pregnant women. It is for people who earn too much to qualify for Health First Colorado (Colorado's Medicaid program), but not enough to pay for private health insurance.
There are many programs that can help you with health care costs including Health First Colorado (Colorado's Medicaid Program), the Child Health Plan Plus (CHP+), Connect for Health Colorado's Marketplace, the Colorado Indigent Care Program (CICP), sliding fee scales offered at community health clinics, hospital and
Colorado residents can expect to pay an average of $404.88 per person for an individual health insurance plan. This is the average monthly premium price of a plan available from eHealth in Colorado, but actual prices available depend on zip code, age, gender, plan metal level, and other factors.
Can consumers buy short-term health insurance in Colorado? No. Under Colorado's strict regulations, no insurers offer short-term plans in the state.

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The Short Term Medical PLUS Application is a type of health insurance application specifically designed for individuals seeking temporary medical coverage in Colorado. It provides an alternative for people who may not qualify for other forms of health insurance.
Individuals who need temporary medical coverage and do not have access to other health insurance options, such as those in between jobs or awaiting other insurance plans, are required to file the Short Term Medical PLUS Application.
To fill out the Short Term Medical PLUS Application, applicants must gather necessary information such as personal identification, proof of residency, and health-related details. The application form can be completed online or via a paper form, following the provided instructions carefully.
The purpose of the Short Term Medical PLUS Application is to provide individuals with a streamlined process to obtain temporary health insurance coverage, ensuring they have access to necessary medical services during transitions between longer-term health insurance options.
The information required on the Short Term Medical PLUS Application includes personal details such as name, address, date of birth, social security number, and details about previous insurance coverage, as well as health information including existing medical conditions and current medications.
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