Get Colorado Hibi Program 1550 Larimer St Box 1000 Denver Co

This comprehensive guide will walk you through the process of filling out the Colorado Health Insurance Buy-In (HIBI) Program application. This program is designed to reimburse eligible users for health insurance premiums and related costs, ensuring they receive the medical care they need.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out FORM ONE, which requires you to indicate whether you or any family member receives Medicaid benefits. Select 'Yes' or 'No' and answer all follow-up questions regarding health insurance coverage.
3. Provide details about your health insurance plan, including the premium amount, frequency of payments, and type of coverage (individual, couple, family, etc.). Ensure you provide accurate and current information.
4. If applicable, list any medical conditions you or your family members are treated for. Also, confirm whether your health care providers can bill both your insurance and Medicaid.
5. Complete the section with the insurance member’s information, including name, contact details, and social security number.
6. Provide the insurance company details such as the policy number, group number, and coverage effective dates.
7. List every household member covered by your health insurance policy, including necessary details like name, birth date, and any relevant medical conditions.
8. If you wish to enroll in Direct Deposit for your payments, complete the relevant section, including banking information.
9. Indicate how you learned about the Colorado HIBI program by selecting an option from the provided list.
10. Sign and date the application, then ensure you include the required documents: a copy of your insurance card, premium rate sheet, summary of benefits, and proof of payment.
11. After completing FORM ONE, if applicable, have your employer fill out FORM TWO, which includes employer information and health insurance details.
12. Review all information for accuracy, and then proceed to save changes, download, print, or share your completed forms as needed.

Take the next step towards ensuring your health benefits—complete your Colorado HIBI Program application online today.