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Billing

Call Patient Accounts at (970) 926-6350 with questions
Monday - Friday | 8:00 AM - 4:30 PM
Physical Address: 410 McGregor Drive, Gypsum, CO 81637
Mailing Address: P.O. Box 6347, Eagle, CO 81631 
Fax: 970-926-6355


While Colorado Mountain Medical and Vail Health are health care system partners committed to working together to provide better care for the community, the billing and business systems operate separately. As a result, you may receive separate bills depending on where you received care. Please review all patients statements carefully and reach out to the appropriate entity with billing questions.

Insurance

GENERAL INSURANCE GUIDELINES

Each insurance policy is different, depending upon:
  • Your insurance company and your specific policy.
  • The amount of coverage that is part of your healthcare benefits package.
  • Any provider network limitations defined by your insurance carrier.
Because insurance plans are constantly changing, you are responsible for charges that may deny for out-of-network or non-covered services.

To find out the details of your policy, including any prior authorization requirements, contact the Customer Service or Member Services Department at your insurance company (the phone numbers are on your insurance card or in your benefits book).

Medicaid & Other Insurance Enrollment Programs

Don't have insurance or need help getting it?
Our Community Outreach Team will work with you for Medicaid screening and enrollment. They will help you from application start to finish! If Medicaid is not available, the Community Outreach Specialists can assist connecting you with other insurance options. The Community Outreach Specialists provide bilingual services to anyone in our valley regardless of documentation status. To get started please call us at (970) 422-3039.

Contracted Insurances Accepted by CMM as of 2021-22

Because insurance plans are constantly changing, you are responsible for charges that may deny for out of network services.

PPO INSURANCE

  • Aetna PPO: see list below for eligible plans  
  • Anthem BCBS PPO: see list below for eligible plans
  • Cigna Healthcare PPO: see list below for eligible plans
  • Cofinity: all PPO plans
  • Humana: Choice Care PPO
  • Rocky Mountain Health Plans PPO
  • Rocky Mountain Health Plans Sky HMO
  • Rocky Mountain Health Plans UHC Dual Care
  • UC Health - Sonnenalp
  • United Healthcare PPO
  • Unicare (administered by BCBS)

    
HMO NETWORKS

  • Anthem BCBS of Colorado HMO: see list below for eligible plans
  • Colorado Access CHP Plus HMO 
  • Colorado Medicaid (State health plan)
  • Rocky Mountain Health Plans HMO
  • Rocky Mountain CHP Plus HMO, Prime
  • United Healthcare HMO Colorado
  • United Healthcare Nexus ACO
  • United Healthcare HMO- Out of state – (point of service plan only)
  • United Healthcare Nexus ACO R (referral required)


OTHER

  • First Health
  • Medicare
  • Multi Plan
  • Private Health Care Systems (PHCS)
  • Tricare- Prime (non-network participating provider) referral is required.
  • Tricare- Remote (non-network participating provider) referral is required.
  • Tricare- Tricare Standard/Reserve Select (non-network participating provider)
  • United Health Care Medicare Advantage
  • VA / TriWest Health Alliance

Aetna: PPO Plans, Choice POSII, Elect Choice, Open Access Elect Choice, Aetna Select, Open Access Aetna Select, Open Choice, Managed Choice, Open Access Managed Choice, Traditional Choice (PPO), Dependent Out of Area Plan-TC, Dependent Out of Area Plan-PPO, HealthFund Managed Choice, HealthFund Choice POSII, HealthFund Open Access Elect Choice, HealthFund Open Choice, HealthFund Open Access Aetna Select, HealthFund PPO HSA, Health Fund MC HSA, Cofinity, Aetna Signature Plans. 

BCBS PPO Plans: Anthem PPO, PAR, Blue Priority PPO Tier 2, FEP, WellChoice PPO Tier 1, 
Colorado Anthem Medicare PPO, Blue Card World Wide PPO, Blue Card: must have a PPO in a suitcase logo on ID card; or can utilize the indemnity network of there is an empty suitcase logo. Out of network if PCP on card.

BCBS HMO Plans: Colorado HMO, (HMOC) Colorado Pathway HMO: Colorado Pathway X, Pathway, Pathway Network, and Mountain Enhanced HMO. 

Cigna PPO: GWH-CIGNA, GWH-CIGNA Open Access Plus, SOS International, Choice Fund OA Plus, Open Access Plus, Local Plus, Local Plus IN Vantage, Local Plus Choice Fund, Local Plus IN Choice Fund, PPO.