New West Physicians accepts most major health insurance plans because we understand the importance of health insurance for the individuals and families we serve. As insurance benefits shift and change, it is important to know your plan and what is covered before your appointment with your provider.
Below is a list of the insurance plans we accept as well as additional detail per plan. Easy links are available to visit your health plan’s website where you can look for helpful features such as Coverage Review, Deductible Trackers, Provider and Service Availability, Procedure Estimators, and Claims Management. A Quick Features Reference Guide is available to assist you.
Please keep in mind: It is the patient’s responsibility to understand their plan, financial obligation, and portion of the services that are provided to them. Please contact your insurance carrier or your company’s Human Resources Manager for specific details of your plan.
Commercial Plans
Insurance Company
Accepted Plans
EPO, HMO, POS, PPO, Aetna Federal, Aetna Whole Health
Blue HMO, Blue PPO, Blue POS (HMO Colorado, Blue Advantage) We take nearly all Blue Anthem and BC/BS plans, except senior plans. If you have an Exclusive Plan with the University of Colorado Health Sciences Center, only two of our offices participate – Lakewood Internal Medicine and Evergreen Internal medicine. If your plan is out-of-state, you should contact your Benefits Department to determine coverage.
BCBS Federal, Blue Anthem PERA, Blue Anthem MEDICARE Preferred PERA PPO (Medicare Advantage Plan), Blue Anthem Pathways X HMO (Bronze, Silver, Gold).
Anthem CU Plan thru University of Colorado Health Sciences Center *ONLY ACCEPTED at Lakewood Internal Medicine and Evergreen Internal Medicine.
This health plan offers an insurance product(s) on the Colorado Health Exchange, Connect for Health Colorado. New West Physicians accepts the following plan: Pathway X Enhanced is the only BCBS product offered on the Exchange.
WE DO NOT ACCEPT BCBS SENIOR SMART
Unicare utilizes the PHCS/UnitedHealthcare network.
HMO, OPEN ACCESS, POS, PPA, PPO, SUREFIT
*This health plan offers insurance products on the Colorado Health Exchange,
New West Physicians accepts the following plans:
LocalPlus, Cigna Choice Fund, Cigna Connect EPO (Bronze, Silver, Gold)
HMO, PPO, we take all Cofinity including Alliance, Definity, Archdiocese of Denver (Centura Facilities), and Guardian including PPONEXT.
Affordable, Coventry, First Health and Mail Handlers
Government Employees Health Association (GEHA) accepted plans are United Healthcare -PPO/USA Retirees and United Healthcare Intl, GEHA Fedeal.
Commercial Plan Only
*WE DO NOT ACCEPT SENIOR PLAN AND HMO X PLAN WITH HUMANA
Beech Street, PPO, Fortis, PHCS
HMO, PPO, POS, NAVIGATE, CHARTER, COMPASS, CORE, Colorado Doctor’s Plan, UMR, UNICARE.
*This health plan offers insurance products on the Colorado Health Exchange, Connect for Health Colorado.
*WE DO NOT ACCEPT UHC CENTURA PLANS
HMO plan for individuals, families and small businesses.
Other
Oxford United, PHCS-Multiplan-Principal, TRICARE (select plans only)
*We do not accept Bright Health, Denver Health Medical plan, Evercare, or OSCAR
Medicare Plans
New West Physicians accepts Medicare through the following Medicare Advantage Plans:
Insurance Company
Accepted Plans
| AARP Medicare Advantage | Premiums as low as zero per month |
| UnitedHealthCare | Predictable costs |
| Prescription drug coverage – Zero co-pay for Tiers 1 and 2 when ordering a 90-day mail order supply | |
| Annual Physical and Preventative Screening | |
| Vision and Hearing aid benefits included | |
| One card convenience | |
| Maximum out-of-pocket $3,400 to $4,400 | |
| * Pharmacy Saver Program for Medicare Advantage Patients – Click here for a downloadable PDF | |
| Please NOTE: We do not accept Medicare Supplement Insurance Plans |
| Anthem Medicare Preferred – PERA Retirees Only | Anthem Medicare Preferred (PPO) Medicare Advantage Plan |
| Effective January 1, 2019 | Freedom to see specialists without referrals |
| Emergency care worldwide | |
| Dedicated member services team focused on you and your needs | |
| 24/7 NurseLine |
| Aetna Medicare Prime | Premiums as low as zero per month |
| Aetna Medicare Solutions | Prescription Drug Coverage |
| Maximum our-of-pocket $5,100 to $6,700 | |
| Out of network benefits on some plans | |
| Silver Sneakers Fitness Program | |
| Vision, Hearing and Telehealth coverage |