06/05/2026
If you have questions about your insurance, need help figuring out your network or other aspects of you health coverage, Hilltops Health Access is your local assistance site in Grand Junction and we are here to help. Call 970-244-0850 to make an appointment or to speak to a health coverage guide.
What's actually covered by my plan?
It's still the most common question about health insurance, and covered services are unfortunately not always easy to identify, even from a benefits statement.
If you enroll in a plan through an official state insurance marketplace like Connect for Health Colorado, your covered services will automatically be easier to understand, as EVERY marketplace plan covers the following 10 essential benefits:
- Ambulatory patient services (outpatient care you get without being admitted to a hospital)
- Emergency services
- Hospitalization (like surgery and overnight stays)
- Pregnancy, maternity, and newborn care (both before and after birth)
- Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
- Prescription drugs
- Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
- Laboratory services
- Preventive and wellness services and chronic disease management
- Pediatric services, including oral and vision care (adult dental and vision coverage aren’t classified as essential health benefits)
For more information on the different plans available through the marketplace, how to enroll outside of Open Enrollment or how to review your current plans, call our team at (855) 752-6749.