Welcome to the CU GME Health/Dental Benefits Plan, the health, dental, and prescription drug card program available to eligible CU GME residents, fellows, and their dependents.
Plan Document: Refer to the Plan Document for details of health, prescription and dental insurance coverage. It is the resident's responsibility to know the terms of coverage.
In-Network Medical/Surgical Providers and Facilities: Use the Medical/Surgical Provider Directory below for a listing of in-network medical/surgical providers and facilities.
In-Network Behavioral/Mental Health Services Providers and Facilities: Use the Behavioral/Mental Health Services link below to find in-network behavioral/mental health service providers and facilities.
In-Network vs. Out-of-Network: Using in-network providers will substantially reduce your out-of-pocket expenses. See the information below for in-network and out-of-network reimbursement levels.
PRE-CERTIFICATION IS REQUIRED on services specified in the Plan Document. Contact CU Health Plan Medical Management: phone: 303-493-7507; fax: 303-493-7501. If you are unsure of pre-certification requirement, ASK. It is the insured's responsibility to make certain pre-certification is obtained when required. When pre-certification is required and not obtained, all associated charges will be the responsibility of the insured. AVOID PROBLEMS. Pre-cert when required! Please note: pre-certification is NOT A GUARANTEE of payment. All services are subject to plan provisions.
CU GME Health Plan Required Notices:
Final determination of a claim is possible only when the actual claims for services rendered is received and reviewed. Any oral or written statement or representation that alters, modifies, amends or is inconsistent with the written terms of the Plan is invalid and unenforceable.
This plan does not require PCP selection, however, residents are STRONGLY ENCOURAGED to establish care with a PCP. This will improve access to care should you become ill or have an injury, may help avoid an ER visit, etc. Many PCP providers have same day access when immediate care is necessary. Residents should seek medical attention when needed and know how to do so BEFORE an urgent situation arises.
Residents are not allowed to provide treatment or prescribe medication that is self prescribed, prescribed by one resident for another, prescribed by resident for a family member, or prescribed by resident for a family member of another resident.
CU GME Benefits Office
Dee Fetter Joe LaFond
Benefits Program Director Benefits Assistant
Phone: 303-724-6024 Phone: 303-724-7325