Who Qualifies?
- You must be a child under the age of 19,
- You must have a qualifying disability. The Social Security Administration (SSA) listings describe what disabilities qualify, and
- Your gross family income after disregards must be below 300% of the Federal Poverty Level (FPL). You may have additional income that is disregarded.
- Applicants should always complete the Health First Colorado application to find out if their income qualifies.
You are not required to apply for SSA disability. You must fill out the Health First Colorado Disability Application and Medical Release Form on the How To Apply page. We will determine if you qualify using the Social Security Administration (SSA) listings, without regard to your child's substantial gainful activity or ability to work.
Benefits and Services
- You will get regular Health First Colorado benefits
- Children under age 19 do not have co-payments
- Must enroll in medical family coverage offered through an employer-based group health plan if they are eligible and if the employer contributes at least 50% towards the plan premiums
What Does It Cost?
You must pay monthly premiums based on your income to be in the program. The more you make, the more you pay.
Effective Date: April 1, 2025 based on 2025 FPL
Monthly Income After Adjustments
Federal Poverty Level (FPL) | 0% - 133% | 134% - 185% | 186% - 250% | 251% - 300% |
|---|---|---|---|---|
| Monthly Income Family Size: 1 | $0 - $1,735 | $1,736 - $2,413 | $2,414 - $3,261 | $3,262 - $3,913 |
| 2 | $0 - $2,345 | $2,346 - $3,261 | $3,262 - $4,407 | $4,408 - $5,288 |
| 3 | $0 - $2,954 | $2,955 - $4,109 | $4,110 - $5,553 | $5,554 - $6,663 |
| 4 | $0 - $3,564 | $3,565 - $4,957 | $4,958 - $6,698 | $6,699 - $8,038 |
| 5 | $0 - $4,173 | $4,174 - $5,805 | $5,806 - $7,844 | $7,845 - $9,413 |
| 6 | $0 - $4,783 | $4,784 - $6,653 | $6,654 - $8,990 | $8,991 - $10,788 |
| 7 | $0 - $5,393 | $5,394 - $7,501 | $7,502 - $10,136 | $10,137 - $12,163 |
| 8 | $0 - $6,002 | $6,003 - $8,349 | $8,350 - $11,282 | $11,283 - $13,538 |
| Monthly Premium | $0 | $70 | $90 | $120 |
How to Apply
- Complete Medical application online at Colorado.gov/PEAK
- If you apply through PEAK you must also fill out the Health First Colorado Disability Application on the How To Apply page and submit it to your eligibility determination site.
- In-person
- By phone at 1-800-221-3943 / State Relay: 711
- By mail
For more information on how to apply, see our How To Apply page.
For more details about this program, see our Health First Colorado Buy-In Program page.
If you have more questions about this program call the direct line to Buy-In Experts: Toll Free 1-800-711-6994 or contact the Member Contact Center.