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  • Heidi Lim

Insurances Affected by PIH-RMPC Partnership

Do you have Humana Insurance?

With our partnership with Rocky Mountain Primary Care in July, Humana Medicare Advantage Insurances are dropping us as an in-network provider. We have worked hard and have done our very best to work with Humana in order to continue to see you until the end of the year, but they have declined our request. Unfortunately, if you have a Humana Medicare Advantage insurance plan, you may not be able to see us anymore.


If you have Humana Gold Plus HMO, you will not be able to see us any longer. See the card below:



If you have HumanaChoice PPO, Humana Value Plus PPO (not pictured) or Humana Gold Choice PFFS, you may be able to continue to see us, but we would be considered an out-of-network provider, and you would have to pay a certain percentage of the visit. You will need to check your individual plan benefits to see what your out-of-network benefits are.



*If you have a non-Medicare Humana insurance, we should still be able to see you. If you are unsure, give our billing department a call at 303-429-6609 or call the members services number on the back of your card.


What other insurances are affected?

Bright Health Medicare Advantage plans and Colorado Doctor’s Plan under United Healthcare will no longer be participating with us. Please contact the member’s services number on the back of your card if you have any questions on which providers are in network.



What options do you have?

Humana Request for Continuity of Care Form

If you have recently received a letter from Humana, please be sure to read through it. It will give you a new primary care provider (PCP) name that you can go to, but you do NOT have to go to that provider. You can choose a different provider by calling Humana or visiting their provider directory at Humana.com/directories.


Sent along with that letter, is a Humana Request for Continuity of Care Form. If you would like to request an extension to continue to see us, please fill out this form and send it in 21 days from the date of the letter. If you’d like, you can come in to the office and we can fax it for you and/or answer any questions that you may have. You can also call our Care Coordination department for more assistance at 720-235-4735.


Unfortunately, if the extension is not approved, you will need to see a different provider until you are able to change insurances.


Switching Insurances

Another option that you have is switching insurances during Medicare open enrollment in the fall. If you would like to go with this option, you will need to switch to United Healthcare AARP Medicare Complete under the Physician Health Partners (PHP) plan. It is very important that if you switch to this insurance, that it is under the PHP plan, otherwise we are not in-network.


How can we help you?

We are very saddened that you may not be able to see us any longer and express our deepest apologies for this inconvenience. We have formed great relationships with you over the years of service and we do not want to lose that. In order to help make this transition as smooth as possible for you, please reach out to the Care Coordination department for anything that you may need (720-235-4735). You may speak to Autumn, Matt, or Heidi.


We will also do our best to make sure your medical records are transferred in a timely manner. Please have your new provider call or fax us to request records sent over.

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Call: 303-429-6600

Fax: 303-429-6601

3520 W. 92nd Ave, suite 104

Westminster, CO 80031

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