New and Current Patients

Patient Registration Packet

Online Care Card Application

Paper Care Card Application

Current Sliding Scale Fee Codes

Medicaid Application

Online Patient Assistance Fund

Paper Patient Assistance Fund

Paquete de registro del paciente

Solicitud en línea de la tarjeta de atención médica

Solicitud en papel de la Care Card

Códigos actuales de tarifas según escala móvil

Solicitud de Medicaid

Fondo de asistencia al paciente

Fondo de asistencia al paciente en papel

Elevated Community Health fees are accrued based on the care you receive. The staff at Elevated Community Health will do the best they can to provide you with a cost estimate. You are required to pay the entire bill at the end of each visit. If needed, you will be offered a payment plan.

If you are uninsured or unsure whether you can afford the cost of care, please refer to our Sliding Fee Scale program below.

How to Apply for an ECH Care Card (Sliding Fee Scale Program)

If you are uninsured or concerned about covering the cost of care, you may qualify for discounted services through our ECH Care Card (Sliding Fee Scale) program. To be eligible, you must complete a short application and go through a formal screening process. We recommend completing this process before you need services, as it takes time to review and process your information.

Steps to Apply:

1. Call us at 970-668-4040 and let the staff know you’re interested in applying for the Care Card.
2. Complete the application forms:

• Care Card Application – English
• Paper Care Card Application – English
• Care Card Application – Spanish
• Paper Care Card Application – Spanish

3. Submit your completed application and required documents by dropping them off or emailing them to our office. Our Eligibility Coordinator will review your information. If you qualify, you’ll be placed on our Sliding Fee Scale and issued an ECH Care Card.

Payment Information:

• Your co-pay (based on your Care Card level) is due at check-in for each appointment.
• Any additional fees not covered by the Care Card are due at the end of your visit.
• If needed, we’re happy to work with you on a payment plan.

Prefer to Meet In Person?

You can schedule a meeting with our Eligibility Coordinator by calling 970-668-4040. Please arrive 15 minutes early and bring all completed forms and supporting documentation.
Urgent Needs:

If you are very ill and have not yet completed the Care Card process, please inform our front desk. We’ll do everything we can to ensure you receive the care you need.

Pick the service you need, Primary Care, Dental, Behavioral Health or the Baby Plan, then choose a 3, 6, or 12-month prepaid plan. Each plan includes a set number of visits; after that, you’ll have a simple $70 copay per extra visit or additional discounts from 20%-30% for Dental services. Bundle Primary Care + Dental for extra savings.

Who it’s for

• Uninsured and those who do not qualify for the Care Card, Medicaid, Medicare, or a Medicare Advantage plan.
• Families who want predictable costs
• Local employers covering staff care

How it works

• Pick a 3, 6, or 12 month term (only 6 and 12 months available for plans with Dental included)
• Visits included per plan; extra visits for Primary care and Behavioral health are a flat, no-surprise cost
• Ask about Primary Care + Dental bundles

Good to know

• Not for patients with Medicaid or CHP+
• If you may qualify for our ECH Care Card (Sliding Fee Scale), that program could be a better fit
• You can still switch to the Care Card later if eligible

Start your enrollment here. 

We are in-network with many carriers. However, you should also check with your insurance to confirm that we are an in-network provider.

We submit your in-network claims to your insurance company for the care you receive. Co-pay is due at the time of service.

In-network insurance:

AETNA PPO
Anthem/Blue Cross Blue Shield
Cigna
Cofinity
Humana
Lucent Health
Medicaid/CHP+
Medicare
Multiplan/PHCS
PNOA (Providers Network of America)
Rocky Mountain Health Plans (RMHP)
UHC PPO/UMR
Veterans/TriWest

If your insurance carrier is not in-network, we cannot directly bill your insurance. You will need to pay the out-of-network cost to receive service with us.

Co-pays are collected at the time of service. We will submit your claim to your insurance company. You will receive a billing statement for any remaining fees not covered by insurance.

Settlement of your bill is required within 30 days of the statement date. If you receive services that are not covered, you will be informed of the cost of the service, and payment will be expected at the time of service.

Need to enroll in Medicaid? Apply Here

When you make an appointment, let us know that you have Medicaid, CHP+ or Medicare. Bring your cards with you to your appointment.

Any copays or fees required by Medicaid or CHP+ will be collected at the time of service. If you receive services that are not covered, you will be informed of the cost of the service, and payment will be expected at the time of service.

Need help applying? Contact our partners at PointCare at 970-372-4908

When you make an appointment, let us know that you have Medicare. Bring your Medicare card with you to your appointment.

Any copays or fees required by Medicare will be collected at the time of service. Your signed acknowledgment of an Advanced Benficiary Notice (ABN) is required, confirming that you will pay for all services not covered by Medicare. If you receive a non-covered service, you will be informed that these services are not covered, and will be patient responsibility.

We are in-network with many dental insurance plans and you will be charged for services according to your individual plan. If you do not have dental insurance and have a current ECH Care Card, you will be charged according to the Sliding Fee Scale. If you have an out of network insurance plan, we will courtesy bill your insurance. We can also offer you a recurring payment plan.

We accept the following dental insurance:

• Aetna
• Anthem
• Cigna
• Dentaquest
• Dentemax
• Guardian
• Humana
• Medicaid
• UHC

We are a provider of the Colorado Dental Health Program for Low Income Seniors. This program provides access to dental care to individuals age 60 and over who are not eligible for dental services under any other dental health care program, such as Health First Colorado (Colorado’s Medicaid Program). Our eligibility staff will screen you for eligibility for this program. As funds for this program are limited, eligibility does not guarantee coverage.
Online Application – English

Paper Application – English

Online Application – Spanish

Paper Application – Spanish

Patients are responsible for timely payment of balances not covered by insurance or assistance programs.

We understand that healthcare costs can be a challenge, and we’re here to help. Elevated Community Health offers a Patient Assistance Fund for those who qualify, and we can also connect you with trusted community partners, such as FIRC, for additional support with medical expenses. If these services would be helpful, please contact our office.

If a balance remains unpaid after four consecutive months of nonpayment, the account may be referred to a collections agency.

The Patient Assistance Fund (PAF) helps Elevated Community Health patients pay for health care costs not covered by insurance. This ensures all patients can access care, regardless of their financial situation. To apply, complete a Patient Assistance Fund application at an office location or submit the application electronically. Reach out to PAF@staging.elevatedch.org if you have any questions.