February 5, 2012 |Login
 
Employer Group PlansPoint of Service - Denver Health Authority (DHA)
 
Useful Forms Minimize
  
 
Employer Group Plans Links
 
Benefits
 
Point of Service - DHA

 

Denver Health/Cofinity Point of Service offers members a variety of options when accessing health care. A three-tiered program, member may

  1. Stay within the Denver Health system and incur the lowest out of pocket costs;

  2. Use the Cofinity provider network with more than 5,000 health care providers. Self-refer to both specialists and primary care providers. Higher copays as well as coinsurance and deductibles apply.
  3. Go to a provider of the members’ choice, outside both networks. Copays as well as coinsurance and deductibles apply at the highest rate.

For more information on employee health plans offered by the Denver Health Medical Plan, call 303-602-2100 (toll free 1-800-700-8140).

 

  
 
Mail Order Pharmacy

Mail Order Pharmacy
For Point of Service (POS) members:

You may use any pharmacy in the network and are responsible for the appropriate copayment. If you have your prescription filled at a Denver Health and Hospital Authority pharmacy, you pay a lower copay. However, Denver Health and Hospital Authority pharmacies can only fill prescriptions written by Denver Health and Hospital Authority physicians. See your handbook for details.

DHMP POS uses a network of participating pharmacies that includes the Denver Health pharmacies and most of the large pharmacy chains (e.g., King Soopers,Walgreens, Safeway, K-Mart, Rite-Aid and Albertsons), as well as locally-owned and operated pharmacies. If you would like to locate a pharmacy, please call DHMP Member Services at 303-602-2100 or 800-700-8140.

POS members may also participate in a Mail Order Prescription plan through MedImpact. For more information regarding this program, click here.

DHMP POS Mail Order Prescription Plan MedVantx form

The DHMP POS plan uses a drug formulary for all prescription medications. DHMP requests all pharmacies, whether Denver Health and Hospital Authority pharmacies or pharmacies outside of Denver Health and Hospital Authority, to fill prescriptions using this formulary. In cases where the prescribed medication is not on the formulary, and is not specifically excluded from coverage, your provider may submit a request for a formulary override by faxing a Pharmacy Request Form to 303-602-2072. All formulary override requests will be reviewed by the DHMP medical director who will notify the member and/or provider of the decision.


 

 

 
handbookbutton.gif
providerbutton.gif
 


 

 

Home|Employer Group Plans|Medicare Advantage Plans|CHP+|Quality Information|Special Programs|Resources|Health and Wellness
Copyright (c) 2012 Denver Health Medical Plan, Inc. Terms Of Use Privacy Statement