Customer Service/Billing: (844) 329-2880
COVID TESTING AND ANTIBODY TESTING
CLICK HERE for detailed information and coverage for BEST Health Plan members.
Colorado Springs School District 11 is self-insured and has a partnership with Colorado Public Education Health Plan (formally known as BEST Health Plan) for medical coverage. The Medical Plan is offered through an Exclusive Provider Organization (EPO) for medical and inpatient Mental Health/Substance Abuse services to bring patients and selected health care providers together in an effort to reduce the effect of rising health care costs. Colorado Public Education Health Plan contracts with Marpai to provide claims processing, case management and customer service for our employees and covered members.
For detailed information about our medical Plan, review the information and documents listed below.
HOW DOES THE HEALTH PLAN WORK?
If you are a new enrollee of the medical plan on or after 1/1/21, you will automatically be enrolled in the Platinum Plan for the plan year from 7/1/2022 through 6/30/2023. During this plan year, you will be given the opportunity to participate in the Health Promotion Program. If you and your covered spouse (if applicable) successfully complete the Health Promotion Program, you will automatically be enrolled in the Platinum Plan for next plan year (7/1/2023-6/30/2024). If you do not successfully complete the Health Promotion Program, you will automatically be enrolled in the Base Plan for next plan year (7/1/2023-6/30/2024). For more information on the Health Promotion Program, please visit the Health Promotion Program tab on the Benefits webpage.
HOW TO SEARCH FOR A PROVIDER
Click Here to Find a Physician
Once you create an account and log in, you will search for physicians, urgent care facilities, labs and hospitals/surgery centers.
REMEMBER: Tier 1 Providers will give you the best value.
To get the most value from your health plan, please see our NEW $0 copay primary care providers: $0 Copay Primary Care Offices
OUT OF STATE STUDENT COVERAGE
Do you have a dependent covered on your D11 Health Plan that is in college out of state?
There is now coverage available for primary care and urgent/emergent care!
Please log in to your MyMarpai portal and search for Tier 2 physicians through the Aetna directory.
MAKING ENROLLMENT CHANGES THROUGHOUT THE YEAR
In most cases, your benefit elections will remain in effect for the entire plan year (July 1-June 30). During each open enrollment period, you will have the opportunity to review your benefit selections and make changes for the coming year.
Certain coverage allows limited changes to elections during the year. These benefits include the medical, dental and vision plans. Under these benefits, you may only make changes to your elections during the year if you have a change in family status. Family status changes include:
- Marriage, divorce, or legal separation
- Gain or loss of an eligible dependent for reasons such as birth, adoption, court order, disability, death, marriage, or reaching the dependent age limit
- Changes in your spouse's employment affecting benefit eligibility
- Changes in your spouse's benefit coverage with another employer that affects benefit eligibility
The change to your benefit elections must be consistent with the change in family status. For example, if you gain a new dependent due to birth, you may change your benefit selections to add that dependent.
You have 31 days from the date of a family status change to turn in a completed enrollment change form and supporting documentation to Employee Benefits; otherwise, you must wait until the next open enrollment period to make a change to your election changes. In most cases, your election will become effective on the date of your family status change.
Can't find the information you are looking for on our website? Click the "Help" Button below to contact us with any other questions you may have.
PAPER MACHINE FILES IMPLEMENTATION:
- DOCUMENT: Marpai Compliance Paper Machine Files (PMF) Implementation
- PMF LINK: Colorado Public Education Health Plan Machine Readable Files
QUALIFYING EVENT? COMPLETE THIS FORM WITHIN 31 DAYS AND CONTACT EMPLOYEE BENEFITS:
These documents are available in paper form upon request. For a printed copy, please contact employee benefits at email@example.com All PDF's can also be printed directly from this page.