What It Covers

If you get coverage from the Health First Colorado Buy-In Program For Working Adults With Disabilities (Medicaid Adult Buy-In), it will pay for a broad range of medical services. If you’re not sure if a particular service is covered by the Medicaid Adult Buy-In, or if you need prior authorization, ask your doctor or your regional organization.

Here is a list of some of the main services that the Medicaid Adult Buy-In provides:

• Doctor's visits, including primary care doctors, specialists, home health services, and telemedicine
• Vision care
• Dental services
• Emergency room visits and ambulance services
• Transportation to appointments
• Urgent care
• Outpatient hospital services and surgery
• Inpatient medical care or surgical care
• Organ and transplant services
• Maternity and newborn care
• Mental health care
• Substance use services
• Prescription drug coverage
• Durable medical equipment, such as wheelchairs, oxygen, and others
• Physical therapy
• Occupational therapy
• Speech therapy
• Lab tests, including x-rays and blood tests
• Preventive care, including immunizations and cancer screenings
• Family planning services

Coverage for long-term care services, may require a separate application for Home and Community Based Services (HCBS) Waivers. Learn more about waivers in DB101's HCBS Waiver Programs article.