What Is Health First Colorado?
Medicaid is a joint federal-state health insurance program that provides free or low-cost coverage
to people who meet income and eligibility requirements. In Colorado, the Medicaid program is called
Health First Colorado. It is administered by the state but jointly funded by state and federal governments.
Colorado Has Expanded Medicaid
Colorado expanded Medicaid under the ACA, extending coverage to adults with household income up
to 138% of the federal poverty level (approximately $21,597 for a single adult in 2026).
This means non-disabled adults without children who meet the income threshold can now qualify for
Health First Colorado — a major change from pre-expansion rules that limited Medicaid to narrow
eligibility categories.
Marketplace as Alternative in Colorado
If you don’t qualify for Health First Colorado, the ACA marketplace is your primary option.
Colorado marketplace carriers include: BCBS of Colorado, Denver Health Medical Plan, Kaiser Permanente, Cigna, Oscar Health. ACA premium tax credits are available for
households earning between 100% and 400% FPL (~$15,650–$62,600 for a single adult in 2026).