Updated May 2026

Condition Care · Medicare Ratings

Heart & Cardiovascular Care · 80435, CO

Best Medicare Plans for Heart Care near 80435, CO (2026)

Statin therapy and medication adherence are the two biggest drivers of outcomes for people with cardiovascular disease — and they're exactly what CMS measures. Here's how 80435, CO plans compare.

4
Plans CMS-Rated
for Heart Care
89.5
Highest Score
Available
20
Local Specialists
on This Site
4.40%
Adults in 80435
Affected (CDC)
Data Sources: CMS Medicare Part C & D Star Ratings (2025) for plan-level quality on condition-specific measures. CDC PLACES (2025) for zip-level prevalence estimates. NPPES and CMS Physician Compare for local specialist information.
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Important: We are not affiliated with Medicare, CMS, or any insurance plan. This page displays publicly available CMS quality data to help you research heart and cardiovascular care care options. We do not sell insurance or represent any carrier. Always confirm plan details, network status, and drug formularies directly with the plan before enrolling. For official enrollment, visit Medicare.gov or call 1-800-MEDICARE.

Why Heart Care Care Quality Varies by Plan

Heart disease is the leading cause of death among Medicare beneficiaries, and statin therapy is the single most effective tool CMS has found for preventing second heart attacks and strokes in people with existing cardiovascular disease. The two CMS measures for heart care both focus on statins: (1) is the plan successfully prescribing a statin to members with diagnosed cardiovascular disease, and (2) are those members actually staying on the statin throughout the year?

Plans that score well do the small things right — pharmacy programs that remind members to refill, outreach when prescriptions lapse, coordination with primary care when a member stops a medication. Plans that score poorly usually have high pharmacy-benefit friction or passive care coordination. The composite heart score on this page is the plan's weighted average across both measures.

How We Rank These Plans for Heart Care

CMS publishes annual Star Ratings for Part C and Part D plans. Within those ratings, several measures are condition-specific — they directly reflect how well a plan's enrollees with heart and cardiovascular care receive recommended care. For Heart & Cardiovascular Care, we rank plans using the following measures:

  • Statin Therapy for Patients with Cardiovascular Disease Drug Therapy
  • Medication Adherence for Cholesterol (Statins) Adherence
How to read the composite score: Scores range 0–100 and are a weighted average of the measures above (higher is better). As a rough guide: 85+ is excellent, 70–84 is solid, 55–69 is average, and below 55 suggests many members with heart and cardiovascular care aren't receiving recommended care. A plan with a missing score isn't necessarily worse — it simply didn't report enough measures for CMS to calculate one.

A plan must report at least 2 of 2 measures to receive a composite Heart Care score. Plans reporting fewer measures are shown in a separate "Not Rated by CMS for Heart Care" cohort — this typically happens with newer plans, smaller plans, or Special Needs Plans that serve narrow populations. Read our full methodology →

Top-Rated Medicare Plans for Heart Care near 80435, CO

Of the plans available near 80435, CO, 4 have enough CMS data to receive a composite Heart Care score. The top 4 are shown below, ranked by score. Plans with the same score are ordered by premium (lowest first).

PlanHeart Care ScoreStar RatingMonthly Premium
Uhc Dual Complete Co-S002 (HMO-POS D-SNP)
Unitedhealthcare
89.54.0 ★$21
Uhc Dual Complete Co-S4 (HMO-POS D-SNP)
Unitedhealthcare
89.54.0 ★$35
Humanachoice Snp-De H7617-067 (PPO D-SNP)
Humana
89.04.5 ★$0
Aarp Medicare Advantage From Uhc Co-0013 (PPO)
Unitedhealthcare
87.04.0 ★$29
Aarp Medicare Advantage From Uhc Co-0017 (PPO)
Unitedhealthcare
87.04.0 ★$80
Humana Usaa Honor Giveback (PPO)
Humana
86.53.5 ★$0
Humanachoice Snp-De H5216-468 (PPO D-SNP)
Humana
86.53.5 ★$0
Humana Essentials Plus Giveback H5216-435 (PPO)
Humana
86.53.5 ★$0
Humanachoice H5216-223 (PPO)
Humana
86.53.5 ★$9
Humanachoice Snp-De H5216-267 (PPO D-SNP)
Humana
86.53.5 ★$27

How to read this table: The Heart Care score is a weighted average of CMS condition-specific measures (listed above). Higher is better. Star Rating is the plan's overall CMS Star Rating (1-5) across all measures. "Monthly Premium" is the base premium; actual cost depends on your situation. Drug formularies and provider networks vary by plan — always verify before enrolling.

Compare every plan side-by-side

See full premium, deductible, drug tier, and star-rating detail for all Medicare plans near 80435, CO. The 80435, CO plan page is our most complete comparison view.

Compare All Medicare Plans near 80435, CO →

Other Plans Available (Not Rated by CMS for Heart Care)

Some Medicare plans in your area don't report enough data on heart and cardiovascular care measures for CMS to compute a condition-specific score. This typically happens with newer plans, smaller plans, or Special Needs Plans that serve narrow populations. These plans aren't necessarily worse — they just can't be ranked on Heart Care care specifically:

  • Aarp Medicare Rx Preferred From Uhc (PDP) — Unitedhealthcare
  • Aarp Medicare Rx Saver From Uhc (PDP) — Unitedhealthcare
  • Healthspring Assurance Rx (PDP) — Healthspring
  • Healthspring Extra Rx (PDP) — Healthspring
  • Humana Basic Rx Plan (PDP) — Humana
  • Humana Premier Rx Plan (PDP) — Humana
  • Humana Value Rx Plan (PDP) — Humana
  • Silverscript Choice (PDP) — Aetna Medicare
  • Wellcare Classic (PDP) — Wellcare
  • Wellcare Value Script (PDP) — Wellcare

Heart & Cardiovascular Care near 80435, CO

4.40%
of adults in 80435 live with heart and cardiovascular care

In 80435, CO, 4.40% of adults have diagnosed coronary heart disease. That's close to the national average of 6.20%. Plan quality varies widely even in average-prevalence areas — the scored plans below reflect real differences in how heart and cardiovascular care is being managed.

How 80435, CO compares

Summit County County

4.42%

Similar to the county average.

Colorado

5.07%

In line with the state average.

National

6.20%

CDC BRFSS-derived benchmark, population-weighted.

Source: CDC PLACES (2025) — census-tract prevalence estimates rolled up to zip and county using population-weighted aggregation from census block data. State and national figures from CDC BRFSS as reported in CDC PLACES documentation. Prevalence is a crude (not age-adjusted) estimate of adults 18+.

Local Heart Care Specialists

The doctors below are in or near 80435, CO and practice in specialties directly relevant to heart and cardiovascular care care. Plan network participation varies — always confirm with the practice and your plan before your first visit.

Whitney E. Juselius

Cardiology · 4.5 mi away
954 Medicare patients/yr

Nelson A. Prager

Cardiology · 19.9 mi away
4.3K Medicare patients/yr

Sarah Robinson

Primary Care · 2.6 mi away
— Medicare patients/yr

Ryan D. Winkelhorst

Primary Care · 2.6 mi away
358 Medicare patients/yr

View all doctors near 80435, CO →

Hospitals Serving 80435, CO Residents

For heart and cardiovascular care care that requires hospitalization — procedures, surgeries, or emergency admissions — these are the nearest hospitals with full quality profiles on our site:

St Anthony Summit Medical Center

4.6 mi away
Not rated by CMS

Vail Health Hospital

20.0 mi away
5 ★ CMS overall

St Vincent General Hospital District

29.8 mi away
Not rated by CMS

Middle Park Medical Center

36.9 mi away
Not rated by CMS

Centura Health-St Anthony Hospital

47.3 mi away
4 ★ CMS overall

View all hospitals near 80435, CO →

80435, CO Community Context

Factors beyond plan ratings and doctor networks affect heart and cardiovascular care outcomes. Neighborhood safety, transportation access, and broadband availability (for telehealth) all shape how successfully someone manages heart and cardiovascular care. These data points are drawn from our sister sites:

Neighborhood Safety

F

Block-level crime analysis from CrimeGrade.org. Safety affects willingness to keep appointments and take walks.

Coverage & Economic Context

8.7%

Of residents lack health insurance · 3.0% unemployment rate. Coverage gaps and economic stress disrupt chronic-care continuity. See the full neighborhood profile at BestNeighborhood.org.

Telehealth Readiness

0.6082

Households with fiber broadband — reliable internet makes chronic-care check-ins easier. Check your address at ISPReports.org.

These community-context indicators come from our sister sites — independent of the Medicare data above — and are included because the environment a person lives in shapes how successfully they manage a chronic condition. Zip-level detail helps explain why identical plans can produce different outcomes in different neighborhoods.

Your Next Steps

If you or a family member has heart and cardiovascular care, here's a practical checklist for choosing a Medicare plan:

  • Check the Heart Care score column above. A higher composite score means the plan's existing members with heart and cardiovascular care receive recommended care more consistently.
  • Verify your specialists are in-network. Plan networks vary by carrier. See local Heart Care doctors and call their offices to confirm your shortlisted plans are accepted.
  • Check your medications. If you take prescription drugs for heart and cardiovascular care, confirm they're on the plan's formulary at an affordable tier. Drug coverage changes every January.
  • Look at the Medication Adherence measure. CMS separately measures how consistently a plan's members stay on their medications. High adherence scores correlate with plans that proactively support chronic-care patients.
  • Respect the enrollment window. You can only switch plans during specific periods. Review enrollment dates →
Compare All Medicare Plans near 80435, CO → Local Heart Care Specialists

Heart & Cardiovascular Care & Medicare: Common Questions

How is the Heart Care score calculated for plans near 80435, CO?
The score is a weighted average (0–100) of CMS's condition-specific quality measures. For Heart & Cardiovascular Care, CMS tracks several measures including clinical outcomes, medication adherence, and preventive services — the exact measures are listed in the "How We Rank These Plans" section above. Each plan's score reflects how well its enrollees with heart and cardiovascular care are actually receiving recommended care. See our full methodology →
What if no plan near 80435, CO has a Heart Care score?
Smaller plans, newer plans, and some Special Needs Plans don't report enough data on heart and cardiovascular care measures for CMS to compute a score. That doesn't mean those plans are worse — it just means you can't compare them head-to-head on heart and cardiovascular care care specifically. For those plans, look at the overall Star Rating, call the plan's member services, and verify that your specialists are in-network before enrolling.
Are my specialists in-network with the top-rated Heart Care plans near 80435, CO?
Plan networks vary by carrier and by year. The most reliable answer comes from calling each specialist's office directly — plan provider directories are often out of date. We list local specialists near 80435, CO further down this page; once you've shortlisted 1–2 plans, call each office and ask whether they accept that specific plan.
Do these plan scores predict my personal experience with heart and cardiovascular care?
They're directional, not deterministic. A plan's Heart Care score reflects how well its existing members with heart and cardiovascular care are being cared for on average. Your own experience will depend heavily on which primary-care physician and specialists you see, whether your medications are on the plan's formulary, and how proactive you are about preventive visits. That said, plans with consistently low scores usually have systemic problems worth avoiding.
When can I change my Medicare plan if I want a better Heart Care plan?
For most Medicare beneficiaries, the main opportunity is the Annual Enrollment Period (October 15 – December 7) for a January 1 effective date. Medicare Advantage members also have a Medicare Advantage Open Enrollment Period (January 1 – March 31) to switch MA plans or return to Original Medicare. Special Enrollment Periods apply in some situations (moving, losing employer coverage, dual-eligibility changes). Review all enrollment dates →

About the Reviewer

Wes Ward

Wes Ward

Founder & Data Lead

Wes Ward reviews all condition pages and methodology for data accuracy. Every CMS measure, prevalence statistic, and plan ranking goes through a validation pipeline before publication. We display only publicly available CMS and CDC data; you never need to enter personal information to see any of it.

With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to healthcare transparency. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org. Those sister sites power the community-context section on this page.

Data sources: CMS Medicare Part C & D Star Ratings (2025), CDC PLACES (2025), CMS NPPES, CMS Physician Compare, CrimeGrade.org, BestNeighborhood.org, ISPReports.org. This page is for informational purposes only and is not medical advice. Always consult a licensed clinician about heart and cardiovascular care management and verify plan details directly before enrolling. Read our full methodology →Privacy policy

Medicare Resources

Comparing Medicare plans for heart and cardiovascular care care?

Compare Plans near 80435, CO →