Small Business Group Health HMO Plans

As with most Health Maintenance Organizations (HMOs), enrolled Members are required to get health care services from in-network providers.  RMHP's Colorado Group HMO Health Plans provide access to a national network of providers outside Colorado.  Learn more about RMHP National Access.

RMHP offers plans meeting all requirements of the Affordable Care Act.  All of our Small Business Group Health Plans are available directly through RMHP and through Connect for Health Colorado.

In addition to our employer group plans offered throughout the state of Colorado, RMHP offers three regional HMO plans.  These employer group plans provide access to our statewide network of hospitals and our entire pharmacy network. Lower premiums are achieved through the exceptional managed care programs offered by these regional networks:

  • Regional HMO Small Business Health Plans (New West Focus)

    Why Choose New West Focus Small Business Health Plans? 


    New West Physicians is a highly qualified group of board certified family practice and internal medicine physicians.  New West has 91 providers practicing in 17 locations across the Denver Metropolitan area.  This physician group has received Patient Center Medical Home Best Practice of the year Award for 2013 by the Colorado Academy of Family Physician Foundation. 

    RMHP’s regional HMO small business health plans let your employees choose their doctor from the New West Physicians network and continue to have access to our large statewide network of hospitals. These counties are included in the New West Physician network:
    • Adams 
    • Arapahoe
    • Broomfield
    • Denver
    • Douglas
    • Jefferson

    You can pair a New West Focus small business plan with any of our other small group plans. Review our statewide Colorado HSA health plans and statewide PPO plans  for more coverage options.

    2016 Regional HMO Health Plans (New West Focus)

    Plan Name

    Deductible Individual / Family

     

    Office Visits 

     
    Inpatient Hospital Stay (after deductible)

    Out of Pocket Maximum Individual / Family

     
    Prescription Drug Coverage 
       In-Network  In-Network  In-Network
     In-Network
     In-Network

    NWF HMO Gold 500/80 - $35
    SBC/Summary of Benefits

    View EOC
    $500/
    $1,000
    $35/$50
    no deductible
    20% coinsurance
    $3,500/
    $7,000
    Tier 1: $15
    Tier 2: $40
    Tier 3: $70
    Tier 4: $175
    Tier 5: $275
    (no deductible)

    NWF HMO Silver 1500/70 - $40
    SBC/Summary of Benefits

    View EOC

    $1,500/
    $3,000
    $40/$55
    no deductible
    30% coinsurance
    $6,600/
    $13,200
    Tier 1: $15
    Tier 2: $45
    Tier 3: $70
    Tier 4: $250
    Tier 5: $350
    (no deductible)
    NWF HMO Silver 2500/70 - $45
    SBC/Summary of Benefits

    View EOC
    $2,500/
    $5,000
    $45/$65
    no deductible
    30% coinsurance
    $6,700/
    $13,400
    Tier 1: $15
    Tier 2: $40
    Tier 3: $55
    Tier 4: 30%
    Tier 5: 40%
    (no deductible)
    NWF HMO Bronze HSA 5050/100
    SBC/Summary of Benefits

    View EOC
    $5,050/
    $10,100
    100% covered after deductible
    100% covered after deductible
    $6,550/
    $13,100
    After Medical Deductible:
    Tier 1: $25
    Tier 2: $70
    Tier 3: $300
    Tier 4: $450
    Tier 5: $540

     


  • Regional HMO Small Business Health Plans (Colorado Springs Health Partners)
     

    Why Choose Colorado Springs Health Partners Small Business Health Plans? 


    Colorado Springs Health Partners is one of our most cost effective networks of physicians.  As a result, we are able to offer our small business plans at lower monthly premiums.  Your employees have access to RMHP’s statewide network of Hospitals and contracting Pharmacies.

    RMHP’s regional HMO small business health plans let your employees choose their own doctor from the Colorado Springs Health Partners network and maintain access to our large statewide network of hospitals.

    These counties are included in the Colorado Springs Health Partners network:
    • El Paso
    • Teller
     
    You can pair a Colorado Springs Health Partners small business plan with any of our other small group plans. Review our statewide Colorado HSA health plans and statewide PPO plans  for more coverage options.

    2016 Regional HMO Health Plans (Colorado Springs Health Partners)

    Plan Name

    Deductible Individual / Family

     

    Office Visits 

     
    Inpatient Hospital Stay (after deductible)

    Out of Pocket Maximum Individual / Family

     
    Prescription Drug Coverage 
       In-Network In-Network
     
     In-Network
     In-Network
     In-Network

    CSHP HMO Gold 500/80 - $35
    SBC/Summary of Benefits

    View EOC
    $500/
    $1,000
    $35/$50
    20% coinsurance
    $3,500/
    $7,000
    Tier 1: $15
    Tier 2: $40
    Tier 3: $70
    Tier 4: $175
    Tier 5: $275
    (no deductible)
    CSHP HMO Silver 1500/70 - $40
    SBC/Summary of Benefits

    View EOC
    $1,500/
    $3,000
    $40/$55
    no deductible
    30% coinsurance
    $6,600/
    $13,200
    Tier 1: $15
    Tier 2: $45
    Tier 3: $70
    Tier 4: $250
    Tier 5: $350
    (no deductible)
    CSHP HMO Silver 2500/70 - $45
    SBC/Summary of Benefits

    View EOC
    $2,500/
    $5,000
    $45/$65
    no deductible
    30% coinsurance

    $6,700/
    $13,400
    Tier 1: $15
    Tier 2: $40
    Tier 3: $55
    Tier 4: 30%
    Tier 5: 40%
    (no deductible)
    CSHP HMO Bronze HSA 5050/100
    SBC/Summary of Benefits

    View EOC

    $5,050/
    $10,100
    100% covered after deductible
    100% covered after deductible

    $6,550/
    $13,100
    After Medical Deductible:
    Tier 1: $25
    Tier 2: $70
    Tier 3: $300
    Tier 4: $450
    Tier 5: $540

     


  • Regional HMO Small Business Health Plans (Rocky Mountain Range)

    Regional HMO Small Business Health Plans (Rocky Mountain Range)


    Rocky Mountain Range HMO plan designs will offer the same in-network benefit plans available through our Rocky Mountain Summit product line and with lower costs.

    Highlights of Rocky Mountain Range:

    • Offers our full portfolio of products to residents of Western Colorado (see below list of included counties).
    • Members will have access to our extensive network of Western Slope providers, all Denver and Colorado Springs-area physicians and facilities, our statewide hospital network, and our national pharmacy network.

    Rocky Mountain Range is offered to small businesses who are domiciled in these Western Slope counties:

    Archuleta
    Delta
    Dolores
    Grand
    Gunnison       

    Hinsdale
    Jackson
    La Plata
    Moffat
    Montezuma        

    Montrose
    Ouray
    Rio Blanco
    Routt
    San Miguel



    RMR network map


    Rocky Mountain Range will not be offered in Mesa County, however, all Mesa County providers are included in the Rocky Mountain Range Exclusive Network.
    You can pair a Rocky Mountain Range small business plan with any of our other small group plans. Review our statewide Colorado HSA health plans and statewide PPO plans  for more coverage options.

    2016 Regional HMO Health Plans (Rocky Mountain Range)

    Plan Name

    Deductible Individual / Family

     

    Office Visits 

     
    Inpatient Hospital Stay (after deductible)

    Out of Pocket Maximum Individual / Family

     
    Prescription Drug Coverage 
       In-Network  In-Network
     In-Network
     In-Network
     In-Network

    RMR HMO Gold 500/80 - $35
    SBC/Summary of Benefits

    View EOC
    $500/
    $1,000
    $35/$50
    no deductible
    20% coinsurance
    $3,500/
    $7,000
    Tier 1: $15
    Tier 2: $40
    Tier 3: $70
    Tier 4: $175
    Tier 5: $275
    (no deductible)
    RMR HMO Gold 650/80 - $35
    SBC/Summary of Benefits

    View EOC
    $650/
    $1,300
    $35/$55
    no deductible
    20% coinsurance
     $4,000/
    $8,000
    Tier 1: $15
    Tier 2: $40
    Tier 3: $55
    Tier 4: 30%
    Tier 5: 40%
    (no deductible)
    RMR HMO Gold 800/90 - $35
    SBC/Summary of Benefits

    View EOC
    $800/
    $1,600
    $35/$50
    no deductible
    10% coinsurance
    $4,500/
    $9,000
    Tier 1: $15
    Tier 2: $40
    Tier 3: $70
    Tier 4: 30%
    Tier 5: 40%
    (no deductible)
    RMR HMO Gold 1000/80 - $35
    SBC/Summary of Benefits

    View EOC
    $1,000/
    $2,000
    $35/$50
    no deductible
    20% coinsurance
    $4,000/
    $8,000
    ​Tier 1: $15
    Tier 2: $55
    Tier 3: $100
    Tier 4: $200
    Tier 5: $300
    (no deductible)
    RMR HMO Gold HSA 2000/100
    SBC/Summary of Benefits

    View EOC
    $2,000/
    $4,000
    100% covered after deductible
    100% covered after deductible
    $2,000/
    $4,000
    After Medical Deductible
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%
    RMR HMO Silver 1500/70 - $40
    SBC/Summary of Benefits

    View EOC
    $1,500/$3,000
    $40/$55
    no deductible
    30% coinsurance
    $6,600/
    $13,200
    Tier 1: $15
    Tier 2: $45
    Tier 3: $70
    Tier 4: $250
    Tier 5: $350
    (no deductible)
    RMR HMO Silver 2000/70 - $40
    SBC/Summary of Benefits

    View EOC
    $2,000/
    $4,000
    $40/$60
    no deductible
    30% coinsurance
    $6,600/
    $13,200

    Tier 1: $15
    Tier 2: $40
    Tier 3: $55
    Tier 4: 30%
    Tier 5: 40%
    (no deductible)
    RMR HMO Silver 2500/70 - $45
    SBC/Summary of Benefits

    View EOC
    $2,500/
    $5,000
    $45/$65
    no deductible
    30% coinsurance
     $6,700/
    $13,400
    ​Tier 1: $15
    Tier 2: $40
    Tier 3: $55
    Tier 4: 30%
    Tier 5: 40%
    (no deductible)
    RMR HMO Silver 3000/80 - $40
    SBC/Summary of Benefits

    View EOC
    $3,000/
    $6,000
    $40/$55
    no deductible
    20% coinsurance
    $6,600/
    $13,200
    Tier 1: $15
    Tier 2: $40
    Tier 3: $70
    Tier 4: 30%
    Tier 5: 40%
    (no deductible)
    RMR HMO Silver HSA 3500/100
    SBC/Summary of Benefits

    View EOC
    $3,500/
    $7,000
    100% covered after deductible
    100% covered after deductible
    $3,500/
    $7,000
    After Medical Deductible:
    ​Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%
    RMR HMO Silver 4000/65 - $45
    SBC/Summary of Benefits

    View EOC
    $4,000/
    $8,000
    $45/$60
    no deductible
    35% coinsurance
    $6,000/
    $12,000
    Tier 1: $20
    Tier 2: $55
    Tier 3: $100
    Tier 4: $250
    Tier 5: $400
    (no deductible)
    RMR HMO Bronze HSA 4500/50
    SBC/Summary of Benefits

    View EOC
    $4,500/
    $9,000
    50% after deductible
    50% coinsurance
    $6,500/
    $13,000
    After Medical Deductible:
    ​Tier 1: $20
    Tier 2: $60
    Tier 3: 30%
    Tier 4: 40%
    Tier 5: 50%
    RMR HMO Bronze HSA 5050/100
    SBC/Summary of Benefits

    View EOC
    $5,050/$10,100
    100% covered after deductible
    100% covered after deductible
    $6,550/
    $13,100
    After Medical Deductible:
    ​Tier 1: $25
    Tier 2: $70
    Tier 3: $300
    Tier 4: $450
    Tier 5: $540
    RMR HMO Bronze HSA 5950/100
    SBC/Summary of Benefits

    View EOC
     $5,950/$11,900  100% covered after deductible  100% covered after deductible  $5,950/
    $11,900
    After Medical Deductible:
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%
    RMR HMO Bronze HSA 6500/100
    SBC/Summary of Benefits

    View EOC
     $6,500/$13,000  100% covered after deductible  100% covered after deductible  $6,500/
    $13,000
    After Medical Deductible:
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%

     



Colorado Group Health HMO Plan Comparison


To view our new 2016 Rocky Mountain Summit plans, select the 2016 tab on our HMO Plan Comparison Grid or view our Employer health plans brochure.

Embedded pediatric dental coverage, is provided by Delta Dental and included in all RMHP small business group plans.  For details on this coverage, please click here.

MyDigitalMD: RMHP offers an alternative to the high costs and long waits found in Emergency Rooms and Urgent Care Centers.  Members have no-cost access through their computer or smart phone to Colorado-based Board Certified Emergency Medicine doctors through the RMHP Member Portal.

Learn more about MyDigitalMD

Nurse Care 24/7 symptom support benefit is included in all small business health plans.  Nurse Care provides comprehensive clinical information and decision support for any health and/or wellness related inquiry.

Learn more about Nurse Care Services.

2016 Rocky Mountain Summit - HMO Group Plans

Plan Name

Deductible Individual / Family

Office Visits

Inpatient Hospital Stay (after deductible)

Out of Pocket Maximum Individual / Family

Prescription Drug Coverage 
  In Network In Network In Network In Network  In Network
Summit HMO Gold 500/80 - $35

SBC/Summary of Benefits

View EOC
$500/$1,000 $35/$50
no deductible
20% coinsurance $3,500/$7,000 Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: $175
Tier 5: $275
(no deductible)

Drug Price Check
Summit HMO Gold 650/80 - $35
SBC/Summary of Benefits

View EOC
$650/$1,300 $35/$55
no deductible
20% coinsurance $4,000/$8,000 Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)
Summit HMO Gold 800/90 - $35
SBC/Summary of Benefits

View EOC
$800/$1,600 $35/$50
no deductible
10% coinsurance $4,500/$9,000 Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check
Summit HMO Gold 1000/80 - $35
SBC/Summary of Benefits

View EOC
$1,000/$2,000 $35/$50
no deductible
20% coinsurance $4,000/$8,000 Tier 1: $15
Tier 2: $55
Tier 3: $100
Tier 4: $200
Tier 5: $300
(no deductible)
Summit HMO Gold HSA 2000/100
SBC/Summary of Benefits

View EOC
$2,000/$4,000 100% covered after deductible 100% covered after deductible $2,000/$4,000 After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Summit HMO Silver 1500/70 - $40
SBC/Summary of Benefits

View EOC
$1,500/$3,000 $40/$55
no deductible
30% coinsurance $6,600/$13,200 Tier 1: $15
Tier 2: $45
Tier 3: $70
Tier 4: $250
Tier 5: $350
(no deductible)

Drug Price Check
Summit HMO Silver 2000/70 - $40
SBC/Summary of Benefits

View EOC
$2,000/$4,000 $40/$60
no deductible
30% coinsurance $6,600/$13,200 Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check
Summit HMO Silver 2500/70 - $45
SBC/Summary of Benefits

View EOC
$2,500/$5,000 $45/$65
no deductible
30% coinsurance $6,700/$13,400 Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check
Summit HMO Silver 3000/80 - $40
SBC/Summary of Benefits

View EOC
$3,000/$6,000 $40/$55
no deductible
20% coinsurance $6,600/$13,200 Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)
Summit HMO Silver HSA 3500/100
SBC/Summary of Benefits

View EOC
$3,500/$7,000 100% covered after deductible 100% covered after deductible $3,500/$7,000 After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Summit HMO Silver 4000/65 - $45
SBC/Summary of Benefits

View EOC
$4,000/$8,000 $45/$60
no deductible
35% coinsurance $6,000/$12,000 Tier 1: $20
Tier 2: $55
Tier 3: $100
Tier 4: $250
Tier 5: $400
(no deductible)
Summit HMO Bronze HSA 4500/50
SBC/Summary of Benefits

View EOC
$4,500/$9,000 50% after deductible 50% coinsurance $6,500/$13,000 After Medical Deductible:
Tier 1: $20
Tier 2: $60
Tier 3: 30%
Tier 4: 40%
Tier 5: 50%

Drug Price Check
Summit HMO Bronze HSA 5050/100
SBC/Summary of Benefits

View EOC
$5,050/$10,100 100% covered after deductible 100% covered after deductible $6,550/$13,100 After Medical Deductible:
Tier 1:$25
Tier 2:$70
Tier 3: $300
Tier 4: $450
Tier 5:$540

Drug Price Check
Summit HMO Bronze HSA 5950/100
SBC/Summary of Benefits

View EOC
$5,950/$11,900 100% covered after deductible 100% covered after deductible $5,950/$11,900 After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Summit HMO Bronze HSA 6500/100
SBC/Summary of Benefits

View EOC
$6,500/$13,000 100% covered after deductible 100% covered after deductible $6,500/$13,000 After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

2015 Rocky Mountain Summit HMO Plans

Plan Name

Deductible Individual / Family

Office Visits

Inpatient Hospital Stay
(after deductible)

Out of Pocket Maximum
Individual / Family

 Prescription Drug Coverage
  In Network In Network In Network In Network  

Summit HMO Gold 500/80 - $35

View SBC


View Benefit Summary

$500/ $1,000
$35/$50
no deductible
20% coinsurance
$3,000/ $6,000
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check

Summit HMO Gold 650/80 - $35

View SBC

View Benefit Summary

$650/ $1,300
$35/$55
no deductible
20% coinsurance
$4,000/ $8,000
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check

Summit HMO Gold 800/90 - $35

View SBC

View Benefit Summary

$800/ $1,600
$35/$50 no deductible

10% coinsurance
$3,300/ $6,600
Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check

Summit HMO Gold HSA 2000/100

View SBC

View Benefit Summary

$2,000/ $4,000
100% covered after deductible
100% covered after deductible
$2,000/ $4,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

Drug Price Check

Summit HMO Silver 1500/70 - $35

View SBC

View Benefit Summary

$1,500/ $3,000
$35/$50
no deductible
30% coinsurance
$6,350/ $12,700
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check

Summit HMO Silver 2000/70 - $40

View SBC

View Benefit Summary

$2,000/ $4,000
$40/$60
no deductible
30% coinsurance
$6,000/ $12,000
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check

Summit HMO Silver 2000/70 - $45

View SBC

View Benefit Summary

$2,000/ $4,000
$45/$65
no deductible
30% coinsurance
$6,350/ $12,700
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check

Summit HMO Silver HSA 3000/100

View SBC


View Benefit Summary

$3,000/ $6,000
100% covered after deductible 100% covered after deductible
$3,000/ $6,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

Drug Price Check

Summit HMO Silver 3000/80 - $40

View SBC

View Benefit Summary

$3,000/ $6,000
$40/$55 
no deductible
20% coinsurance
$6,600/ $13,200
Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check

Summit HMO Bronze 4500/60 - $55

View SBC

View Benefit Summary

$4,500/ $9,000
PCP: $55
no deductible
Specialist
40% co-insurance after deductible
40% coinsurance
$6,350/ $12,700
After Medical Deductible:
Tier 1: $20
Tier 2: 40%
Tier 3: 40%
Tier 4: 50%
Tier 5: 50%

Drug Price Check

Summit HMO Bronze HSA 3250/70

View SBC

View Benefit Summary

$3,250/ $6,500
$45/$65 
after deductible
30% coinsurance
$6,350/ $12,700
After Medical Deductible:
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%

Drug Price Check

Summit HMO Bronze HSA 5250/100

View SBC

View Benefit Summary

$5,250/ $10,500
100% covered after deductible

100% covered after deductible
$5,250/ $10,500
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

Drug Price Check

Summit HMO Bronze HSA 6000/100

View SBC


View Benefit Summary

$6,000/ $12,000
100% covered after deductible
100% covered after deductible
$6,000/ $12,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

Drug Price Check
View a Printable Comparison of the 2016 Plans


For more detailed information about Colorado group HMO plans, please 
contact RMHP or your insurance broker today.