Group Health PPO Plans

Preferred Provider Organizations (PPOs) are health benefit plans that provide benefits with choices in providers. As with most group health PPO plans, your employees can get health care services from our comprehensive network of providers and receive benefits with lower out-of-pocket costs. RMHP's Colorado Group PPO Health Plans provide access to a national network of providers for enrolled Members.  Learn more about RMHP National Access.  Coverage is also available through out-of-network providers, with higher out-of-pocket costs.

Small Business Group Health PPO Plan Comparison

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.

To view our new Rocky Mountain Summit plans for 2016 select the 2016 tab on our PPO 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 Rooks 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.

2017 Rocky Mountain Summit - PPO 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 Out of Network In Network Out of Network In Network Out of Network In Network Out of Network  In Network
Out of Network
Summit PPO Gold $0/70 - $35

SBC/Summary of Benefits

View EOC
No Deductible $1,000/ $2,000
30% after deductible
50% after deductible
30% coinsurance
50% coinsurance
$6,500/ $13,000
$13,000/ $26,000
Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4:$175
Tier 5:$375
(no deductible) 
Not Covered
Summit PPO Gold 500/80 - $35

SBC/Summary of Benefits

View EOC
$500/
$1,000
$1,000/
$2,000
$35/$50
no deductible
50% after deductible 20% coinsurance 50% coinsurance $4,000/
$8,000
$8,000/
$16,000
Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4:$175
Tier 5:$275
(no deductible)

Drug Price Check
Not covered
Summit PPO Gold 1000/ - $30

SBC/Summary of Benefits

View EOC
$1,000/
$2,000
$2,000/
$4,000
$30/$55
no deductible
50% after deductible 100% covered after deductible
50% coinsurance $6,500/
$13,000
$13,000/
$26,000
Tier 1: $15
Tier 2: $55
Tier 3:$100
Tier 4:$200
Tier 5:$350
(no deductible)
Not covered
Summit PPO Gold HSA 2000/100

SBC/Summary of Benefits

View EOC
$2,000/
$4,000
$4,000/
$8,000
100% covered after deductible 50% after deductible 100% covered after deductible 50% coinsurance $2,000/
$4,000
$8,000/
$16,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Not covered
Summit PPO Silver 1750/70 - $40

SBC/Summary of Benefits

View EOC
$1,750/
$3,500
$3,500/
$7,000
$40/$55
no deductible
50% after deductible 30% coinsurance 50% coinsurance $6,800/
$13,600
$13,600/
$27,200
Tier 1: $15
Tier 2: $45
Tier 3: $75
Tier 4:$275
Tier 5:$375
(no deductible)

Drug Price Check
Not covered
Summit PPO Silver 2700/70 - $45

SBC/Summary of Benefits

View EOC
$2,700/
$5,400
$5,400/
$10,800
$45/$65
no deductible
50% after deductible 30% coinsurance 50% coinsurance $7,000/
$14,000
$14,000/
$28,000
Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check
Not covered
Summit PPO Silver 3200/80 - $40

SBC/Summary of Benefits

View EOC
$3,200/
$6,400
$6,400/
$12,800
$40/$55
no deductible
50% after deductible 20% coinsurance 50% coinsurance $7,000/
$14,000
$14,000/
$28,000
Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)
Not covered
Summit PPO Silver HSA 3750/100

SBC/Summary of Benefits

View EOC
$3,750/
$7,500
$7,500/
$15,000
100% covered after deductible 50% after deductible 100% covered after deductible 50% coinsurance $3,750/
$7,500
$15,000/
$30,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Not covered
Summit PPO Silver 4000/65 - $45

SBC/Summary of Benefits

View EOC
$4,000/
$8,000
$8,000/
$16,000
$30/$55
no deductible
50% after deductible 100% covered after deductible
50% coinsurance $7,000/
$14,000
$14,000/
$28,000
Tier 1: $15
Tier 2: $55
Tier 3:$150
Tier 4:$250
Tier 5:$400
(no deductible)
Not covered
Summit PPO Bronze HSA 5500/50

SBC/Summary of Benefits

View EOC
$5,500/
$11,000
$11,000/
$22,000
50% after deductible 50% after deductible 50% coinsurance 50% coinsurance $6,550/
$13,100
$13,100/
$26,200
After Medical Deductible:
Tier 1: $20
Tier 2: $60
Tier 3: 30%
Tier 4: 40%
Tier 5: 50%

Drug Price Check
Not covered
Summit PPO Bronze 5800/65

SBC/Summary of Benefits

View EOC
$5,800/
$11,600
$11,600/
$23,200
PCP: First 2 visits: $50 no deductible, then 35% coinsurance after deductible Specialist: 35% coinsurance after deductible
50% after deductible 35% coinsurance
50% coinsurance $7,100/
$14,200
$14,200/
$28,400
After Medical Deductible:
Tier 1:$25
Tier 2:$70
Tier 3:$200
Tier 4:$450
Tier 5:$540

Drug Price Check
Not covered
Summit PPO Bronze HSA 6550/100

SBC/Summary of Benefits

View EOC
$6,550/
$13,100
$13,100/
$26,200
100% covered after deductible 50% after deductible 100% covered after deductible 50% coinsurance $6,550/
$13,100
$15,000/
$30,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Not covered

2016 Rocky Mountain Summit - PPO 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 Out of Network In Network Out of Network In Network Out of Network In Network Out of Network  In Network
Out of Network
Summit PPO Gold 500/80 - $35
SBC/Summary of Benefits

View EOC
$500/
$1,000
$1,000/
$2,000
$35/$50
no deductible
50% after deductible 20% coinsurance 50% coinsurance $3,500/
$7,000
$7,000/
$14,000
Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: $175
Tier 5: $275
(no deductible)

Drug Price Check
Not covered
Summit PPO Gold 650/80 - $35
SBC/Summary of Benefits

View EOC
$650/
$1,300
$1,300/
$2,600
$35/$55
no deductible
50% after deductible 20% coinsurance 50% coinsurance $4,000/
$8,000
$8,000/
$16,000
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)
Not covered
Summit PPO Gold 800/90 - $35
SBC/Summary of Benefits

View EOC
$800/
$1,600
$1,600/
$3,200
$35/$50
no deductible
50% after deductible 10% coinsurance 50% coinsurance $4,500/
$9,000
$9,000/
$18,000
Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check
Not covered
Summit PPO Gold 1000/80 - $35
SBC/Summary of Benefits

View EOC
$1,000/
$2,000
$2,000/
$4,000
$35/$50
no deductible
50% after deductible 20% coinsurance 50% coinsurance $4,000/
$8,000
$8,000/
$16,000
Tier 1: $15
Tier 2: $55
Tier 3: $100
Tier 4: $200
Tier 5: $300
(no deductible)
Not covered
Summit PPO Gold HSA 2000/100
SBC/Summary of Benefits

View EOC
$2,000/
$4,000
$4,000/
$8,000
100% covered after deductible 50% after deductible 100% covered after deductible 50% coinsurance $2,000/
$4,000
$8,000/
$16,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Not covered
Summit PPO Silver 1500/70 - $40
SBC/Summary of Benefits

View EOC
$1,500/
$3,000
$3,000/
$6,000
$40/$55
no deductible
50% after deductible 30% coinsurance 50% coinsurance $6,600/
$13,200
$13,200/
$26,400
Tier 1: $15
Tier 2: $45
Tier 3: $70
Tier 4: $250
Tier 5: $350
(no deductible)

Drug Price Check
Not covered
Summit PPO Silver 2000/70 - $40
SBC/Summary of Benefits

View EOC
$2,000/
$4,000
$4,000/
$8,000
$40/$60
no deductible
50% after deductible 30% coinsurance 50% coinsurance $6,600/
$13,200
$13,200/
$26,400
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check
Not covered
Summit PPO Silver 2500/70 - $45
SBC/Summary of Benefits

View EOC
$2,500/
$5,000
$5,000/
$10,000
$45/$65
no deductible
50% after deductible 30% coinsurance 50% coinsurance $6,700/
$13,400
$13,400/
$26,800
Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

Drug Price Check
Not covered
Summit PPO Silver 3000/80 - $40
SBC/Summary of Benefits

View EOC
$3,000/
$6,000
$6,000/
$12,000
$40/$55
no deductible
50% after deductible 20% coinsurance 50% coinsurance $6,600/
$13,200
$13,200/
$26,400
Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)
Not covered
Summit PPO Silver HSA 3500/100
SBC/Summary of Benefits

View EOC
$3,500/
$7,000
$7,000/
$14,000
100% covered after deductible 50% after deductible 100% covered after deductible 50% coinsurance $3,500/
$7,000
$14,000/
$28,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Not covered
Summit PPO Silver 4000/65 - $45
SBC/Summary of Benefits

View EOC
$4,000/
$8,000
$8,000/
$16,000
$45/$60
no deductible
50% after deductible 35% coinsurance 50% coinsurance $6,000/
$12,000
$12,000/
$24,000
Tier 1: $20
Tier 2: $55
Tier 3: $100
Tier 4: $250
Tier 5: $400
(no deductible)
Not covered
Summit PPO Bronze HSA 4500/50
SBC/Summary of Benefits

View EOC
$4,500/
$9,000
$9,000/
$18,000
50% after deductible 50% after deductible 50% coinsurance 50% coinsurance $6,500/
$13,000
$13,000/
$26,000
After Medical Deductible:
Tier 1: $20
Tier 2: $60
Tier 3: 30%
Tier 4: 40%
Tier 5: 50%

Drug Price Check
Not covered
Summit PPO Bronze HSA 5050/100
SBC/Summary of Benefits

View EOC
$5,050/
$10,100
$10,100/
$20,200
100% covered after deductible 50% after deductible 100% covered after deductible 50% coinsurance $6,550/
$13,100
$13,100/
$26,200
After Medical Deductible:
Tier 1:$25
Tier 2:$70
Tier 3: $300
Tier 4: $450
Tier 5:$540

Drug Price Check
Not covered
Summit PPO Bronze HSA 5950/100
SBC/Summary of Benefits

View EOC
$5,950/
$11,900
$11,900/
$23,800
100% covered after deductible 50% after deductible 100% covered after deductible 50% coinsurance $5,950/
$11,900
$23,800/
$47,600
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Not covered
Summit PPO Bronze HSA 6500/100
SBC/Summary of Benefits

View EOC
$6,500/
$13,000
$13,000/
$26,000
100% covered after deductible 50% after deductible 100% covered after deductible 50% coinsurance $6,500/
$13,000
$26,000/
$52,000
After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%
Not covered
View a Printable Comparison of the 2016 Plans

For more detailed information, please 
contact RMHP or your insurance broker today.