2016 Regional Individual & Family HMO Health Insurance Plans

RMHP offers HMO Individual & Family Insurance Plans to fit your unique needs. Below are regional HMO plans specific for the Denver, Colorado Springs and Western Slope areas.

ALERT: Rocky Mountain Health Plans (RMHP) will not offer coverage to individuals outside of Mesa County in 2017.  If you reside outside of Mesa County, and you enroll in RMHP coverage for 2016, you will need to find other coverage beginning January 1, 2017

  • Regional HMO Individual & Family Health Plans (New West Focus)

    Why Choose New West Focus Individual & Family Health Plans? 


    The health insurance professionals at Rocky Mountain Health Plans and New West Physicians understand what Coloradans need when it comes to comprehensive health care and health insurance plans that focus on your specific needs. 

    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 individualized health plans let you choose your own doctor from the New West Physicians network and provides you 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 review our Colorado individual & family HSA health plans and PPO plans for more coverage options.

    Click here for the New West Individual & Family Brochure

    Click here for the New West Physician Directory

    RMHP Individual and Family Members have access to our national network through First Health. Learn more about our National Network Access.

    Get Quote

    2016 New West Focus - Individual 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
    NWF HMO Silver 1500/$40

    SBC/Summary of Benefits

    View EOC
    $1,500/$3,000 $40/$55
    no deductible
    30% coinsurance $6,650/$13,300 Tier 1: $15
    Tier 2: $55
    Tier 3: $200
    Tier 4: $400
    Tier 5: $540
    (no deductible)
    NWF HMO Silver 2500/$40

    SBC/Summary of Benefits

    View EOC
    $2,500/$5,000 $40/$55
    no deductible
    30% coinsurance $6,600/$13,200 No Deductible:
    Tier 1: $15
    Tier 2: 30%
    After $500 Rx Deductible:
    Tier 3: 40%
    Tier 4: 40%
    Tier 5: 50%
    NWF HMO Bronze 5000/$55

    SBC/Summary of Benefits

    View EOC
    $5,000/$10,000 PCP: $55
    no deductible
    Specialist:
    50% coinsurance after deductible
    50% coinsurance $6,850/$13,700 No Deductible:
    Tier 1: $25
    After $1,000 Rx Deductible:
    Tier 2: $50
    Tier 3: $250
    Tier 4: 50%
    Tier 5: 50%
    NWF HMO Bronze 6500/$60

    SBC/Summary of Benefits

    View EOC
    $6,500/$13,000 PCP: First 3 visits: $60
    no deductible, then 50% coinsurance after deductible
    Specialist:
    50% coinsurance after deductible
    50% coinsurance $6,850/$13,700 Tier 1: $25
    Tier 2: $75
    Tier 3: $275
    Tier 4: $400
    Tier 5: $570
    (no deductible)
    NWF HMO Bronze HSA 6550/100%

    SBC/Summary of Benefits

    View EOC
    $6,550/$13,100 100% covered after deductible 100% covered after deductible $6,550/$13,100 After Deductible:
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%
    NWF HMO 6850/$45

    SBC/Summary of Benefits

    View EOC
    $6,850/$13,700 PCP: First 3 visits: $45
    no deductible, then 100% covered after deductible
    Specialist:
    100% covered after deductible
    100% covered $6,850/$13,700 After Deductible:
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%

    Get Quote


  • Regional HMO Individual & Family Health Plans (Colorado Springs Health Partners)

    Why Choose Colorado Springs Health Partners Individual & Family 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 Individual & Family plans at lower monthly premiums.  Members have access to RMHP’s statewide network of Hospitals and contracting Pharmacies.

    RMHP’s regional HMO individualized health plans let you choose your own doctor from the Colorado Springs Health Partners network and provide you access to our large statewide  network of hospitals.

    These counties are included in the Colorado Springs Health Partners network:
    • El Paso
    • Teller
    You can review our family HSA health plans and PPO plans  for more coverage options.

    Click to view Colorado Springs Health Partners Brochure

    Click here for the Colorado Springs Health Partners Directory

    RMHP Individual and Family Members have access to our national network through First Health. Learn more about our National Network Access.


    Get Quote

    2016 Colorado Springs Health Partners - Individual 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
    CSHP HMO Silver 1500/$40

    SBC/Summary of Benefits

    View EOC
    $1,500/$3,000 $40/$55
    no deductible
    30% coinsurance $6,650/$13,300 Tier 1: $15
    Tier 2: $55
    Tier 3: $200
    Tier 4: $400
    Tier 5: $540
    (no deductible)
    CSHP HMO Silver 3000/$40

    SBC/Summary of Benefits

    View EOC
    $3,000/$6,000 $40/$55
    no deductible
    30% coinsurance $6,600/$13,200 No Deductible:
    Tier 1: $15
    Tier 2: 50
    After $2,000 Rx Deductible:
    Tier 3: 40%
    Tier 4: 50%
    Tier 5: 50%
    CSHP HMO Bronze 5000/$55

    SBC/Summary of Benefits

    View EOC
    $5,000/$10,000 PCP: $55
    no deductible
    Specialist:
    50% coinsurance after deductible
    50% coinsurance $6,850/$13,700 No Deductible:
    Tier 1: $25
    After $1,000 Rx Deductible:
    Tier 2: $50
    Tier 3: $250
    Tier 4: 50%
    Tier 5: 50%
    CSHP HMO Bronze 6500/$60

    SBC/Summary of Benefits

    View EOC
    $6,500/$13,000 PCP: First 3 visits: $60
    no deductible, then 50% coinsurance after deductible
    Specialist:
    50% coinsurance after deductible
    50% coinsurance $6,850/$13,700 Tier 1: $25
    Tier 2: $75
    Tier 3: $275
    Tier 4: $400
    Tier 5: $570
    (no deductible)
    CSHP HMO Bronze HSA 6550/100%

    SBC/Summary of Benefits

    View EOC
    $6,550/$13,100 100% covered after deductible 100% covered $6,550/$13,100 After Deductible:
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%
    CSHP HMO 6850/$45

    SBC/Summary of Benefits

    View EOC
    $6,850/$13,700 PCP: First 3 visits: $45
    no deductible, then 100% covered after deductible
    Specialist:
    100% covered after deductible
    100% covered $6,850/$13,700 After Deductible:
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%

    Get Quote


  • Regional HMO Individual & Family Health Plans (Rocky Mountain Range)

    Why Choose a Rocky Mountain Range Exclusive Network Plan? 


    Rocky Mountain Range is a Western Slope Exclusive Network product for individuals and families.  Rocky Mountain Range HMO Plan designs offer a variety of benefit plans with a comprehensive network of providers where you live.

    Highlights of Rocky Mountain Range:

    • Available 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-area and Colorado Springs area physicians and facilities, our statewide hospital network, and our national pharmacy network.

    Rocky Mountain Range will be offered to individuals and families who reside in these Western Slope counties:

    Archuleta         
    Delta
    Dolores
    Grand
    Gunnison
    Hinsdale
    Jackson
    La Plata
    Moffat
    Montezuma       
    Montrose
    Ouray
    Rio Blanco
    Routt
    San Miguel



    Rocky Mountain Range Exclusive Network map_ORANGE


    Rocky Mountain Range will not be offered in Mesa County, however, all Mesa County Providers are included in the Rocky Mountain Range Exclusive Network.

    Let us help you enroll. (Contact our Individual and Family Sales team to submit your application).

    You can review our Individual and Family HSA health plans and PPO plans for more coverage options.

    Access the Rocky Mountain Range Product Brochure
    Access the Rocky Mountain Range Provider Directory

    RMHP Individual and Family Members have access to our national network through First Health. Learn more about our National Network Access.


    Get Quote

    2016 Rocky Mountain Range - HMO Individual 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

    RMR HMO Gold 500/$35

    SBC/Summary of Benefits

    View EOC

    $500/$1,000 $35/$50
    no deductible
    20% coinsurance $4,500/$9,000 Tier 1: $15
    Tier 2: $30
    Tier 3: $100
    Tier 4: $250
    Tier 5: $375
    (no deductible)

    RMR HMO Silver 1500/$40

    SBC/Summary of Benefits

    View EOC

    $1,500/$3,000 $40/$55
    no deductible
    30% coinsurance $6,650/$13,300 Tier 1: $15
    Tier 2: $55
    Tier 3: $200
    Tier 4: $400
    Tier 5: $540
    (no deductible)
    RMR HMO Silver 2500/$40

    SBC/Summary of Benefits

    View EOC

    $2,500/$5,000 $40/$55
    no deductible
    30% coinsurance $6,600/$13,200 No Deductible:
    Tier 1: $15
    Tier 2: 30%
    After $500 Rx Deductible:
    Tier 3: 40%
    Tier 4: 40%
    Tier 5: 50%
    RMR HMO Silver 3000/$40

    SBC/Summary of Benefits

    View EOC
    $3,000/$6,000 $40/$55
    no deductible
    30% coinsurance $6,600/$13,200 No Deductible:
    Tier 1: $15
    Tier 2: $50
    After $2,000 Rx Deductible:
    Tier 3: 40%
    Tier 4: 50%
    Tier 5: 50%
    RMR HMO Silver HSA 2700/100%

    SBC/Summary of Benefits

    View EOC
    $2,700/$5,400 100% covered after deductible 100% covered $6,500/$13,000 After Deductible
    Tier 1:$0
    Tier 2: $55
    Tier 3: $250
    Tier 4: $400
    Tier 5: $540
    RMR HMO Bronze 5000/$55

    SBC/Summary of Benefits

    View EOC
    $5,000/$10,000 PCP: $55
    no deductible
    Specialist:
    50% coinsurance after deductible
    50% coinsurance $6,850/$13,700 No Deductible:
    Tier 1: $25
    After $1,000 Rx Deductible:
    Tier 2: $50
    Tier 3: $250
    Tier 4: 50%
    Tier 5: 50%
    RMR HMO Bronze 6500/$60

    SBC/Summary of Benefits

    View EOC
    $6,500/$13,000 PCP: First 3 visits: $60
    no deductible, then 50% coinsurance after deductible
    Specialist:
    50% coinsurance after deductible
    50% coinsurance $6,850/$13,700 Tier 1: $25
    Tier 2: $75
    Tier 3: $275
    Tier 4: $400
    Tier 5: $570
    (no deductible)
    RMR HMO Bronze HSA 6550/100%

    SBC/Summary of Benefits

    View EOC
    $6,550/$13,100 100% covered after deductible 100% covered $6,550/$13,100 After Deductible:
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%

    RMR HMO 6850/$45

    SBC/Summary of Benefits

    View EOC

    $6,850/$13,700 PCP: First 3 visits: $45
    no deductible, then 100% covered after deductible
    Specialist:
    100% covered after deductible
    100% covered $6,850/$13,700 After Deductible:
    Tier 1: 0%
    Tier 2: 0%
    Tier 3: 0%
    Tier 4: 0%
    Tier 5: 0%

    Get Quote