Medicare Disclaimers

Network Providers

You can use any doctor who is part of the Rocky Mountain Health Plans' network.The provider network may change at any time. You will receive notice when necessary. You may also go to doctors outside of our network. We may not pay for services you receive outside of our network, but Medicare will pay for its share of charges it approves. You will be responsible for paying the Medicare deductible and coinsurance for those services, unless they were authorized in advance by RMHP.

The formulary and pharmacy network may change at any time. You will receive notice when necessary.

Care Management
Contact Value Options for all services at 855-886-2832.

Services to Preauthorize:

  • Applied Behavioral Analysis (ABA) for treatment of Autism
  • Intensive outpatient treatment
  • Electric shock therapy
  • Psychological or neurological testing - No prior authorization is required for computer administered test following a head injury
  • Outpatient treatment of opioid dependence
  • Methadone maintenance
  • Extended outpatient treatment visits
  • In-home outpatient services for a mental health diagnosis

Enrollment, Premiums and Benefits

RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. See the Evidence of Coverage or contact Customer Service for details.

Optional supplemental benefit packages may change each year on January 1.

Eligible beneficiaries can enroll in RMHP Medical-only Cost plans at any time but can only enroll in plans that include Part D drug coverage during specific times of the year. For enrollment guidelines and full information on RMHP benefits, please call Customer Service at 888-282-1420 toll free or 970-244-7912 (TTY: 711), 8:00 a.m. to 8:00 p.m., Mountain Time, (from October 1 - February 14, 7 days per week; from February 15 - September 30, M-F) . Para asistencia en español llame al 888-282-1420. 

Medicare beneficiaries may be enrolled in only one Part D plan at a time.

Individuals are able to enroll in RMHP if they are enrolled under Medicare Parts A and B or B only and reside in our service area.

In addition to the applicable RMHP plan premium, Members continue to pay the Original Medicare Part B premium.

If you decide to switch to premium withhold through Social Security or the Railroad Retirement Board, or move from premium withhold to direct bill, it could take up to three months for it take effect and you will continue to be responsible for direct payment of premiums until the change takes effect.

Information is available in alternative formats such as large print and Braille.

RMHP complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

This information is available for free in other languages. Please call our Customer Service number at 888-282-1420 (TTY dial 711). Hours are 8am - 8pm, 7 days/week, Oct. 1–Feb.14, and 8am - 8pm, M-F, Feb.15–Sept.30. Esta información está disponible gratuitamente en otros idiomas. Por favor llame a la línea de Atención a Clientes, al 888-282-1420 (TTY marque 711). Horario  de 8am - 8pm, 7 días a la semana, del 1 de octubre al 14 de febrero; y de 8am - 8pm, de lunes a viernes, del 15 de febrero al 30 de septiembre.




This page was last updated: 10/01/16.  Please call to confirm you have the most up to date information about our Medicare Cost plans. Medicare Disclaimers

RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal. H0602_MS_MC500WEB_RMHP1 Pending CMS Review.