RMHP Western Slope Medicare Plus Plans

Rocky Mountain Plus Plan (Cost)* –$175.00/month

You must continue to pay your Medicare Part B premium.
* Medical-only plan does not include the Medicare Part D prescription drug plan benefit.
RMHP Medical Only Cost plans are open for enrollment at any time.

Benefits Include:

This information is not a complete description of benefits. Contact the plan for more information. For more information contact RMHP or refer to the  Western Slope RMHP Medicare Cost Plan Highlights Grid for a comparison listing of RMHP Medicare plan benefits for all plans in the Western Slope area and comprehensive information on all covered services and costs. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.

Medicare Covered Benefit

Rocky Mountain Medicare
Plus Plan (Cost)
You Pay

Monthly Plan Premium
Medical Only
            

$175.00*

Medical Deductible No Deductible 
Medical out of pocket maximum Medical Out of Pocket Maximum (OOP): The maximum amount a Member pays per plan year for in-network Medicare covered medical services. Typically includes deductible(s) and plan cost-sharing. Medicare-covered services do not include care received out of the country, routine vision or hearing exams, annual physical, hospice consultation or plan premiums.
$4,500 per calendar year. Amounts you pay for RMHP copayments and coinsurance for Medicare-covered services count toward the maximum out-of-pocket amount. Part D copays do not count towards the medical OOP maximum.
Primary Care Physician Office Visit Copayment

$15 per visit

Specialist Care Physician Office Visit Copayment

$40 per visit

Inpatient Hospital Copayment

$500 per admission

Outpatient Surgery

$300 per visit

Ambulance

$100 per trip

Emergency Room

$50 per visit Worldwide

Urgent Care

$40 per visit Worldwide

Annual Routine Physical

$0

As an alternative to the Yearly "Wellness" visit, RMHP also covers a routine physical exam once every calendar year.

Preventive Screening Services $0
Skilled Nursing Facility

$0, days 1-20
$95, days 21-100

Durable Medical Equipment

20% Coinsurance

 Diagnostics

MRI/PET Scan/Nuclear Medicine: $150
CT/Ultrasound: $75
X-ray: $15

Silver&Fit Exercise & Healthy Aging Program
A basic fitness center membership at
participating fitness centers for a $75 yearly
copay (paid directly to the fitness center).

Or

Two at-home fitness kits for a yearly $10
copay.
 Part D For optional Part D details, click here

 

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs, including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week;
  • The Social Security office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday, TTY should call 1-800-325-0778; or
  • Your State Medicaid Office.

Silver Fit Exercise and Healthy Aging Program – For Thrifty, Standard and Plus plan Members


Silver Fit Exercise and Healthy Aging program is designed specifically for our Medicare Members. Once you have registered, you will have access to Silver &Fit Connected.  This is an online data tracker that collects your activity and coverts it to points that can be used towards a reward program. The more points you get the more rewards you earn.

Enrolled Members will also receive a quarterly newsletter, Silver Slate that is geared toward nutrition, weight management and taking better care of oneself.  In addition to that, Members will receive access to 48 healthy aging education classes designed for at-home use. These can also be sent quarterly through the mail.

In addition to the online program, as an eligible Member you may choose from one of these two options:

1. Fitness Club Membership at a contracted Silver&Fit Network facility – Entitles you to take advantage of all of the services and amenities included with your fitness club or exercise center membership with a once per year fee of $75.00.

OR

2. Silver&Fit Home Fitness Program – This program offers you the chance to participate in fitness and education activities in the comfort of your own home with a $10.00 annual fee.  When you join Silver&Fit,  you may choose to receive up to two of the following kits:
  • Aquatics
  • Cardio Strength  Chair Aerobics for Everyone  
  • Chair Boxing  
  • Chair Dancing Through the Decades  
  • Chair Tai Chi    
  • Chair Yoga    
  • Exercise for bedridden and Physically Challenged  
  • High Intensity Workout I    
  • High Intensity Workout II    
  • Pilates    
  • Stress Management    
  • Tai Chi (Beginner)  
  • Tai Chi (Intermediate)    
  • Walking    
  • Yoga

The Silver&Fit Exercise and Healthy Aging Program is provided to Members on our Thrifty, Standard and Plus plans. To see if your fitness facility is in the network, go to their website at www.SilverandFit.com. By clicking on this link, you will be leaving the RMHP website.

Once you are a Silver&Fit Exercise & Healthy Aging Program Member you may nominate a fitness club or facility to be added to the network by going online at www.SilverandFit.com. By clicking on this link, you will be leaving the RMHP website.

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: 4/6/2016.  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_MC400WEB_RMHP3 Approved.