RMHP Western Slope Medicare Green Plans
Rocky Mountain Green Plan (Cost)* – $24.00/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.
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.
|Monthly Plan Premium |
|Medical Deductible |
|$600 per calendar year (annual deductible). |
|Medical Out-of-pocket Maximum |
|$6,700 per calendar year. Amounts you pay for RMHP deductibles, copayments and coinsurance for Medicare-covered services count toward the maximum out-of-pocket amount. Part D copays and deductibles do not count towards the Medical OOP maximum. |
|Inpatient Hospital Copayment |
| $350 copay per day up to 7 days per admission |
|Primary Care Physician Office Visit Copayment || |
$25 per visit
|Specialist Care Physician Office Visit Copayment || |
$55 per visit
|Annual Routine Physical |
As an alternative to the Yearly "Wellness" visit, RMHP also covers a routine physical exam once every calendar year.
|Preventive Screenings and Lab Services |
|Outpatient Surgery || |
|Emergency Room || |
$75 per visit
|Urgent Care ||$55 per visit |
|Diagnostic Tests |
MRI/PET Scan/Nuclear Medicine: 20%
|Skilled Nursing Facility || |
$0, days 1-20
$164.50, days 21-100
|Ambulance || |
$250 per trip
|Durable Medical Equipment |
|20% coinsurance |
|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.
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: 10/01/2016. 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_MC500WEB_RMHP1 Pending CMS Review.