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Metro Denver Plan Highlights 2008

RMHP offers plan choice! Our Medicare plans offer Medicare beneficiaries comprehensive coverage, access to quality health care, and excellent customer service.

The following grid provides a quick, at-a-glance summary of our Metro Medicare Plans available. Please click here for a detailed 2008 Summary of Benefits.  Click here for the 2008 Evidence of Coverage (coming soon).

Click here for a Printable Metro Plan Highlights Grid.

Medicare Covered Benefit
RMHP Standard Plan
You Pay
RMHP Gold Plan
You Pay
RMHP Thrifty Plan
You Pay
Monthly Health Plan Premium
  Medical
  Prescription Drug
 
$49
$38.90
*Plus you must continue to pay Medicare Part B Premium
 
$160
$62
*Plus you must continue to pay Medicare Part B Premium
 
$0
 
*Plus you must continue to pay Medicare Part B premium
Primary Care Physician
Office Visit Copayment
$20 per visit
$15 per visit
$20 per visit
Specialist Care Physician
Office Visit Copayment
$40 per visit
$35 per visit
$50 per visit
Inpatient Hospital Copayment
$550 per admission
$450 per admission
$800 per admission
Outpatient Surgery
$300 per visit
$250 per visit
$400 per visit
Ambulance
$100 per trip
$100 per trip
$100 per trip
Emergency Room
$50 per visit within the United States
$50 per visit Woldwide
$50 per visit within the United States
Urgent Care
$40 per visit within the United States
$35 per visit Worldwide
$50 per visit within the United States
Part D Prescription Drug Benefits
No deductible
No deductible

You pay 100% for most prescription drugs.

Discounts may apply.

This plan does not cover Medicare Part D prescription drugs.
$8.50 copay generic

$42 copay preferred brand

$62 coinsurance nonpreferred brand
$7.50 copay generic

$40 copay preferred brand

$60 coinsurance nonpreferred brand
After $2,510 in retail drug expenses you pay 100% of costs until you reach $4,050 out of pocket drug costs
After $2,510 in retail drug expenses you pay $7.50 copay for generic drugs and 100% of cost of all other drugs until you reach $4,050 out of pocket drug costs
Beneficiary pays $2.25 copay generic; $5.60 copay for all other drugs; OR 5% (whichever is higher)
Beneficiary pays $2.25 copay generic; $5.60 copay for all other drugs; OR 5% (whichever is higher)
Annual Routine Physical Exam
$0
$0
$0
Preventive Screening Services
$0
$0
$0
Skilled Nursing Facility
$0 days 1-20
$50 days 21-100
$0 days 1-20
$50 days 21-100
$0 days 1-20
$100 days 21-100
Durable Medical Equipment
20%
20%
20%

Please click here for the detailed 2007 Summary of Benefits.  Click here for the 2007 Evidence of Coverage (coming soon).


CMS122007 S5860 HO602 1037003 MC150WEB MEDIGAP-2007-AD-MC150WEB-0807

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