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Western Slope 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 Western Slope 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 Western Slope Plan Highlights Grid.

Medicare Covered Benefit
RMHP Standard Plan
You Pay
RMHP Plus Plan
You Pay
RMHP Thrifty Plan
You Pay
Monthly Health Plan Premium
  Medical
  Prescription Drug
 
$59
$38.90
*Plus you must continue to pay Medicare Part B Premium
 
$160
$62
*Plus you must continue to pay Medicare Part B Premium
 
$24
 
*Plus you must continue to pay Medicare Part B premium
Primary Care Physician
Office Visit Copayment
$15 per visit
$15 per visit
$20 per visit
Specialist Care Physician
Office Visit Copayment
$35 per visit
$25 per visit
$40 per visit
Inpatient Hospital Copayment
$400 per admission
$400 per admission
$500 per admission
Outpatient Surgery
$175 per visit
$200 per visit
$250 per visit
Ambulance
$100 per trip
$100 per trip
$100 per trip
Emergency Room
$50 per visit within the United States
$50 per visit Worldwide
$50 per visit within the United States
Urgent Care
$35 per visit within the United States
$25 per visit Worldwide
$40 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 for all other drugs until you reach $4,050 out of pocket drug costs
Beneficiary pays $2.25 copay generic; $5.65 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
$50 days 21-100
Durable Medical Equipment
20%
20%
20%

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


CMS 122007 S5860 HO602 1037003 MC150WEB MEDIGAP-2007-AD-MC150WEB-0807

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