HSA Plan Comparisons for Large Employer Groups

HSA Plan Comparisons for Large Employer Groups

To view coverage and deductible information for each Colorado Large Group HSA option offered by Rocky Mountain Health Plans, please review our HSA Option Comparison Grid below.

View the Large Group HMO HSA EOC
View the Large Group PPO HSA EOC

2017 HMO HSA Plans

HMO HSA 2650/100

$2,650/$5,000

100% covered after deductible (preventive care is not subject to deductible)

100% covered after deductible

$2,650/$5,000

Rx varies

SBC

Benefit Summary

HMO HSA 3250/100

$3,250/$7,000

100% covered after deductible (preventive care is not subject to deductible)

100% covered after deductible

$3,250/$7,000

Rx varies

SBC

Benefit Summary

HMO HSA 5000/100

$5,000/$10,000

100% covered after deductible (preventive care is not subject to deductible)

100% covered after deductible

$5,000/$10,000

100% covered

SBC

Benefit Summary

2017 PPO HSA Plans

PPO HSA 2650/100

In-Network: $2,650/$5,000
Out-of-Network: $2,650/$5,000

In-Network: 100% covered after deductible (preventive care is not subject to deductible)
Out-of-Network: 50% coinsurance

In-Network: 100% covered after deductible
Out-of-Network: 50% coinsurance

In-Network: $2,650/$5,000
Out-of-Network: $5,000/$10,000

In-Network: 100% covered
Out-of-Network: Not Covered

SBC

Benefit Summary

PPO HSA 3250/100

In-Network: $3,250/$7,000
Out-of-Network: $3,250/$7,000

In-Network: 100% covered after deductible (preventive care is not subject to deductible)
Out-of-Network: 50% coinsurance

In-Network: 100% covered after deductible
Out-of-Network: 50% coinsurance

In-Network: $3,250/$7,000
Out-of-Network: $6,000/$12,000

In-Network: 100% covered
Out-of-Network: Not covered

SBC

Benefit Summary

PPO HSA 5000/100

In-Network: $5,000/$10,000
Out-of-Network: $5,000/$10,000

In-Network: 100% covered after deductible (preventive care is not subject to deductible)
Out-of-Network: 50% coinsurance

In-Network: 100% covered after deductible
Out-of-Network: 50% coinsurance

In-Network: $5,000/$10,000
Out-of-Network: $8,000/$16,000

In-Network: 100% covered
Out-of-Network: Not covered

SBC

Summary of Benefits

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