PPO Plan Comparisons for Small Employer Groups

PPO Plan Comparisons for Small Employer Groups

Monument Health PPO plans are available in Mesa County.  These tiered benefit plans offer preferred access to the Monument Health Network along with access to our statewide and national network of providers and facilities.  No referrals are needed.


Why Choose a Monument Health Plan from RMHP?

Your employees can enjoy peace of mind with a Monument Health plan from RMHP with the value, personalized care, and dependability they expect and deserve. Our plans: 

  1. Are designed for long-term, sustainable cost savings. 
  2. Encourage Members to establish a medical home, leading to an ongoing, trusted relationship with a primary care provider in a practice that has been recognized for patient-centered care.
  3. Promote quality of care with whole-person and comprehensive care emphasized. 
  4. Offer consistent care across the network, as Monument Health providers follow network-wide guidelines surrounding care coordination. 
  5. Work with providers to demonstrate and regularly be measured on their performance. 

To view coverage and deductible information for our Monument Health PPO Plans, review our PPO plan comparison grid below, or download our Monument Health PPO Highlights Flyer.

Download the Monument Health PPO service area map

Download the 2020 Monument Health PPO highlights flyer

Download the 2019 Monument Health PPO highlights flyer

Download the Monument Health provider directory

Monument Health PPO Plans

MH = Mental Health

Monument Health PPO Bronze HSA 6300/6350

In-Network:
Tier 1: $6,300 Individual/$12,600 Family
Tier 2: $6,350 Individual/$12,700 Family

Out-of-Network:
$10,000/$20,000

In-Network: Tier 1/Tier 2:
PCP: 0% coinsurance after deductible
Specialist:  0% coinsurance after deductible
MH:  0% coinsurance after deductible


Out-of-Network:
50% coinsurance after deductible

In-Network: Tier 1/Tier 2
 0% coinsurance after deductible


Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1/Tier 2: $6,750 Individual/$13,500 Family


Out-of-Network:
$15,000/$30,000

In-Network:
After Tier 1 Deductible: 
Tier 1: 10%
Tier 2: 10%
Tier 3: 10%
Tier 4: 10%


Out-of-Network: Not covered

SBC
Benefit Summary
EOC

Monument Health PPO Bronze 6900/8050

In-Network:
Tier 1: $6,900 Individual/$13,800 Family
Tier 2: $8,050 Individual/$16,100 Family

Out-of-Network:
$12,000/$24,000

In-Network:Tier 1: PCP: $60
Specialist: $130 Copay, no deductible
MH: $60 no deductible

Tier 2: PCP: $80 no deductible
Specialist: $180 no deductible
MH: $80 no deductible


Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1: 40% after deductible
Tier 2: $500 per stay, then 50% after deductible


Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1/Tier 2: $8,150 Individual/$16,300 Family


Out-of-Network:
$18,000/$36,000

In-Network:
No Deductible
Tier 1: $25
Tier 2: $60
Tier 3: $150
Tier 4: $350


Out-of-Network: Not covered

SBC
Benefit Summary
EOC

Monument Health PPO Silver HSA 4500/6000

In-Network:
Tier 1: $4,500 Individual/$9,000 Family
Tier 2: $6,000 Individual/$12,000 Family


Out-of-Network:
$9,000/$18,000

In-Network: Tier 1/Tier 2:
PCP: 0% coinsurance after deductible
Specialist: 0% coinsurance after deductible
MH: 0% coinsurance after deductible


Out-of-Network:
50% coinsurance after deductible

In-Network: Tier 1/Tier 2:
0% coinsurance after deductible


Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1 and 2 Combined: $6,500 Individual/$13,000 Family


Out-of-Network:
$12,000/$24,000

In-Network:
After Tier 1 Deductible: 
Tier 1: 10%
Tier 2: 10%
Tier 3: 10%
Tier 4: 10%

Out-of-Network: Not covered

SBC
Benefit Summary
EOC

Monument Health PPO Silver 4000/5500

In-Network: 
Tier 1: $4,000/$8,000
Tier 2: $5,500/$11,000

Out-of-Network:
$8,000/$16,000

In-Network:
Tier 1:  PCP : $35 no deductible
Specialist: $70 n
o deductible 
MH: $35 no deductible

Tier 2:  PCP: $50 no deductible
Specialist: $80 after deductible
MH: $50 no deductible

Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1: 40% coinsurance
Tier 2: $500 per stay, then 50% after deductible


Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1/Tier 2: $7,000/$14,000


Out-of-Network:
$15,000/$30,000

In-Network:
Tier 1: $15
Tier 2: $50
Tier 3: $80
Tier 4: $300

Out-of-Network: Not covered

SBC
Benefit Summary
EOC

Monument Health PPO Silver 3500/5000

In-Network: 
Tier 1: $3,500/$7,000
Tier 2: $5,000/$10,000

Out-of-Network:
$8,000/$16,000

In-Network:
Tier 1: PCP: 1st 3 visits $10, then $35 no deductible
Specialist: $70 no deductible
MH: $10 no deductible

Tier 2: PCP: $50 no deductible
Specialist: $80 after deductible
MH: $50 no deductible


Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1: $750 per day, up to 4 days no deductible
Tier 2: 50% after deductible


Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1/Tier 2: $8,150 Individual/$16,300 Family

Out-of-Network:
$15,000/$30,000

In-Network:
No Deductible
Tier 1: $15
Tier 2: $50
Tier 3: $80
Tier 4: $300


Out-of-Network: Not covered

SBC
Benefit Summary
EOC

Monument Health PPO Gold 1000/2500

In-Network:
Tier 1: $1,000/$2,000 
Tier 2: $2,500/$5,000

Out-of-Network:
$4,000/$8,000

In-Network:
Tier 1: PCP: $15 no deductible 
Specialist: $50 no deductible
MH: $15 no deductible

Tier 2: PCP: $40 no deductible
Specialist: $70 no deductible
MH: $40 no deductible

Out-of-Network:
50% coinsurance after deductible

In-Network:
Tier 1: 20% coinsurance after deductible
Tier 2: 40% coinsurance after deductible


Out-of-Network:
50% coinsurance after deductible

In-Network: 
Tier 1/Tier 2: $6,500 Individual/$13,000 Family

Out-of-Network:
$12,000/$24,000

In-Network:
No Deductible

Tier 1: $15
Tier 2: $50
Tier 3: $80
Tier 4: $200

Out-of-Network: Not covered

SBC
Benefit Summary
EOC

1Specialty Drugs may not be available at all pharmacies.  Call Customer Service to confirm drug availability.

Let's Create a Benefit Program That Works For You