HMO Plan Comparisons for Small Employer Groups

HMO Plan Comparisons for Small Employer Groups

To view coverage and deductible information for each Colorado Small Group HMO health plan offered by Rocky Mountain Health Plans, review our HMO Plan Comparison Grid below, or download our Small Employer Group plan brochures.

View 2017 Plan Documents

2018 Rocky Mountain Range Regional HMO Plans

Range HMO Bronze HSA 6550/100

$6,550/$13,100

0% coinsurance after deductible

0% coinsurance after deductible

$6,550/$13,100

After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

SBC
Benefit Summary
EOC

Range HMO Bronze 6000/65 - $60

$6,000/$12,000

PCP: First 4 visits: $60 no deductible, then 35% coinsurance after deductible
Specialist: 35% coinsurance after deductible

35% coinsurance after deductible

$7,350/$14,700

Tier 1: $20
Tier 2: $50
Tier 3: $125
Tier 4: $300
Tier 5: $500 
(no deductible)

SBC
Benefit Summary
EOC

Range HMO Silver 5000/50 - $55

$5,000/$10,000
PCP: First 5 visits: $55, no deductible, then 50% after deductible 
Specialist: $80, no deductible
$1,750 per stay,
then 50% coinsurance after deductible
$7,350/$14,700
Tier 1: $20
Tier 2: $55
Tier 3: $100
Tier 4: $300
Tier 5: $500
(no deductible)
SBC
Benefit Summary
EOC

Range HMO Silver 4500/75 - $55

$4,500/$9,000
$55/$80, no deductible
25% coinsurance after deductible
$7,000/$14,000
Tier 1: $20, no deductible

After $200 Rx deductible:
Tier 2: $50
Tier 3: $80
Tier 4: 25%
Tier 5: 30%
SBC
Benefit Summary
EOC

Range HMO Silver HSA 4000/100

$4,000/$8,000

0% coinsurance after deductible

0% coinsurance after deductible

$4,000/$8,000

After Medical Deductible
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

SBC
Benefit Summary
EOC

Range HMO Silver 3000/70 - $55

$3,000/$6,000

$55/$80 no deductible

30% coinsurance after deductible

$7,350/$14,700

Tier 1: $20
Tier 2: $50
Tier 3: $80
Tier 4: $300
Tier 5: $400
(no deductible)

SBC
Benefit Summary
EOC

Range HMO Silver 2000/65 - $45

$2,000/$4,000

PCP - First 3 visits $45, no deductible, then 35% after deductible
Specialist - $70, no deductible

$1000 per stay,
then 35% coinsurance after deductible

$7,300/$14,600

Tier 1: $20
Tier 2: $50
Tier 3: $80
Tier 4: $300
Tier 5: $400 
(no deductible)

SBC
Benefit Summary
EOC

Range HMO Gold HSA 2800/100

$2,800/$5,600

0% coinsurance after deductible

0% coinsurance after deductible

$2,800/$5,600

After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

SBC
Benefit Summary
EOC

Range HMO Gold 1000/75 - $40

$1,000/$2,000

$40/$60 no deductible

$500 per stay,
then 25% after deductible

$6,500/$13,000

Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4: $175
Tier 5: $275 
(no deductible)

SBC
Benefit Summary
EOC

Range HMO Gold 500/80 - $40

$500/$1,000

$40/$60 no deductible

20% coinsurance

$5,000/$10,000

Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4: $175
Tier 5: $275
(no deductible)

SBC
Benefit Summary
EOC

2018 Rocky Mountain Summit HMO Plans

Summit HMO Bronze HSA 6550/100

$6,550/$13,100

100% covered after deductible

100% covered after deductible

$6,550/$13,100

After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

SBC
Benefit Summary
EOC

Summit HMO Bronze 6000/65 - $60

$6,000/$12,000

PCP: First 4 visits: $60 no deductible, then 35% coinsurance after deductible.
Specialist: 35% coinsurance after deductible

35% coinsurance after deductible

$7,350/$14,700

Tier 1: $20
Tier 2: $50
Tier 3: $125
Tier 4: $300
Tier 5: $500
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Silver 5000/50 - $55

$5,000/$10,000

PCP: First 5 visits $55, no deductible, then 50% after deductible
Specialist: $80, no deductible

$1750 per stay, then 50% coinsurance after deductible

$7,350/$14,700

Tier 1: $20
Tier 2: $55
Tier 3: $100
Tier 4: $300
Tier 5: $500
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Silver 4500/75 - $55

$4,500/$9,000

$55/$80 no deductible

25% coinsurance after deductible

$7,000/$14,000

Tier 1: $20, no deductible

After $200 Rx deductible
Tier 2: $50
Tier 3: $80
Tier 4: 25%
Tier 5: 30%

SBC
Benefit Summary
EOC

Summit HMO Silver HSA 4000/100

$4,000/$8,000

100% covered after deductible

100% covered after deductible

$4,000/$8,000

After Medical Deductible:
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

SBC
Benefit Summary
EOC

Summit HMO Silver 3000/70 - $55

$3,000/$6,000

$55/$80 no deductible

30% coinsurance after deductible

$7,350/$14,700

Tier 1: $20
Tier 2: $50
Tier 3: $80
Tier 4: $300
Tier 5: $400
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Silver 2000/65 - $45

$2,000/$4,000

PCP: First 3 visits $45, no deductible, then 35% after deductible
Specialist: $70 no deductible

$1,000 per stay,
then 35% coinsurance after deductible

$7,300/$14,600

Tier 1: $20
Tier 2: $50
Tier 3: $80
Tier 4: $300
Tier 5: $400
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Gold HSA 2800/100

$2,800/$5,600

100% covered after deductible

100% covered after deductible

$2,800/$5,600

After Medical Deductible: 
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
Tier 5: 0%

SBC
Benefit Summary
EOC

Summit HMO Gold 1000/75 - $40

$1,000/$2,000

$40/$60 no deductible

$500 per stay, 
then 25% coinsurance after deductible

$6,500/$13,000

Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4: $175
Tier 5: $275
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Gold 500/80 - $40

$500/$1,000

$40/$60 no deductible

20% coinsurance after deductible

$5,000/$10,000

Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4: $175
Tier 5: $275
(no deductible)

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

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