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.

2016 Rocky Mountain Summit HMO Plans

Summit HMO Gold 500/80 - $35

$500/$1,000

$35/$50 no deductible

20% coinsurance

$3,500/$7,000

Tier 1: $15 
Tier 2: $40
Tier 3: $70
Tier 4: $175
Tier 5: $275
(no deductible)

SBC

Benefit Summary

EOC

Summit HMO Gold 650/80 - $35

$650/$1,300

$35/$55 no deductible

20% coinsurance

$4,000/$8,000

Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Gold 800/90 - $35

$800/$1,600

$35/$50 no deductible

10% coinsurance

$4,500/$9,000

Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Gold 1000/80 - $35

$1,000/$2,000

$35/$50 no deductible

20% coinsurance

$4,000/$8,000

Tier 1: $15
Tier 2: $55
Tier 3: $100
Tier 4: $200
Tier 5: $300
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Gold HSA 2000/100

$2,000/$4,000

100% covered after deductible

100% covered after deductible

$2,000/$4,000

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

SBC

Benefit Summary

View EOC

Summit HMO Silver 1500/70 - $40

$1,500/$3,000

$40/$55 no deductible

30% coinsurance

$6,600/$13,200

Tier 1: $15
Tier 2: $45
Tier 3: $70
Tier 4: $250
Tier 5: $350
(no deductible)

SBC

Benefit Summary

EOC

Summit HMO Silver 2000/70 - $40

$2,000/$4,000

$40/$60 no deductible

30% coinsurance

$6,600/$13,200

Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC

Benefit Summary

EOC

Summit HMO Silver 2500/70 - $45

$2,500/$5,000

$45/$65 no deductible

30% coinsurance

$6,700/$13,400

Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC

Benefit Summary

EOC

Summit HMO Silver 3000/80 - $40

$3,000/$6,000

$40/$55 no deductible

20% coinsurance

$6,600/$13,200

Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC

Benefit Summary

EOC

Summit HMO Silver HSA 3500/100

$3,500/$7,000

100% covered after deductible

100% covered after deductible

$3,500/$7,000

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 4000/65 - $45

$4,000/$8,000

$45/$60 no deductible

35% coinsurance

$6,000/$12,000

Tier 1: $20
Tier 2: $55
Tier 3: $100
Tier 4: $250
Tier 5: $400
(no deductible)

SBC

Benefit Summary

EOC

Summit HMO Bronze HSA 4500/50

$4,500/$9,000

50% after deductible

50% coinsurance

$6,500/$13,000

After Medical Deductible:
Tier 1: $20
Tier 2: $60
Tier 3: 30%
Tier 4: 40%
Tier 5: 50%

SBC
Benefit Summary
EOC

Summit HMO Bronze HSA 5050/100

$5,050/$10,100

100% covered after deductible

100% covered after deductible

$6,550/$13,100

After Medical Deductible:
Tier 1: $25
Tier 2: $70
Tier 3: $300
Tier 4: $450
Tier 5: $540

SBC
Benefit Summary
EOC

Summit HMO Bronze HSA 5950/100

$5,950/$11,900

100% covered after deductible

100% covered after deductible

$5,950/$11,900

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 HSA 6500/100

$6,500/$13,000

100% covered after deductible

100% covered after deductible

$6,500/$13,000

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

SBC
Benefit Summary
EOC

2016 New West Focus Regional HMO Plans

New West Focus HMO Gold 500/80 - $35

$500/$1,000

$35/$50 no deductible

20% coinsurance

$3,500/$7,000

Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: $175
Tier 5: $275
(no deductible)

SBC
Benefit Summary
EOC

New West Focus HMO Silver 1500/70 - $40

$1,500/$3,000

$40/$55 no deductible

30% coinsurance

$6,600/$13,200

Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: $175
Tier 5: $275
(no deductible)

SBC
Benefit Summary
EOC

New West Focus HMO Silver 2500/70 - $45

$2,500/$5,000

$45/$65 no deductible

30% coinsurance

$6,700/$13,400

Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

New West Focus HMO Bronze HSA 5050/100

$5,050/$10,100

100% covered after deductible

100% covered after deductible

$6,550/$13,100

After Medical Deductible:
Tier 1: $25
Tier 2: $70
Tier 3: $300
Tier 4: $450
Tier 5: $540

SBC
Benefit Summary
EOC

2016 Colorado Springs Health Partners Regional HMO Plans

CSHP HMO Gold 500/80 - $35

$500/$1,000

$35/$50

20% coinsurance

$3,500/$7,000

Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: $175
Tier 5: $275
(no deductible)

SBC
Benefit Summary
EOC

CSHP HMO Silver 1500/70 - $40

$1,500/$3,000

$40/$55 no deductible

30% coinsurance

$6,600/$13,200

Tier 1: $15
Tier 2: $45
Tier 3: $70
Tier 4: $250
Tier 5: $350
(no deductible)

SBC
Benefit Summary
EOC

CSHP HMO Silver 2500/70 - $45

$2,500/$5,000

$45/$65 no deductible

30% coinsurance

$6,700/$13,400

Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

CSHP HMO Bronze HSA 5050/100

$5,050/$10,100

100% covered after deductible

100% covered after deductible

$6,550/$13,100

After Medical Deductible:
Tier 1: $25
Tier 2: $70
Tier 3: $300
Tier 4: $450
Tier 5: $540

SBC
Benefit Summary
EOC

2016 Rocky Mountain Range Regional HMO Plans

Rocky Mountain Range HMO Gold 500/80 - $35

$500/$1,000

$35/$50 no deductible

20% coinsurance

$3,500/$7,000

Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: $175
Tier 5: $275
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Gold 650/80 - $35

$650/$1,300

$35/$55 no deductible

20% coinsurance

$4,000/$8,000

Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Gold 800/90 - $35

$800/$1,600

$35/$50 no deductible

10% coinsurance

$4,500/$9,000

Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Gold 1000/80 - $35

$1,000/$2,000

$35/$50 no deductible

20% coinsurance

$4,000/$8,000

Tier 1: $15
Tier 2: $55
Tier 3: $100
Tier 4: $200
Tier 5: $300
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Gold HSA 2000/100

$2,000/$4,000

100% covered after deductible

100% covered after deductible

$2,000/$4,000

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

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Silver 1500/70 - $40

$1,500/$3,000

$40/$55 no deductible

30% coinsurance

$6,600/$13,200

Tier 1: $15
Tier 2: $45
Tier 3: $70
Tier 4: $250
Tier 5: $350
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Silver 2000/70 - $40

$2,000/$4,000

$40/$60 no deductible

30% coinsurance

$6,600/$13,200

Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Silver 2500/70 - $45

$2,500/$5,000

$45/$65 no deductible

30% coinsurance

$6,700/$13,400

Tier 1: $15
Tier 2: $40
Tier 3: $55
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Silver 3000/80 - $40

$3,000/$6,000

$40/$55 no deductible

20% coinsurance

$6,600/$13,200

Tier 1: $15
Tier 2: $40
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Silver HSA 3500/100

$3,500/$7,000

100% covered after deductible

100% covered after deductible

$3,500/$7,000

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

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Silver 4000/65 - $45

$4,000/$8,000

$45/$60 no deductible

35% coinsurance

$6,000/$12,000

Tier 1: $20
Tier 2: $55
Tier 3: $100
Tier 4: $250
Tier 5: $400
(no deductible)

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Bronze HSA 4500/50

$4,500/$9,000

50% after deductible

50% coinsurance

$6,500/$13,000

After Medical Deductible:
Tier 1: $20
Tier 2: $60
Tier 3: 30%
Tier 4: 40%
Tier 5: 50%

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Bronze HSA 5050/100

$5,050/$10,100

100% covered after deductible

100% covered after deductible

$6,550/$13,100

After Medical Deductible:
Tier 1: $25
Tier 2: $70
Tier 3: $300
Tier 4: $450
Tier 5: $540

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Bronze HSA 5950/100

$5,950/$11,900

100% covered after deductible

100% covered after deductible

$5,950/$11,900

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

SBC
Benefit Summary
EOC

Rocky Mountain Range HMO Bronze HSA 6500/100

$6,500/$13,000

100% covered after deductible

100% covered after deductible

$6,500/$13,000

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

SBC
Benefit Summary
EOC

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