HMO Plan Comparisons for Small Employer Groups

HMO Plan Comparisons for Small Employer Groups

RMHP offers different HMO products based on where your business is located. Explore more about our small business HMO plans with HSA options to find the plan that’s right for your business.

View Our 2020 HMO Plans

Find the plan that’s right for your small business by expanding the information about our 2020 HMO options.

RMHP is pleased to introduce Monument ONE for small businesses in Mesa County. RMHP and Monument Health are dedicated to providing Members with access to high-quality health care at lower costs. Monument Health’s high-performing clinically-integrated network offers Members local access to high-quality, coordinated health care with a vision of a healthier Western Colorado.

Monument ONE plans from RMHP offer one-tier network coverage, offering access to the Monument Health network.

  • Includes six local primary care practices (more than 125 primary care providers) to serve as your medical home; two local hospitals (St. Mary’s Medical Center and Colorado Canyons Hospital & Medical Center); many local specialists who are either independently owned or affiliated with St. Mary’s Medical Center or Family Health West; and University Hospital, Children’s Hospital, and all SCL Health providers and facilities in Denver and surrounding counties.
  • Emergency care is always covered as in-network.

Download the Monument ONE service are map

Download the Monument ONE highlights flyer

Peak Health Alliance is a non-profit purchasing cooperative whose mission is to provide more affordable, high-quality health care coverage by leveraging the power of an entire community to negotiate more competitive options for its members. RMHP is proud to be the official Peak Health carrier for small businesses in Summit County. Together, we’re committed to providing this coverage at lower costs.

There are two types of plans available: Peak Health HMO (single-tier coverage) and Peak Health Choice EPO (two-tier coverage). These plans are available only to small businesses in Summit County.

Download the Peak Health brochure

Download the Peak Health service area map

Rocky Mountain Canyon HMO regional health plans are available in Archuleta, Dolores, La Plata, Montezuma, and San Juan counties. These tiered benefit plans offer access to the Rocky Mountain Range and national network of providers and facilities. No referrals are needed.

Download the Rocky Mountain Canyon service area map

Download the 2020 Rocky Mountain Canyon highlights flyer

Download the 2019 Rocky Mountain Canyon highlights flyer

Rocky Mountain Range HMO regional health plans are available in Archuleta, Delta, Dolores, Grand, Gunnison, Hinsdale, Jackson, La Plata, Moffat, Montezuma, Montrose, Ouray, Rio Blanco, Routt, San Juan, and San Miguel counties. Members have access to a comprehensive network of West Slope Colorado physicians and facilities as well as access to physicians and facilities in Denver and Colorado Springs as well as our national network. No referrals are needed.

Download the Rocky Mountain Range service area map

Download the 2020 Rocky Mountain Range highlights flyer

Download the 2019 Rocky Mountain Range highlights flyer

Download the Rocky Mountain Range directory

Rocky Mountain Summit is our statewide HMO product line, offered to small employers in every county in Colorado. Rocky Mountain Summit offers access to our statewide and national network of providers and facilities. No referrals are needed.

Download the 2020 Rocky Mountain Summit highlights flyer

Download the 2019 Rocky Mountain Summit highlights flyer

Download the Rocky Mountain Summit Directory

Explore More About Our Plans

To view coverage and deductible information for each Colorado Small Group HMO health plan offered by RMHP, review our HMO plan comparison grids below, or download our Small Employer Group brochure.

 

Download our Small Group brochure

Monument ONE HMO Plans

MH = Mental Health

Monument ONE HMO Bronze 7000

$7,000 Individual/$14,000 Family
PCP: 1st 2 visits $50, then $50 after deductible
Specialist 1st 2 visits $100, then $100 after deductible
MH: $50 no deductible
40% coinsurance after deductible
$8,150 Individual/$16,300 Family
No deductible 
Tier 1: $25 
Tier 2: $50 
After deductible 
Tier 3: $90 
Tier 4: $400
SBC
Benefit Summary
EOC

Monument ONE HMO Bronze HSA 6750 100

$6,750 Individual/$13,500 Family
0% coinsurance after deductible
0% coinsurance after deductible
$6,750 Individual/$13,000 Family
0% coinsurance after deductible
SBC
Benefit Summary
EOC

Monument ONE HMO Gold 2500

$2,500 Individual/$5,000 Family
PCP: 1st 3 visits 100% covered, then $40 no deductible
Specialist: 1st 3 visits $80, then $80 after deductible
MH: 100% covered
20% coinsurance after deductible
$5,000 Individual/$10,000 Family
No deductible 
Tier 1: $15 
Tier 2: $40 
Tier 3: $80 
Tier 4: $350
SBC
Benefit Summary
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Monument ONE HMO Silver 5500

$5,500 Individual/$11,000 Family
PCP: 1st 2 visits 100% covered, then $45 no ded
Specialist: 1st 2 visits $100, then $100 after deductible
MH: 100% covered
30% coinsurance after deductible
$8,150 Individual/$16,300 Family
No deductible 
Tier 1: $15
Tier 2: $40 
Tier 3: $80 
Tier 4: $350
SBC
Benefit Summary
EOC

Monument ONE HMO Silver HSA 5500 RX 90

$5,500 Individual/$11,000 Family
0% coinsurance after deductible
0% coinsurance after deductible
$6,200 Individual/$12,400 Family
10% coinsurance after deductible
SBC
Benefit Summary
EOC

Peak Health Choice EPO Plans

 

Peak Health Choice EPO Bronze 7000/60%/$50

Tier 1: $7,000 Individual/ $14,000 Family
Tier 2: $8,000 Individual/ $16,000 Family
Tier 1: PCP: 1st 2 visits $50, no deductible, then $50 after deductible,
Specialist: 1st 2 visits $100 no deductible, then $100 after deductible,
MH: $50 no deductible

Tier 2: 60% after deductible
Tier 1: 40% after deductible
Tier 2: 60% after deductible
Tier 1/Tier 2: $8,150 Individual/$16,300 Family
Tier 1: $25 no deductible
Tier 2: $50 no deductible
Tier 3: $90 after deductible
Tier 4: $400 after deductible
SBC
Benefit Summary
EOC

Peak Health Choice EPO Bronze HSA 6300 RX 90

Tier 1: $6,300 Individual /$12,600 Family
Tier 2: $6,350 Individual/$12, 700 Family
Tier 1/ Tier 2:
PCP: 0% after deductible
Specialist: 0% after deductible
MH: 0% after deductible
Tier 1/Tier 2: 0% after deductible
Tier 1/Tier 2: $6,750 Individual/$13,500 Family
After Deductible
Tier 1: 10%
Tier 2: 10%
Tier 3: 10%
Tier 4: 10%
SBC
Benefit Summary
EOC

Peak Health Choice EPO Gold 2500/80%/$40

Tier 1: $2,500 Individual/$5,000 Family
Tier 2: $4,000 Individual/$8,000 Family
Tier 1: PCP: 1st 3 visits 100% no deductible, then $40 no deductible,
Specialist: 1st 3 visits $80 no deductible, then $80 after deductible,
MH: 100% covered

Tier 2: PCP: 60% no deductible
Specialist: 40% after deductible
MH: 100% covered 
Tier 1: 20% after deductible
Tier 2: 40% after deductible
 
Tier 1/Tier 2: $5,000 Individual/$10,000 Family
No Deductible
Tier 1: $15
Tier 2: $40
Tier 3: $80
Tier 4: $350
SBC
Benefit Summary
EOC

Peak Health Choice EPO Silver 5500/70%/$45

Tier 1: $5,500 Individual/$11,000 Family
Tier 2: $6,500 Individual/$13,000 Family
Tier 1: PCP: 1st 2 visits 100% no deductible, then $45 no deductible,
Specialist: 1st 2 visits $100 no deductible, then $100 after deductible,
MH: 100% covered no deductible

Tier 2: PCP: $65 no deductible
Specialist: 50% after deductible
MH: 100% covered no deductible
Tier 1: 30% after deductible
Tier 2: 50% after deductible
Tier 1/Tier 2: $8,150 Individual/$16,300 Family
No Deductible
Tier 1: $20
Tier 2: $60
Tier 3: 20% up to $400
Tier 4: 20% up to $500
SBC
Benefit Summary
EOC

Peak Health Choice EPO Silver HSA 5000 RX 90

Tier 1: $5,000 Individual/$10,000 Family
Tier 2: $5,500 Individual/$11,000 Family
Tier 1/ Tier 2: 
PCP: 0% after deductible
Specialist: 0% after deductible
MH: 0% after deductible
Tier 1/Tier 2: 0% after deductible
Tier 1/Tier 2: $6,200 Individual/$12,400 Family
After Deductible
Tier 1: 10%
Tier 2: 10%
Tier 3: 10%
Tier 4: 10%
SBC
Benefit Summary
EOC

Peak Health HMO Plans

 

Peak Health HMO Bronze 7000/60%/$50

$7,000 Individual/ $14,000 Family
PCP: 1st 2 visits $50, no deductible, then $50 after deductible,
Specialist: 1st 2 visits $100 no deductible, then $100 after deductible,
MH: $50 no deductible
40% after deductible
$8,150 Individual/$16,300 Family
Tier 1: $25 no deductible
Tier 2: $50 no deductible
Tier 3: $90 after deductible
Tier 4: $400 after deductible
SBC
Benefit Summary
EOC

Peak Health HMO Bronze HSA 6750/100%

$6,750 Individual /$13,500 Family
0% after deductible
0% after deductible
$6,750 Individual /$13,500 Family
After Deductible
Tier 1: 0%
Tier 2: 0%
Tier 3: 0%
Tier 4: 0%
SBC
Benefit Summary
EOC

Peak Health HMO Gold 2500/80%/$40

$2,500 Individual /$5,000 Family
PCP: 1st 3 visits 100% no deductible, then $40 no deductible,
Specialist: 1st 3 visits $80 no deductible, then $80 after deductible,
MH: 100% covered no deductible
20% after deductible
$5,000 Individual/$10,000 Family
No Deductible
Tier 1: $15
Tier 2: $40
Tier 3: $80
Tier 4: $350
SBC
Benefit Summary
EOC

Peak Health HMO Silver 5500/70%/$45

$5,500 Individual /$11,000 Family
PCP: 1st 2 visits 100% no deductible, then $45 no deductible,
Specialist: 1st 2 visits $100 no deductible, then $100 after deductible,
MH: 100% covered no deductible
30% after deductible
$8,150 Individual/$16,300 Family
No Deductible
Tier 1: $20
Tier 2: $60
Tier 3: 20% up to $400
Tier 4: 20% up to $500
SBC
Benefit Summary
EOC

Peak Health HMO Silver HSA 5500 RX 90

$5,500 Individual /$11,000 Family
0% after deductible
0% after deductible
$6,200 Individual/$12,400 Family
After Deductible
Tier 1: 10%
Tier 2: 10%
Tier 3: 10%
Tier 4: 10%
SBC
Benefit Summary
EOC

Rocky Mountain Canyon HMO Group Plans

Rocky Mountain Canyon HMO Bronze HSA 6300 RX 90

Tier 1: $6,300 Individual/$12,600 Family
Tier 2: $6,450 Individual/$12,900 Family

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

 Tier 1/Tier 2: 0% coinsurance after deductible

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

After Tier 1 Deductible:
Tier 1: 10% 
Tier 2: 10% 
Tier 3: 10% 
Tier 4: 10%

SBC
Benefit Summary
EOC

Rocky Mountain Canyon HMO Bronze 6700/60%/$50

Tier 1: $6,700 Individual/$13,400 Family
Tier 2: $7,300 Individual/$14,600 Family

Tier 1:
PCP: $50 no deductible
Specialist: $80 no deductible
MH: $50 no deductible

Tier 2: 
PCP: $70 no deductible
Specialist: $100 no deductible
MH: $70 no deductible

Tier 1: 40%  after deductible
Tier 2: 50% after deductible

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

No Deductible
Tier 1: $25 
Tier 2: $50 
Tier 3: $1000 Rx Deductible, then $150 
Tier 4: $1000 Rx Deductible, then $300


SBC
Benefit Summary
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Rocky Mountain Canyon HMO Silver HSA 4500 RX 90

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

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

Tier 1/Tier 2: 
0% coinsurance after deductible

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

After Tier 1 Deductible:
Tier 1: 10% 
Tier 2: 10% 
Tier 3: 10% 
Tier 4: 10%

SBC
Benefit Summary
EOC

Rocky Mountain Canyon HMO Silver 4500/70%/$35

Tier 1: $4,500 Individual/$9,000 Family
Tier 2: $5,500 Individual/$11,000 Family

Tier 1:
PCP: $35 no deductible
Specialist:$70 no deductible
MH: $35 no deductible

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

Tier 1: 30% after deductible
Tier 2: 40% after deductible

Tier 1/Tier 2: $7,200 Individual/$14,400 Family

No Deductible 
Tier 1: $20 
Tier 2: $200 Rx Deductible $50 
Tier 3: $200 Rx Deductible $80 
Tier 4: $200 Rx Deductible 25%

SBC
Benefit Summary
EOC

Rocky Mountain Canyon HMO Silver 3000/75%/$35

Tier 1: $3,000 Individual/$6,000 Family
Tier 2: $4,500 Individual/$9,000 Family

Tier 1:
PCP: $35 no deductible
Specialist: $100 no deductible
MH: $35 no deductible

Tier 2:
PCP: $50 no deductible
Specialist: $120 no deductible
MH: $50 no deductible

Tier 1: 25% after deductible
Tier 2: $500 per stay, then 40% after deductible

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

No Deductible 
Tier 1: $15 
Tier 2: $50 
Tier 3: $100 
Tier 4: $200

SBC
Benefit Summary
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Rocky Mountain Canyon HMO Gold 1000/80%/$25

Tier 1: $1,000 Individual/$2,000 Family
Tier 2: $2,500 Individual/$5,000 Family

Tier 1:
PCP: 1st 3 visits 100%, then $25 no deductible
Specialist: $55 no deductible
MH: 100% covered

Tier 2: 
PCP: $45 no deductible
Specialist: $75 no deductible
MH: $45 no deductible

Tier 1: 20% after deductible
Tier 2: 40% after deductible

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

No Deductible
Tier 1: $15
Tier 2: $50
Tier 3: $100
Tier 4: $200

SBC
Benefit Summary
EOC

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%

SBC
Benefit Summary
EOC

Range HMO Bronze 6800/55 - $75

$6,800 Individual/$13,600 Family

PCP - $75 no deductible
Specialist - $140 no deductible
MH - $75 no deductible

45% coinsurance after deductible

$8,150 Individual/$16,300 Family

No deductible 
Tier 1: $20 
Tier 2: $50 
Tier 3: $125 
Tier 4: $375

SBC
Benefit Summary
EOC

Range HMO Silver 5000/50 - $55

$5,000 Individual/$10,000 Family
PCP - 1st 5 visits $55 no deductible, then 50% after deductible
Specialist - $80 no deductible
MH - $55 no deductible
$1,750 per stay, then 50% coinsurance
$7,900 Individual/$15,800 Family
No Deductible 
Tier 1: $20 
Tier 2: $55 
Tier 3: $100 
Tier 4: $300
SBC
Benefit Summary
EOC

Range HMO Silver 4500/75 - $55

$4,500 Individual/$9,000 Family
PCP: $55 no deductible
Specialist: $80 no deductible
MH: $55 no deductible
25% coinsurance after deductible
$7,000 Individual/$14,000 Family
Tier 1: $20 
After $200 Rx Deductible 
Tier 2: $50 
Tier 3: $80 
Tier 4: 25%
SBC
Benefit Summary
EOC

Range HMO Silver HSA 4000 RX 90

$4,000 Individual/$8,000 Family

0% coinsurance after deductible

0% coinsurance after deductible

$4,500 Individual/$9,000 Family

After Deductible 
Tier 1: 10% 
Tier 2: 10% 
Tier 3: 10% 
Tier 4: 10%

SBC
Benefit Summary
EOC

Range HMO Silver 3500/70 - $55

$3,500 Individual/$7,000 Family

PCP: $55 no deductible
Specialist: $80 copay no deductible
MH: $55 copay no deductible

30% coinsurance after deductible

$7,900 Individual/$15,800 Family

No Deductible 
Tier 1: $20 
Tier 2: $50 
Tier 3: $80 
Tier 4: $300

SBC
Benefit Summary
EOC

Range HMO Silver 2800/60 - $45

$2,800 Individual/$5,600 Family

PCP - $45 no deductible
Specialist - $65 no deductible
MH - $45 no deductible

$1,000 per stay, then 40% coinsurance after deductible

$8,150 Individual/$16,300 Family

No Deductible 
Tier 1: $20 
Tier 2: $50 
Tier 3: $80 
Tier 4: $300

SBC
Benefit Summary
EOC

Range HMO Gold HSA 2800/100

$2,800 Individual/$5,600 Family

0% coinsurance after deductible

0% coinsurance after deductible

$2,800 Individual/$5,600 Family

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

SBC
Benefit Summary
EOC

Range HMO Gold 1000/75 - $40

$1,000 Individual/$2,000 Family

PCP: $40 no deductible
Specialist: $60 no deductible
MH: $40 no deductible

$500 per stay, then 25% coinsurance after deductible

$6,500 Individual/$13,000 Family

No Deductible 
Tier 1: $20 
Tier 2: $40 
Tier 3: $65 
Tier 4: $175

SBC
Benefit Summary
EOC

Range HMO Gold 500/80 - $40

$500 Individual$1,000 Family

PCP: $40 no deductible
Specialist: $60 no deductible
MH: $40 no deductible

20% coinsurance after deductible

$5,000 Individual/$10,000 Family

No Deductible 
Tier 1: $20 
Tier 2: $40 
Tier 3: $65 
Tier 4: $175

SBC
Benefit Summary
EOC

Rocky Mountain Summit HMO Plans

Summit HMO Bronze HSA 6550/100

$6,550 Individual/$13,100 Family

0% coinsurance after deductible

0% coinsurance after deductible

$6,550 Individual/$13,100 Family

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

SBC
Benefit Summary
EOC

Summit HMO Bronze 6800/55 - $75

$6,800 Individual/$13,600 Family

PCP - $75 no deductible
Specialist - $140 no deductible
MH - $75 no deductible

45% coinsurance after deductible

$8,150 Individual/$16,300 Family

No deductible 
Tier 1: $20 
Tier 2: $50 
Tier 3: $125 
Tier 4: $375

SBC
Benefit Summary
EOC

Summit HMO Silver 5000/50 - $55

$5,000 Individual/$10,000 Family

PCP - 1st 5 visits $55 no deductible, then 50% after deductible
Specialist - $80 no deductible
MH - $55 no deductible

$1,750 per stay, then 50% coinsurance

$7,900 Individual/$15,800 Family

No Deductible 
Tier 1: $20 
Tier 2: $55 
Tier 3: $100 
Tier 4: $300

SBC
Benefit Summary
EOC

Summit HMO Silver 4500/75 - $55

$4,500 Individual/$9,000 Family

PCP: $55 no deductible
Specialist:$80 no deductible
MH: $55 no deductible

25% coinsurance after deductible

$7,000 Individual/$14,000 Family

Tier 1: $20
After $200 Rx Deductible 
Tier 2: $50 
Tier 3: $80 
Tier 4: 25%

SBC
Benefit Summary
EOC

Summit HMO Silver HSA 4000 RX90

$4,000 Individual/$8,000 Family

100% covered after deductible

100% covered after deductible

$4,500 Individual/$9,000 Family

After Deductible 
Tier 1: 10% 
Tier 2: 10% 
Tier 3: 10% 
Tier 4: 10%

SBC
Benefit Summary
EOC

Summit HMO Silver 3500/70 - $55

$3,500 Individual/$7,000 Family

PCP: $55 no deductible
Specialist: $80 copay no deductible
MH: $55 copay no deductible

30% coinsurance after deductible

$7,900 Individual/$15,800 Family

No Deductible
Tier 1: $20
Tier 2: $50
Tier 3: $80
Tier 4: $300

SBC
Benefit Summary
EOC

Summit HMO Silver 2800/60 - $45

$2,800 Individual/$5,600 Family

PCP - $45 no deductible
Specialist - $65 no deductible
MH - $45 no deductible

$1,000 per stay, then 40% coinsurance after deductible

$8,150 Individual/$16,300 Family

No deductible
Tier 1: $20
Tier 2: $50
Tier 3: $80
Tier 4: $300

SBC
Benefit Summary
EOC

Summit HMO Gold HSA 2800/100

$2,800 Individual/$5,600 Family

100% covered after deductible

100% covered after deductible

$2,800 Individual/$5,600 Family

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

SBC
Benefit Summary
EOC

Summit HMO Gold 1000/75 - $40

$1,000 Individual/$2,000 Family

PCP: $40 no deductible
Specialist: $60 no deductible
MH: $40 no deductible

$500 per stay, then 25% coinsurance after deductible

$6,500 Individual/$13,000 Family

No Deductible
Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4: $175

SBC
Benefit Summary
EOC

Summit HMO Gold 500/80 - $40

$500 Individual$1,000 Family

PCP: $40 no deductible
Specialist: $60 no deductible
MH: $40 no deductible

20% coinsurance after deductible

$5,000 Individual/$10,000 Family

No Deductible
Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4: $175

SBC
Benefit Summary
EOC
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