HMO Plan Comparisons for Small Employer Groups

HMO Plan Comparisons for Small Employer Groups

RMHP offers three different HMO products based on where your business is located.

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.

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.

 

Rocky Mountain Range Service Area Map

 

(New for 2019!) 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.

 

Rocky Mountain Canyon Service Area Map

 

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.

 

2019 Rocky Mountain Canyon Brochure 2019 Rocky Mountain Range Brochure 2019 Rocky Mountain Summit Brochure

 

 

2019 Rocky Mountain Canyon HMO Group Plans

Rocky Mountain Canyon HMO Bronze HSA 6500/100%

$6,500 Individual/$13,000 Family

PCP: 0% coinsurance after deductible
Specialist: 0% coinsurance after deductible

 0% coinsurance after deductible

$6,500 Individual/$13,000 Family

0% coinsurance after deductible

SBC
Benefit Summary
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Rocky Mountain Canyon HMO Bronze 6700/60%/$50

$6,700 Individual/$13,400 Family

PCP 1st 3 visits 100%, then $50 no deductible;
Specialist $80 no deductible

40% coinsurance after deductible

$7,900 Individual/$15,800 Family

No Deductible
Tier 1: $25
Tier 2: $50
Tier 3: $1000 Ded, then $150
Tier 4: $1000 Ded, then $300
Tier 5: $1000 Ded, then $350


SBC
Benefit Summary
EOC

Rocky Mountain Canyon HMO Silver HSA 4500/100%

$4,500 Individual/$9,000 Family

0% coinsurance after deductible

0% coinsurance after deductible

$4,500 Individual/$9,000 Family

0% coinsurance after deductible

SBC

 

Benefit Summary

 

EOC

 

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

$4,500 Individual/$9,000 Family

$35/$70 Copay, no deductible

30% coinsurance after deductible

$7,200 Individual/$14,400 Family

No Deductible
Tier 1: $20
Tier 2: $50
Tier 3: $200 Ded $80
Tier 4: $200 Ded 20%
Tier 5: $200 Ded 30%

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

$3,000 Individual/$6,000 Family

PCP $35 / Specialist 25% coinsurance after deductible

25% coinsurance after deductible

$6,800 Individual/$13,600 Family

No Deductible
Tier 1: $15
Tier 2: $50
Tier 3: $100
Tier 4: $200
Tier 5: $300

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

$1,000 Individual/$2,000 Family

PCP 1st 3 visits 100%, then $25 no deductible/Specialist $55 no deductible

20% coinsurance after deductible

$6,500 Individual/$13,000 Family

No Deductible
Tier 1: $15
Tier 2: $50
Tier 3: $100
Tier 4: $200
Tier 5: $300

SBC
Benefit Summary
EOC

2019 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 6800/65 - $60

$6,800 Individual/$13,600 Family

PCP 1st 4 visits $60, then 35% coinsurance after deductible
Specialist $130, no deductible

35% coinsurance after deductible

$7,900 Individual/$15,800 Family

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 Individual/$10,000 Family
PCP: First 5 visits: $55, no deductible, then 50% after deductible 
Specialist: $80, no deductible
50% coinsurance after deductible
$7,900 Individual/$15,800 Family
Tier 1: $20
Tier 2: $55
Tier 3: $100
Tier 4: $300
Tier 5: $500
(no deductible)
SBC
Benefit Summary
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Range HMO Silver 4500/75 - $55

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

After $200 Rx deductible:
Tier 2: $50
Tier 3: $80
Tier 4: 25%
Tier 5: 30%
SBC
Benefit Summary
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Range HMO Silver HSA 4000/100

$4,000 Individual/$8,000 Family

0% coinsurance after deductible

0% coinsurance after deductible

$4,000 Individual/$8,000 Family

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 3500/70 - $55

$3,500 Individual/$7,000 Family

$55/$80 copay no deductible

30% coinsurance after deductible

$7,900 Individual/$15,800 Family

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

SBC
Benefit Summary
EOC

Range HMO Silver 2800/65 - $45

$2,800 Individual/$5,600 Family

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

35% coinsurance after deductible

$7,600 Individual/$15,200 Family

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 Individual/$5,600 Family

0% coinsurance after deductible

0% coinsurance after deductible

$2,800 Individual/$5,600 Family

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 Individual/$2,000 Family

$40/$60 no deductible

25% after deductible

$6,500 Individual/$13,000 Family

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 Individual$1,000 Family

$40/$60 no deductible

20% coinsurance

$5,000 Individual/$10,000 Family

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

SBC
Benefit Summary
EOC

2019 Rocky Mountain Summit HMO Plans

Summit HMO Bronze HSA 6550/100

$6,550 Individual/$13,100 Family

100% covered after deductible

100% covered after deductible

$6,550 Individual/$13,100 Family

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 6800/65 - $60

$6,800 Individual/$13,600 Family

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

35% coinsurance after deductible

$7,900 Individual/$15,800 Family

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 Individual/$10,000 Family

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

$1750 per stay, then 50% coinsurance after deductible

$7,900 Individual/$15,800 Family

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 Individual/$9,000 Family

$55/$80 no deductible

25% coinsurance after deductible

$7,000 Individual/$14,000 Family

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 Individual/$8,000 Family

100% covered after deductible

100% covered after deductible

$4,000 Individual/$8,000 Family

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

Summit HMO Silver 3500/70 - $55

$3,500 Individual/$7,000 Family

$55/$80 no deductible

30% coinsurance after deductible

$7,900 Individual/$15,800 Family

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

SBC
Benefit Summary
EOC

Summit HMO Silver 2800/65 - $45

$2,800 Individual/$5,600 Family

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

35% coinsurance after deductible

$7,600 Individual/$15,200 Family

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 Individual/$5,600 Family

100% covered after deductible

100% covered after deductible

$2,800 Individual/$5,600 Family

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 Individual/$2,000 Family

$40/$60 no deductible

25% coinsurance after deductible

$6,500 Individual/$13,000 Family

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 Individual$1,000 Family

$40/$60 no deductible

20% coinsurance after deductible

$5,000 Individual/$10,000 Family

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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