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 2016 Small Group HMO Plan Documents

2017 Rocky Mountain Summit HMO Plans

Summit HMO Gold $0/70

No Deductible

30% after deductible

30% coinsurance

$6,500/$13,000

Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4: $175
Tier 5: $375
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Gold 500/80 - $35

$500/$1,000

$35/$50 no deductible

20% coinsurance

$4,000/$8,000

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

SBC
Benefit Summary
EOC

Summit HMO Gold 1000/Copay - $30

$1,000/$2,000

$30/$55 no deductible

100% covered after deductible

$6,500/$13,000

Tier 1: $15
Tier 2: $55
Tier 3: $100
Tier 4: $200
Tier 5: $350
(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
EOC

Summit HMO Silver 1750/70 - $40

$1,750/$3,500

$40/$55 no deductible

30% coinsurance

$6,800/$13,600

Tier 1: $15
Tier 2: $45
Tier 3: $75
Tier 4: $275
Tier 5: $375
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Silver 2700/70 - $45

$2,700/$5,400

$45/$65 no deductible

30% coinsurance

$7,000/$14,000

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

SBC
Benefit Summary
EOC

Summit HMO Silver 3200/80 - $40

$3,200/$6,400

$40/$55 no deductible

20% coinsurance

$7,000/$14,000

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 3750/100

$3,750/$7,500

100% covered after deductible

100% covered after deductible

$3,750/$7,500

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/Copay - $30

$4,000/$8,000

$30/$55 no deductible

100% covered after deductible

$7,000/$14,000

Tier 1: $15
Tier 2: $55
Tier 3: $150
Tier 4: $250
Tier 5: $400
(no deductible)

SBC
Benefit Summary
EOC

Summit HMO Bronze HSA 5500/50

$5,000/$11,000

50% after deductible

50% coinsurance

$6,550/$13,100

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 5800/65

$5,800/$11,600

PCP: First 2 visits: $50 no deductible, then 35% coinsurance after deductible.
Specialist: 35% coinsurance after deductible

35% coinsurance

$7,100/$14,200

Tier 1: $25
Tier 2: $70
Tier 3: $200
Tier 4: $450
Tier 5: $540
(no deductible)

SBC
Benefit Summary
EOC

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

2017 New West Focus Regional HMO Plans

New West Focus HMO Gold 500/80 - $35

$500/$1,000

$35/$50 no deductible

20% coinsurance

$4,000/$8,000

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 1750/70 - $40

$1,750/$3,500

$40/$55 no deductible

30% coinsurance

$6,800/$13,600

Tier 1: $15
Tier 2: $45
Tier 3: $75
Tier 4: $275
Tier 5: $375
(no deductible)

SBC
Benefit Summary
EOC

New West Focus HMO Silver 2700/70 - $45

$2,700/$5,400

$45/$65 no deductible

30% coinsurance

$7,000/$14,000

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 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

2017 Colorado Springs Health Partners Regional HMO Plans

CSHP HMO Gold 500/80 - $35

$500/$1,000

$35/$50 no deductible

20% coinsurance

$4,000/$8,000

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

SBC
Benefit Summary
EOC

CSHP HMO Silver 1750/70 - $40

$1,750/$3,500

$40/$55 no deductible

30% coinsurance

$6,800/$13,600

Tier 1: $15
Tier 2: $45
Tier 3: $75
Tier 4: $275
Tier 5: $375
(no deductible)

SBC
Benefit Summary
EOC

CSHP HMO Silver 2700/70 - $45

$2,700/$5,400

$45/$65 no deductible

30% coinsurance

$7,000/$14,000

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 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

2017 Rocky Mountain Range Regional HMO Plans

Range HMO Gold $0/70

No Deductible

30% after deductible

30% coinsurance

$6,500/$13,000

Tier 1: $20
Tier 2: $40
Tier 3: $65
Tier 4: $175
Tier 5: $375
(no deductible)

SBC
Benefit Summary
EOC

Range HMO Gold 500/80 - $35

$500/$1,000

$35/$50 no deductible

20% coinsurance

$4,000/$8,000

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

SBC
Benefit Summary
EOC

Range HMO Gold 1000/Copay - $30

$1,000/$2,000

$30/$55 no deductible

100% covered after deductible

$6,500/$13,000

Tier 1: $15
Tier 2: $55
Tier 3: $100
Tier 4: $200
Tier 5: $350
(no deductible)

SBC
Benefit Summary
EOC

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

Range HMO Silver 1750/70 - $40

$1,750/$3,500

$40/$55 no deductible

30% coinsurance

$6,800/$13,600

Tier 1: $15
Tier 2: $45
Tier 3: $75
Tier 4: $275
Tier 5: $375
(no deductible)

SBC
Benefit Summary
EOC

Range HMO Silver 2700/70 - $45

$2,700/$5,400

$45/$65 no deductible

30% coinsurance

$7,000/$14,000

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

SBC
Benefit Summary
EOC

Range HMO Silver 3200/80 - $40

$3,200/$6,400

$40/$55 no deductible

20% coinsurance

$7,000/$14,000

Tier 1: $15
Tier 2: $20
Tier 3: $70
Tier 4: 30%
Tier 5: 40%
(no deductible)

SBC
Benefit Summary
EOC

Range HMO Silver HSA 3750/100

$3,750/$7,500

100% covered after deductible

100% covered after deductible

$3,750/$7,500

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 4000/Copay - $30

$4,000/$8,000

$30/$55 no deductible

100% covered after deductible

$7,000/$14,000

Tier 1: $15
Tier 2: $55
Tier 3: $150
Tier 4: $250
Tier 5: $400
(no deductible)

SBC
Benefit Summary
EOC

Range HMO Bronze HSA 5500/50

$5,500/$11,000

50% after deductible

50% coinsurance

$6,550/$13,100

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

SBC
Benefit Summary
EOC

Range HMO Bronze 5800/65

$5,800/$11,600

PCP: First 2 visits: $50 no deductible, then 35% coinsurance after deductible
Specialist: 35% coinsurance after deductible

35% coinsurance

$7,100/$14,200

Tier 1: $25
Tier 2: $70
Tier 3: $200
Tier 4: $450
Tier 5: $540
(no deductible)

SBC
Benefit Summary
EOC

Range 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

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