HSA Plan Comparisons for Small Employer Groups

HSA Plan Comparisons for Small Employer Groups

To view coverage and deductible information for each Colorado Small Group HSA option offered by Rocky Mountain Health Plans, review our HSA Option Comparison Grid below.   

Read more about HSA options
View 2016 Small Group HSA Plan Documents

2017 Rocky Mountain Summit HMO HSA Plans

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 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 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

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 Rocky Mountain Summit PPO HSA Plans

Summit PPO Gold HSA 2000/100

In-Network: $2,000/$4,000

Out-of-Network: $4,000/$8,000

In-Network: 100% covered after deductible

Out-of-Network: 50% after deductible

In-Network: 100% covered after deductible

Out-of-Network: 50% coinsurance

In-Network: $2,000/$4,000

Out-of-Network: $8,000/$16,000

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

Out-of-Network: Not covered

SBC
Benefit Summary
EOC

Summit PPO Silver HSA 3750/100

In-Network: $3,750/$7,500

Out-of-Network: $7,500/$15,000

In-Network: 100% covered after deductible

Out-of-Network: 50% after deductible

In-Network: 100% covered after deductible

Out-of-Network: 50% coinsurance

In-Network: $3,750/$7,500

Out-of-Network: $15,000/$30,000

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

Out-of-Network: Not covered

SBC
Benefit Summary
EOC

Summit PPO Bronze HSA 5500/50

In Network: $5,500/$11,000

Out-of-Network: $11,000/$22,000

In Network: 50% after deductible

Out-of-Network: 50% after deductible

In Network: 50% coinsurance

Out-of-Network: 50% coinsurance

In Network: $6,550/$13,100

Out-of-Network: $13,100/$26,200

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


Out-of-Network: Not covered

SBC
Benefit Summary
EOC

Summit PPO Bronze HSA 6550/100

In-Network: $6,550/$13,100

Out-of-Network: $13,100/$26,200

In-Network: 100% covered after deductible

Out-of-Network: 50% after deductible

In-Network: 100% covered after deductible

Out-of-Network: 50% coinsurance

In-Network: $6,550/$13,100

Out-of-Network: $15,000/$30,000

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

Out-of-Network: Not covered

SBC
Benefit Summary
EOC

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