COMPARE 2020 RMHP MEDICARE COST PLANS

COMPARE 2020 RMHP MEDICARE COST PLANS

Enrollment in RMHP’s Medicare Cost plans will be closed for January 1, 2020 effective dates. Current Members can continue to change plans throughout the year by completing the Short Enrollment Change Form.

Download the change form

About Plans

  • No referrals needed in our extensive provider network
  • Annual maximum out-of-pocket for your protection
  • Annual routine physical exam
  • Annual vision and hearing exams
  • Worldwide ambulance, emergency, and urgent care coverage
  • TruHearing Select program (hearing aid benefit)
  • Optional Dental & Vision plans available
  • No referrals needed in our extensive provider network
  • Annual maximum out-of-pocket for your protection
  • Annual routine physical exam
  • Annual vision and hearing exams
  • Worldwide ambulance, emergency, and urgent care coverage
  • TruHearing Select program (hearing aid benefit)
  • Optional Dental & Vision plans available
  • Silver & Fit Exercise and Healthy Aging Program with low cost health club membership
  • No Medical Deductible
  • Annual maximum out-of-pocket for your protection
  • No referrals needed in our extensive provider network
  • Annual routine physical exam
  • Annual vision and hearing exams
  • Worldwide ambulance, emergency, and urgent care coverage
  • TruHearing Select program (hearing aid benefit)
  • Optional Dental & Vision plans available
  • Silver&Fit Exercise and Healthy Aging Program with low cost health club membership
  • No medical deductible
  • Annual out-of-pocket for your protection
  • No referrals needed in our extensive provider network
  • Lowest medical copays among RMHP Plans
  • Annual routine physical exam
  • Annual vision and hearing exams
  • TruHearing Select program (hearing aid benefit)
  • Worldwide ambulance, emergency, and urgent care coverage
  • Optional Dental & Vision plans available
  • Silver&Fit Exercise and Healthy Aging Program with low cost health club membership
  • Full access to the RMHP provider network
  • Follows Original Medicare deductible and coinsurance
  • Does not include annual physical exam
  • Optional Dental and Vision not available
  • Includes Care Management

Compare Benefits

2020 Medicare Plans

Monthly Plan Premium

$10.00
$35.00
$59.00
$99.00
$189.00

Medical Deductible 1

Part A = $1,408
Part B = $198
$700 per calendar year (annual deductible)
$450 per calendar year (annual deductible)
None
None

Medical Maximum Out-of-Pocket 2

There is no Maximum Out-of-Pocket on this plan
$6,700 per calendar year
$6,700 per calendar year
$6,700 per calendar year
$4,500 per calendar year

Inpatient Hospital Copayment

You pay an initial Part A Inpatient hospital deductible of $1,408 per benefit period
Days 61 - 90: $352
Lifetime reserve days: $704
$350 copay per day up to 10 days per admission
$300 copay per day up to 7 days per admission
$250 copay per day up to 5 days per admission
$500 per admission

Primary Care Physician Office Visit Copayment

After Part B deductible 20% coinsurance
$25 per visit
$20 per visit
$20 per visit
$15 per visit

Specialist Care Physician Office Visit Copayment

After Part B deductible 20% coinsurance per visit
$55 per visit
$50 per visit
$45 per visit
$40 per visit

Annual Routine Physical

Not Covered
$0
$0
$0
$0

Preventive Screening Services

$0
$0
$0
$0
$0

Outpatient Surgery

After Part B deductible, you pay 20% of the cost at an outpatient hospital, facility or ambulatory surgical center for outpatient surgery.
25% coinsurance
$450 per visit
$400 per visit
$300 per visit

Emergency Care

After Part B deductible 20% coinsurance
$125 per visit Worldwide
$100 per visit Worldwide
$75 per visit Worldwide
$50 per visit Worldwide

Urgent Care

Not Covered
$55 per visit Worldwide
$50 per visit Worldwide
$45 per visit Worldwide
$40 per visit Worldwide

Diagnostics

After Part B deductible 20% coinsurance
MRI/PET Scan/Nuclear Medicine: 20% coinsurance
CT/Ultrasound: 20% coinsurance
X-ray: $55 copay
MRI/PET Scan/Nuclear Medicine: $200 copay
CT/Ultrasound: $150 copay
X-ray: $50 copay
MRI/PET Scan/Nuclear Medicine: $150 copay
CT/Ultrasound: $100 copay
X-ray: $45 copay
MRI/PET Scan/Nuclear Medicine: $150 copay
CT/Ultrasound: $75 copay
X-ray: $40 copay

Hearing Aid Benefit

Not Covered

$499 copay per aid for Advanced Technology

And

$799 copay per aid for Premium Technology

$499 copay per aid for Advanced Technology

And

$799 copay per aid for Premium Technology

$499 copay per aid for Advanced Technology

And

$799 copay per aid for Premium Technology

$499 copay per aid for Advanced Technology

And

$799 copay per aid for Premium Technology

Skilled Nursing Facility

$0, days 1-20
$176, days 21-100
$0, days 1-20
$172.00, days 21-100
$0, days 1-20
$172.00, days 21-100
$0, days 1-20
$170.50, days 21-100
$0, days 1-20
$172.00, days 21-100

Ambulance

After Part B deductible 20% coinsurance
$250 per trip Worldwide
$250 per trip Worldwide
$200 per trip Worldwide
$100 per trip Worldwide

Durable Medical Equipment

After Part B deductible 20% coinsurance
20% coinsurance
20% coinsurance
20% coinsurance
20% coinsurance

Silver and Fit Exercise and Healthy Aging Program

Not Covered
Not Covered

A basic fitness center membership at participating fitness centers for a $75, yearly copay (paid directly to the fitness center)

Or

Two at-home fitness kits for a yearly $10 copay

A basic fitness center membership at participating fitness centers for a $75, yearly copay (paid directly to the fitness center)

Or

Two at-home fitness kits for a yearly $10 copay

A basic fitness center membership at participating fitness centers for a $75, yearly copay (paid directly to the fitness center)

Or

Two at-home fitness kits for a yearly $10 copay

Rocky Mountain Basic Plan (Cost)

Monthly Plan Premium

$10.00

Medical Deductible 1

Part A = $1,408
Part B = $198

Medical Maximum Out-of-Pocket 2

There is no Maximum Out-of-Pocket on this plan

Inpatient Hospital Copayment

You pay an initial Part A Inpatient hospital deductible of $1,408 per benefit period
Days 61 - 90: $352
Lifetime reserve days: $704

Primary Care Physician Office Visit Copayment

After Part B deductible 20% coinsurance

Specialist Care Physician Office Visit Copayment

After Part B deductible 20% coinsurance per visit

Annual Routine Physical

Not Covered

Preventive Screening Services

$0

Outpatient Surgery

After Part B deductible, you pay 20% of the cost at an outpatient hospital, facility or ambulatory surgical center for outpatient surgery.

Emergency Care

After Part B deductible 20% coinsurance

Urgent Care

Not Covered

Diagnostics

After Part B deductible 20% coinsurance

Hearing Aid Benefit

Not Covered

Skilled Nursing Facility

$0, days 1-20
$176, days 21-100

Ambulance

After Part B deductible 20% coinsurance

Durable Medical Equipment

After Part B deductible 20% coinsurance

Silver and Fit Exercise and Healthy Aging Program

Not Covered
Rocky Mountain Green Plan (Cost)

Monthly Plan Premium

$35.00

Medical Deductible 1

$700 per calendar year (annual deductible)

Medical Maximum Out-of-Pocket 2

$6,700 per calendar year

Inpatient Hospital Copayment

$350 copay per day up to 10 days per admission

Primary Care Physician Office Visit Copayment

$25 per visit

Specialist Care Physician Office Visit Copayment

$55 per visit

Annual Routine Physical

$0

Preventive Screening Services

$0

Outpatient Surgery

25% coinsurance

Emergency Care

$125 per visit Worldwide

Urgent Care

$55 per visit Worldwide

Diagnostics

MRI/PET Scan/Nuclear Medicine: 20% coinsurance
CT/Ultrasound: 20% coinsurance
X-ray: $55 copay

Hearing Aid Benefit

$499 copay per aid for Advanced Technology

And

$799 copay per aid for Premium Technology

Skilled Nursing Facility

$0, days 1-20
$172.00, days 21-100

Ambulance

$250 per trip Worldwide

Durable Medical Equipment

20% coinsurance

Silver and Fit Exercise and Healthy Aging Program

Not Covered
Rocky Mountain Thrifty Plan (Cost)

Monthly Plan Premium

$59.00

Medical Deductible 1

$450 per calendar year (annual deductible)

Medical Maximum Out-of-Pocket 2

$6,700 per calendar year

Inpatient Hospital Copayment

$300 copay per day up to 7 days per admission

Primary Care Physician Office Visit Copayment

$20 per visit

Specialist Care Physician Office Visit Copayment

$50 per visit

Annual Routine Physical

$0

Preventive Screening Services

$0

Outpatient Surgery

$450 per visit

Emergency Care

$100 per visit Worldwide

Urgent Care

$50 per visit Worldwide

Diagnostics

MRI/PET Scan/Nuclear Medicine: $200 copay
CT/Ultrasound: $150 copay
X-ray: $50 copay

Hearing Aid Benefit

$499 copay per aid for Advanced Technology

And

$799 copay per aid for Premium Technology

Skilled Nursing Facility

$0, days 1-20
$172.00, days 21-100

Ambulance

$250 per trip Worldwide

Durable Medical Equipment

20% coinsurance

Silver and Fit Exercise and Healthy Aging Program

A basic fitness center membership at participating fitness centers for a $75, yearly copay (paid directly to the fitness center)

Or

Two at-home fitness kits for a yearly $10 copay

Rocky Mountain Standard Plan (Cost)

Monthly Plan Premium

$99.00

Medical Deductible 1

None

Medical Maximum Out-of-Pocket 2

$6,700 per calendar year

Inpatient Hospital Copayment

$250 copay per day up to 5 days per admission

Primary Care Physician Office Visit Copayment

$20 per visit

Specialist Care Physician Office Visit Copayment

$45 per visit

Annual Routine Physical

$0

Preventive Screening Services

$0

Outpatient Surgery

$400 per visit

Emergency Care

$75 per visit Worldwide

Urgent Care

$45 per visit Worldwide

Diagnostics

MRI/PET Scan/Nuclear Medicine: $150 copay
CT/Ultrasound: $100 copay
X-ray: $45 copay

Hearing Aid Benefit

$499 copay per aid for Advanced Technology

And

$799 copay per aid for Premium Technology

Skilled Nursing Facility

$0, days 1-20
$170.50, days 21-100

Ambulance

$200 per trip Worldwide

Durable Medical Equipment

20% coinsurance

Silver and Fit Exercise and Healthy Aging Program

A basic fitness center membership at participating fitness centers for a $75, yearly copay (paid directly to the fitness center)

Or

Two at-home fitness kits for a yearly $10 copay

Rocky Mountain Plus Plan (Cost)

Monthly Plan Premium

$189.00

Medical Deductible 1

None

Medical Maximum Out-of-Pocket 2

$4,500 per calendar year

Inpatient Hospital Copayment

$500 per admission

Primary Care Physician Office Visit Copayment

$15 per visit

Specialist Care Physician Office Visit Copayment

$40 per visit

Annual Routine Physical

$0

Preventive Screening Services

$0

Outpatient Surgery

$300 per visit

Emergency Care

$50 per visit Worldwide

Urgent Care

$40 per visit Worldwide

Diagnostics

MRI/PET Scan/Nuclear Medicine: $150 copay
CT/Ultrasound: $75 copay
X-ray: $40 copay

Hearing Aid Benefit

$499 copay per aid for Advanced Technology

And

$799 copay per aid for Premium Technology

Skilled Nursing Facility

$0, days 1-20
$172.00, days 21-100

Ambulance

$100 per trip Worldwide

Durable Medical Equipment

20% coinsurance

Silver and Fit Exercise and Healthy Aging Program

A basic fitness center membership at participating fitness centers for a $75, yearly copay (paid directly to the fitness center)

Or

Two at-home fitness kits for a yearly $10 copay

1Medical Plan Deductible - The RMHP medical plan deductible (Green and Thrifty plans) applies to certain services including, but not limited to, hospital/SNF stays, some outpatient hospital services, DME (not oxygen), prosthetics, disposable medical supplies, radiation therapy, rehab therapies (PT, OT, ST, cardiac, pulmonary), and Medicare-covered eyeglasses/contacts. The Medicare Part B deductible (Basic plan only) applies to most services.

2Medical Maximum Out-of-Pocket (MOOP): The maximum amount a Member pays per plan year for in-network Medicare covered medical services.  Typically includes deductible(s) and plan cost-sharing.  Medicare-covered services do not include care received out of the country, routine vision or hearing exams, annual physical, hospice consultation or plan premiums.

Part D Options

If you’re a current RMHP Medicare Cost plan Member, we invite you to explore Part D coverage for prescription medications from UnitedHealthcare. These plans feature a variety of coverage options, deductibles, and copays, so you can pick the prescription coverage that may best suit your needs. If you decide not to enroll in a Part D plan when you are first eligible, you may pay a penalty to join at a later time.

Find a Part D plan

(Please note: By selecting this link, you will be leaving rmhp.org)

Extras for Members

Members of an RMHP Medicare Cost plan can enjoy the following perks.

Silver&Fit® Exercise and Healthy Aging Program

The Silver&Fit Exercise and Healthy Aging program is available for RMHP Medicare Members enrolled on the Thrifty, Standard, or Plus plans. Once you have registered, you will have access to Silver &Fit Connected, an online data tracker that collects your activity and converts it to points that can be used towards specified rewards. The more points you get, the more rewards you earn.

Enrolled Members will also receive a quarterly newsletter, Silver Slate, that is geared toward nutrition, weight management, and taking better care of yourself. Additionally, Members receive access to 48 healthy aging education classes designed for at-home use. These can also be sent quarterly through the mail.

In addition to the online program, as an eligible Member you may choose from one of these two options:

1. Fitness Club Membership at a contracted Silver&Fit network facility – This entitles you to take advantage of all of the services and amenities included with your fitness club or exercise center membership with a once per year fee of $75.

OR

2. Silver&Fit Home Fitness Program – This program offers you the chance to participate in fitness and education activities in the comfort of your own home with a $10 annual fee. When you join Silver&Fit, you may choose to receive up to two of the following kits:

  • Aquatic Exercise
  • Athletic Conditioning
  • Barre Fitness
  • Barre Fitness for All Levels
  • Cardio & Strength
  • Cardio Blast
  • Cardio Pump
  • Cardio Quick Fix
  • Chair Aerobics
  • Chair Boxing
  • Chair Dancing
  • Chair Dancing Celebration
  • Chair Pilates
  • Chair Resistance Band
  • Chair Tai Chi
  • Chair Yoga
  • Circuit Burn
  • Diabetes Workout
  • Exercise for Bedridden & Physically challenged
  • High Energy Cardio
  • High Intensity Bootcamp
  • Lean Body Circuit
  • Signature Series I: Explore
  • Signature Series II: Experience
  • Signature Series III: Excel
  • Strength & Stamina
  • Stress Management
  • Tai Chi
  • Tai Chi for Balance
  • Total Body Workout
  • Upper & Lower Body Workouts
  • Walking
  • Yoga
  • Your Best Body Workout

Download the Silver&Fit Fitness Facility Directory

Once you are a Silver&Fit Exercise & Healthy Aging Program Member, you may nominate a fitness club or facility to be added to the network at www.SilverandFit.com. (By selecting this link you will be leaving rmhp.org)

TruHearing

RMHP Medicare Members enrolled in the Green, Thrifty, Standard, or Plus plans can enjoy TruHearing Select, which provides hearing aids at either $499 or $799 per aid in 2020, depending on the technology and model chosen, and includes 48 batteries per aid. Purchase also includes up to three post-purchase visits to fit, adjust, program, and help the Member learn about the aids; a 45-day return period, and a 3-year replacement warranty. (Additional fees may apply for manufacturer and reprogramming fee.

Download 2020 TruHearing info

Download the TruHearing Directory

Language Services

We have free interpreter services to answer any questions you may have about our health or drug plan. To reach an interpreter, just call us at 888‐282‐1420. Someone who speaks English/Language can help you. This is a free service.

Multi-language Interpreter Services Information [English]
Multi-language Interpreter Services Information [Español]

Medicare Disclaimer

This page was last updated: 11/26/2019.  Please call to confirm you have the most up to date information about our Medicare plans. 

H2582_H0602_MS_MCWeb_09252019_2020

Important Disclaimers: RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program.  Enrollment in the plan depends on the plan's contract renewal with Medicare. Other pharmacies, physicians, providers are available in our network. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. Every year, Medicare evaluates plans based on a 5-star rating system. If you need help finding a network provider, please call 888-282-1420 (TTY 711) or visit www.rmhpMedicare.org to access our online searchable directory. If you would like a provider directory mailed to you, you may call the number above, request one at the website link provided above, or email customer_service@rmhp.org.

Multi Language Interpreter Service Information (English)

Multi Language Interpreter Service Information (Español)

Other Important Information

Star Rating

RMHP’s Medicare Cost plans have a 3.5 star rating for the 2020 plan year. RMHP’s Medicare D-SNP Plan is too new to be measured. View the details about our Star Rating. Every year Medicare evaluates plans based on a 5-Star rating system.

Let's Find A Medicare Plan That's Right For You