Compare 2017 Medicare Plans in Front Range

Compare 2017 Medicare Plans in Front Range

For 2017 coverage, RMHP Medicare offers a wide variety of Medicare Cost plans throughout the Front Range area. Counties included in the Front Range Medicare coverage service area are: Bent, Boulder, Cheyenne, Clear Creek, Crowley, Custer, Elbert, El Paso, Fremont, Gilpin, Huerfano, Kiowa, Kit Carson, Larimer, Las Animas, Lincoln, Logan, Morgan, Otero, Park, Phillips, Prowers, Pueblo, Sedgwick, Teller, Washington, Weld and Yuma.


About Plans

  • No referrals needed in our extensive provider network
  • Annual out-of-pocket maximum for your protection
  • Annual routine physical exam
  • Worldwide emergency and urgent care coverage
  • Optional Dental plan (for a low additional premium)
  • Optional Vision plan (for a low additional premium)


2017 Green Plan Details

2017 Green Plan + RX Plan Details

  • No referrals needed in our extensive provider network
  • Low generic drug copays
  • Annual routine physical exam
  • Annual vision and hearing exams
  • Worldwide emergency and urgent care coverage
  • Optional Dental plan (for a low additional premium)
  • Optional Vision plan (for a low additional premium)


2017 Thrifty Plan Details

2017 Thrifty Plan + RX Details

  • No referrals needed in our extensive provider network
  • Worldwide emergency and urgent care coverage
  • Annual routine physical exam
  • Annual vision and hearing exams
  • TruHearing Select program (hearing aid benefit)
  • Optional Dental plan (for a low additional premium)
  • Optional Vision plan (for a low additional premium)
  • Silver&Fit Exercise and Healthy Aging Program with low cost health club membership

2017 Standard Plan Details

2017 Standard + RX Plan Details

  • No referrals needed in our extensive provider network
  • No medical deductible
  • Lowest medical copays among RMHP Plans
  • Annual routine physical exam
  • Annual vision and hearing exams
  • TruHearing Select program (hearing aid benefit)
  • $4,500 annual out-of-pocket maximum
  • Worldwide emergency and urgent care coverage
  • Optional Dental plan (for a low additional premium)
  • Optional Vision plan (for a low additional premium)
  • Silver&Fit Exercise and Healthy Aging Program with low cost health club membership


2017 Plus Plan Details

2017 Plus + RX Plan Details

  • $2,500 out-of-pocket annual maximum
  • No referrals needed in our extensive provider network
  • $500 per admission for inpatient hospital stays
  • Worldwide emergency care with in-network copay
  • Pharmacy (up to 90-day supply)
  • MyDigitalMD: a secure way to text or video chat with a doctor from anywhere
  • Silver&Fit Healthy Aging and Exercise Program

 

 

 

 

2017 PERACare Plan Details

  • Full access to the RMHP provider network
  • Follows Original Medicare deductible and coinsurance
  • No optional Part D available
  • Does not include annual physical exam
  • Optional dental and vision not available
  • Includes Care Management

 

 

 

 

 

 

 



2017 Basic Plan Details

Compare Benefits

Monthly Plan Premium
Medical Only

$10.00
plus you must continue to pay Medicare Part B premium

$24.00
plus you must continue to pay Medicare Part B premium

$45.00
plus you must continue to pay Medicare Part B premium

$55.00
plus you must continue to pay Medicare Part B premium

$175.00*
plus you must continue to pay Medicare Part B premium

Medical Deductible
(See footnote 1)

Part A = $1,288
Part B = $166

$600 per calendar year (annual deductible)

$450 per calendar year (annual deductible)

$200 per calendar year (annual deductible)

None

Medical Out of Pocket Maximum
(See footnote 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 $1,288 per benefit period

$350 copay per day up to 7 days per admission

$250 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 per visit

$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

$400 per visit

$400 per visit

$300 per visit

Emergency Room

After Part B deductible
20% coinsurance

$75 per visit
Worldwide

$70 per visit
Worldwide

$65 per visit
Worldwide

$50 per visit
Worldwide

Urgent Care

After Part B deductible
20% coinsurance

$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% 
CT/Ultrasound: 20%
X-ray: $25

MRI/PET Scan/Nuclear Medicine: $200 
CT/Ultrasound: $150
X-ray: $20

MRI/PET Scan/Nuclear Medicine: $150 
CT/Ultrasound: $75
X-ray: $20

MRI/PET Scan/Nuclear Medicine: $150 
CT/Ultrasound: $75
X-ray: $15

Hearing Aid Benefit

Not Covered

Not Covered

Not Covered

$599 copay per aid for Advanced Technology and $899 copay per aid for Premier Technology

$599 copay per aid for Advanced Technology and $899 copay per aid for Premier Technology

Skilled Nursing Facility

$0, days 1-20
$161, days 21-100

$0, days 1-20
$164.50, days 21-100

$0, days 1-20
$164.50, days 21-100

$0, days 1-20
$164.50, days 21-100

$0, days 1-20
$95, days 21-100

Ambulance

After Part B deductible
20% coinsurance

$250 per trip

$250 per trip

$200 per trip

$100 per trip

Durable Medical Equipment

After Part B deductible
20% coinsurance

20% coinsurance

20% coinsurance

20% coinsurance

20% coinsurance

Silver & Fit Exercise & Healthy Aging Program

Not Covered

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

Rocky Mountain Basic Plan (Cost)

Monthly Plan Premium
Medical Only

$10.00
plus you must continue to pay Medicare Part B premium

Medical Deductible
(See footnote 1)

Part A = $1,288
Part B = $166

Medical Out of Pocket Maximum
(See footnote 2)

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

Inpatient Hospital Copayment

You pay an initial Part A Inpatient hospital deductible of $1,288 per benefit period

Primary Care Physician Office Visit Copayment

After Part B deductible
20% coinsurance per visit

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 Room

After Part B deductible
20% coinsurance

Urgent Care

After Part B deductible
20% coinsurance

Diagnostics

After Part B deductible
20% coinsurance

Hearing Aid Benefit

Not Covered

Skilled Nursing Facility

$0, days 1-20
$161, days 21-100

Ambulance

After Part B deductible
20% coinsurance

Durable Medical Equipment

After Part B deductible
20% coinsurance

Silver & Fit Exercise & Healthy Aging Program

Not Covered

Enrollment Options

2017 Part D

Part D not available

Rocky Mountain Green Plan (Cost)

Monthly Plan Premium
Medical Only

$24.00
plus you must continue to pay Medicare Part B premium

Medical Deductible
(See footnote 1)

$600 per calendar year (annual deductible)

Medical Out of Pocket Maximum
(See footnote 2)

$6,700 per calendar year

Inpatient Hospital Copayment

$350 copay per day up to 7 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 Room

$75 per visit
Worldwide

Urgent Care

$55 per visit
Worldwide

Diagnostics

MRI/PET Scan/Nuclear Medicine: 20% 
CT/Ultrasound: 20%
X-ray: $25

Hearing Aid Benefit

Not Covered

Skilled Nursing Facility

$0, days 1-20
$164.50, days 21-100

Ambulance

$250 per trip

Durable Medical Equipment

20% coinsurance

Silver & Fit Exercise & Healthy Aging Program

Not Covered

Enrollment Options

Rocky Mountain Thrifty Plan (Cost)

Monthly Plan Premium
Medical Only

$45.00
plus you must continue to pay Medicare Part B premium

Medical Deductible
(See footnote 1)

$450 per calendar year (annual deductible)

Medical Out of Pocket Maximum
(See footnote 2)

$6,700 per calendar year

Inpatient Hospital Copayment

$250 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

$400 per visit

Emergency Room

$70 per visit
Worldwide

Urgent Care

$50 per visit
Worldwide

Diagnostics

MRI/PET Scan/Nuclear Medicine: $200 
CT/Ultrasound: $150
X-ray: $20

Hearing Aid Benefit

Not Covered

Skilled Nursing Facility

$0, days 1-20
$164.50, days 21-100

Ambulance

$250 per trip

Durable Medical Equipment

20% coinsurance

Silver & Fit Exercise & Healthy Aging Program

Not Covered

Enrollment Options

Rocky Mountain Standard Plan (Cost)

Monthly Plan Premium
Medical Only

$55.00
plus you must continue to pay Medicare Part B premium

Medical Deductible
(See footnote 1)

$200 per calendar year (annual deductible)

Medical Out of Pocket Maximum
(See footnote 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 Room

$65 per visit
Worldwide

Urgent Care

$45 per visit
Worldwide

Diagnostics

MRI/PET Scan/Nuclear Medicine: $150 
CT/Ultrasound: $75
X-ray: $20

Hearing Aid Benefit

$599 copay per aid for Advanced Technology and $899 copay per aid for Premier Technology

Skilled Nursing Facility

$0, days 1-20
$164.50, days 21-100

Ambulance

$200 per trip

Durable Medical Equipment

20% coinsurance

Silver & Fit Exercise & 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

Enrollment Options

Rocky Mountain Plus Plan (Cost)

Monthly Plan Premium
Medical Only

$175.00*
plus you must continue to pay Medicare Part B premium

Medical Deductible
(See footnote 1)

None

Medical Out of Pocket Maximum
(See footnote 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 Room

$50 per visit
Worldwide

Urgent Care

$40 per visit
Worldwide

Diagnostics

MRI/PET Scan/Nuclear Medicine: $150 
CT/Ultrasound: $75
X-ray: $15

Hearing Aid Benefit

$599 copay per aid for Advanced Technology and $899 copay per aid for Premier Technology

Skilled Nursing Facility

$0, days 1-20
$95, days 21-100

Ambulance

$100 per trip

Durable Medical Equipment

20% coinsurance

Silver & Fit Exercise & 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

Enrollment Options


1
Applies to all services except Preventive Care, Primary Care Physician and Specialist Care office visits, diagnostic radiology, lab services, emergency room services, ambulance, and urgent care.

2Medical Out-of-Pocket Maximum (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. 

3Specialty Drugs may not be available at all pharmacies. Call customer service to confirm drug availability. Extended Day Supply (90) of medication is available at Mail Order. For shorter supplies of medication, use a walk-in retail pharmacy. Drug Pricing is subject to market fluctuation.

Get Your Questions Answered

Do you have questions about our Front Range Medicare Cost plans? To speak with a licensed RMHP's Medicare Salesperson about our Front Range Medicare Cost plans, call 8:00 a.m. to 8:00 p.m., Mountain Time, (from October 1 - February 14, 7 days per week; from February 15 - September 30, M-F) at 888-251-1330 (TTY: 711). Para asistencia en español llame al 888-251-1330. For Customer Service please call: 888-282-1420 or 970-244-7912 (TTY: 711)

 

Request a Medicare Salesperson to contact you

RMHP Medical Only Cost plans are open for enrollment at any time. This information is not a complete description of benefits. Contact the plan for more information. People with End Stage Renal Disease (kidney failure) may enroll under certain circumstances. Limitations, copayments and restrictions may apply. Benefits, premium and/or copayments/co-insurance may change January 1 of each year. RMHP offers other Medicare Cost plans in addition to those shown here, for details contact the plan.

Extra Help for Prescription Drug Costs

Prescriptions can be expensive. That's why there's the Extra Help program available through the government for qualified Medicare beneficiaries. To qualify, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 states or the District of Columbia.

To see if you qualify or for more information, call Social Security at 800-772-1213 (TTY: 800-325-0778) or visit their website.

Learn more about Extra Help
[Please note: By selecting this link you will be leaving RMHP.org]

2017 Limited Income Subsidy Premiums - Denver Metro  2017 Limited Income Subsidy Premiums - Front Range  2017 Limited Income Subsidy Premiums - Western Slope

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 1‐888‐282‐1420. 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: 03/07/2017.  Please call to confirm you have the most up to date information about our Medicare Cost plans.

H0602_MS_MC500WEB_RMHP4 Approved

Important Disclaimers: RMHP is a Medicare-approved Cost plan.  Enrollment in RMHP depends on contract renewal.  This information is not a complete description of benefits.  Contact the plan for more information.  Limitations, copayments, and restrictions may apply.  Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year.  You must continue to pay your Medicare Part B premium.  This information is available for free in other languages.  Please call our customer service number at  888-282-1420 (TTY dial 711). Hours are 8am - 8pm, 7 days/week, Oct. 1–Feb.14, and 8am - 8pm, M-F, Feb.15–Sept.30. Esta información está disponible gratuitamente en otros idiomas. Por favor llame a la línea de Atención a Clientes, al 888-282-1420 (TTY marque 711). Horario  de 8am - 8pm, 7 días a la semana, del 1 de octubre al 14 de febrero; y de 8am - 8pm, de lunes a viernes, del 15 de febrero al 30 de septiembre.  Other pharmacies, physicians, providers are available in our network.  Medicare beneficiaries may also enroll in RMHP through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.  This is not a complete listing of plans available in your service area.  For a complete listing 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.  Medicare evaluates plans based on a 5-star rating system.  Star Ratings are calculated each year and may change from one year to the next.  The formulary, pharmacy network, and/or provider network may change at any time.  You will receive notice when necessary.  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

Other Important Information

Star Rating

RMHP has a 3.5 rating for the 2017 plan year. View the details about our Star Rating . Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

View our Star Rating details
View our Star Rating details (Español)

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