UNDERSTAND YOUR MEDICARE COVERAGE

UNDERSTAND YOUR MEDICARE COVERAGE

To make an informed decision about your benefits, you need to know the basics. The helpful information outlined below will help you get started on your Medicare journey.


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Medicare Basics

Find out when you are eligible and when you can enroll in Medicare. This section includes information about special enrollment periods, as well as what to do if you’re working past your 65th birthday. 

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Medicare Parts

Medicare can be complex with all of its different parts and options. Learn how Medicare Parts A, B, C, and D differ and what qualities they share to see what's best for you.


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Types of Medicare Plans

Understand the differences between our plans and discover which coverage options best fit your Colorado lifestyle.

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FAQs

Find answers to some of your most frequently asked Medicare questions.


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Medicare Disclaimer

This page was last updated: 10/29/2016.  Please call to confirm you have the most up to date information about our Medicare Cost plans.

H0602_MS_MC500WEB_RMHP2 Pending CMS Review

Important Disclaimers: RMHP is a Medicare-approved Cost plan. Enrollment in RMHP depends on contract renewal. 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.  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. RMHP’s contract with Medicare is renewed annually. The availability of coverage beyond the end of the current contract year is not guaranteed.  However, RMHP has contracted with Medicare to provide benefits since 1977. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change each year on January 1. The benefit information provided is a brief summary, not a complete description of benefits.  For more information, contact the plan. Optional supplemental benefit packages may change each year on January 1. Benefits may be subject to copayments, limitations and/or restrictions. See the Evidence of Coverage or contact customer Service for details.  Eligible beneficiaries can enroll in RMHP medical-only Cost plans at any time but can only enroll in plans that include Part D drug coverage during specific times of the year. For enrollment guidelines and full information on RMHP benefits, please call Customer Service. Medicare beneficiaries may be enrolled in only one Part D plan at a time. Individuals are able to enroll in RMHP if they are enrolled under Medicare Parts A and B or B only and reside in our service area. In addition to the applicable RMHP plan premium, members continue to pay the Original Medicare Part B premium. If you decide to switch to premium withhold through Social Security or the Railroad Retirement Board, or move from premium withhold to direct bill, it could take up to three months for it take effect, and you will continue to be responsible for direct payment of premiums until the change takes effect. Information is available in alternative formats such as large print and Braille. For more information, call Customer Service. You can use any doctor who is part of the Rocky Mountain Health Plans’ network. You may also go to doctors outside of our network.  We may not pay for services you receive outside of our network, but Medicare will pay for its share of charges it approves. You will be responsible for paying the Medicare deductible and coinsurance for those services, unless they were authorized in advance by RMHP. 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.orgOther Medicare Disclaimers

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