5-Star Member Satisfaction Rating We understand how important it is to trust your health care plan and know you are getting the best care and coverage possible. RMHP received a 5-Star Member Satisfaction Rating in 2011. RMHP's Medicare 5-Star Member Satisfaction Rating in 2011 shows you we place your needs above all else, and we are here to help you fully understand your Medicare plan.
Member Satisfaction rating comes from the 2010 CAHPS survey results as featured in Medicare & You 2011. This is the star rating for Ratings of Health Plan Responsiveness and Care for 2011 Plan Ratings. You can find more information on RMHP plan ratings at www.medicare.gov. Star ratings are assessed each year and may change from one year to the next.
For the 2011 plan year, Rocky Mountain Health Plans received a Medicare 4-Star Overall Plan Rating. Plan performance summary star ratings are assessed each year and may change from one year to the next. You can view RMHP’s overall Medicare Plan Rating scorecard here.
Front Range Colorado Medicare Plans - Thrifty Plans
Rocky Mountain Thrifty Plan + Rx (Cost) – $74.20/month
Rocky Mountain Thrifty Plan (Cost)* – $34.00/month
* Medical-only plans does not include the Part D prescription drug plan benefit.
Benefits Include:
View plan details below for more information.
| Medicare Covered Benefit | Rocky Mountain Thrifty Plan + Rx (Cost)
You Pay |
| Monthly Thrifty Plan Premium | |
| Medical Only Prescription Drug Total | $34.00* $40.20 $74.20* * plus you must continue to pay Medicare Part B premium |
Medical deductible
| $500 per calendar year (annual deductible). Applies to all services, except Preventive Care, Primary Care Physician and Specialist Care office visits, lab services, and Emergency room services.
|
| Primary Care Physician
Office Visit Copayment | $20 per visit Deductible does not apply |
| Specialist Care Physician
Office Visit Copayment | $50 per visit Deductible does not apply |
| Inpatient Hospital Copayment per admission | After the $500 annual deductible $200 copay per day, days 1-5; $0 copay for days 6-90 |
| Outpatient Surgery | After the $500 annual deductible $400 per visit |
| Ambulance | $200 per trip Deductible does not apply |
| Emergency Room | $50 per visit within the United States Deductible does not apply |
| Urgent Care | $50 per visit within the United States Deductible does not apply |
| Part D Prescription Drug Benefit |
No deductible
$3 copay Tier 1
$12 copay Tier 2
$45 copay Tier 3
$90 copay Tier 4
33% coinsurance Tier 5 2.5 copays for 3 months' supply through mail order
After $2,930 in retail drug expenses,
-Member pays up to 86% of the price for generic drugs and; -50% of the price (plus the dispensing fee) for brand name drugs until the Member's out-of-pocket drug costs reach $4,700 After the Member's out-of-pocket drug costs reach $4,700, they pay:
$2.60 copay generic;
$6.50 copay for all other drugs;
OR 5% (whichever is higher) |
| Annual Routine Physical Exam | $0 Deductible does not apply |
| Preventive Screening Services | $0 Deductible does not apply |
| Skilled Nursing Facility | After the $500 annual deductible $0 days 1-20 $100 days 21-100 |
| Durable Medical Equipment | After the $500 annual deductible 20% coinsurance |
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan or refer to the RMHP Medicare Plan Highlights Grid for a comparison listing of plan benefits for all plans in the Front Range area and comprehensive information on all covered services.
Formulary
Rocky Mountain Thrifty Plan (Cost) Extras Include:
The products and services described as Extras are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the RMHP grievance process.
- Optional dental plan (for a low, additional premium)
- Optional vision plan (for a low, additional premium)
- Silver&Fit Affinity walking program to support wellness (included)
- Prescription drug discount (included with Part D coverage)
- Vision discount program (included)
- Hearing discount program (included)
- Discounts on complementary care, for example: chiropractic and massage therapy (included)
Click here for detailed information on the
Extras offered to our Members.
RMHP's contract is renewed annually. The availability of coverage beyond the end of the current contract year is not guaranteed. RMHP has contracted with Medicare to provide benefits since 1977.
This page was last updated 10/01/11. Please call to confirm you have the most up to date information about our Medicare Plans. Full list of Medicare Disclaimers.
H0602_1037023 MC150WEB Pending Approval
