Rocky Mountain HealthCare Options, Inc., doing business as Rocky Mountain Health Plans, provides health plans to members, employers, providers, and producers. It offers a range of medical benefit options, including PPO, HMO, and health savings account-eligible plans. The company was founded in 1993 and is based in Grand Junction, Colorado with regional offices in Denver, Pueblo, and Durango in Colorado. Rocky Mountain HealthCare Options, Inc. operates as a subsidiary of Rocky Mountain Health Maintenance Organization, Inc.

RMHP’s members include employers, entrepreneurs, families, Medicare and Medicaid-eligible persons, and children who receive care under the Child Health Plan Plus program. Their commitment to physician-directed care and the health promotion of our Members and local communities is the heart of their success.

About Rocky Mountain Health Plans

Rocky Mountain Health Plans (RMHP) has been serving the health care needs of Coloradans since 1974. RMHP provides health care services to over 189,300 Members.

Offering a full continuum of product and coverage options, RMHP provides customers with unparalleled choice and flexibility in meeting their health plan needs. These options are continually fine-tuned to enhance access to affordable, quality health care. Unique product offerings are available in the individual, small group, large group, senior, and Medicaid markets, including a full range of products.

Rocky Mountain Health Plans, Inc.

Corporate Headquarters:
2775 Crossroads Boulevard
Grand Junction, CO 81506
970-244-7800
CEO:
John Hopkins, R.Ph.
2008 Revenue:
$15,533,000

Product Types Offered

Individuals

ocky Mountain Health Plans (RMHP) is proud to offer a wide variety of affordable health plans for individuals and families. If you or your dependents, 17 years of age and younger, do not have health insurance coverage under an employer group plan or through Medicare, our SOLO® Health Plans offer flexible benefits that fit your unique lifestyle, needs, and budget. You can even apply for coverage for your children only.

For individuals, RMHP currently offers Solo Plans:

SOLO View Plans
SOLO Health Plans offer comprehensive benefits at a price to fit a variety of budget, lifestyle, and health care coverage needs.  Choose optional benefits such as first-dollar coverage for accidents, or an HSA-Qualified plan design that allows an individual to contribute to a tax deferred savings account.  Higher deductible plans with lower premiums are also available.

SOLO plans available:

• SOLO View 500
• SOLO View 1500
• SOLO View 2500
• SOLO View 4000
• SOLO View HSA 2500/100
• SOLO View HSA 3250/100
• SOLO View HSA 5000/100

Employers

Rocky Mountain Health Plans understands that employer groups have diverse requirements for their health care benefit solutions. That’s why their comprehensive health plan designs are consistently evolving to meet the needs of all types and sizes of employer groups.

Employer Group Plan Options:

• PPO Plans- Diverse deductible and coverage options with out-of-network benefits and access to our extensive nationwide provider network.
• HMO Plans - A wide selection of coverage options with direct access to our extensive provider network.
• Health Savings Account Plans - Tax-advantaged Health Savings Accounts (HSA) that are included with our High Deductible Health Plans (HDHP).
• Multiple Plan Offerings - Multi-option plans offering employees a choice between our PPO, HMO or HSA-eligible Plans.
• Funding Options– A variety of premium funding options including Medical plans that can be fully-insured, fully-insured with cost sharing options, or self-funded.
• Supplementary Benefits – Optional prescription drug, vision, and dental plans as well as chiropractic care, and worksite wellness programs.
• Tax Advantage Flex 125 Plan Administration – Third party administration that offers FLEX plan claim processing and check issuance.
• Medicare Retiree Plans – Efficient and affordable health care and prescription benefits for your Medicare-eligible retirees.

Medicaid Plans
Rocky Mountain Health Plans (RMHP) has served Medicaid-eligible persons in Western Colorado since 1974. We work closely with the State of Colorado and with local private and government organizations to provide or coordinate the delivery of a full spectrum of publicly funded Medicaid benefits.
Rocky Mountain Health Plans serves Medicaid clients living in these counties:

• Delta
• Mesa
• Moffat
• Montrose
• Ouray
• Rio Blanco
• San Miguel

RMHP arranges for Medicaid clients to receive benefits covered by the Colorado Medicaid program. All providers in the RMHP network are available to Colorado Medicaid clients. RMHP also provides customer service, case management, disease management, and quality monitoring and improvement services.
RMHP doctors give special check-ups and follow-up services to children through age 21 who are covered by the Medicaid EPSDT program. RMHP nurses work closely with Members who have diabetes, asthma, heart disease, and other chronic illnesses to help them manage their health status.

Provider Network

Rocky Mountain Health Plans has Colorado’s biggest provider network. You can use Rocky Mountain Health Plans’ online provider directory to learn more about doctors, hospitals, other medical services, dentists, vision care providers and pharmacies that work with your RMHP plan.

Click Here to access the online Provider Directory

Network Facts

Membership:
Rocky Mountain and affiliated entities provide services to 164,548 enrollees:

• 4,003 fully-insured employer groups with 58,452 Members
• 160 self-funded employer groups with 52,681 Members
• 13,710 Individuals
• 22,720 Medicare seniors
• 111 Medigap Members
• 13,317 Medicaid eligible persons
• 3,557 children under the Child Health Plan Plus program

Health Care Networks:
Rocky Mountain offers one of the largest provider networks in Colorado:

• 2,474 primary care doctors
• 5,186 specialists
• 3,301 non-physician specialty providers
• 89 hospitals
• 484 outpatient facilities
• 891 pharmacies

Recent News

Here are some of the most recent news regarding Rocky Mountain Health Plans:

Obama invited to tour valley health insurer

GARY HARMON/The Grand Junction Daily Sentinel, June 11, 2009— President Obama has an invitation to visit Rocky Mountain Health Plans in Grand Junction, courtesy of U.S. Rep. John Salazar, D-Colo.

Salazar, whose 3rd Congressional District includes Grand Junction, where Rocky Mountain Health Plans is based, noted in his invitation to the president that the health care system in Mesa County has been lauded both in an essay in the New Yorker magazine and the Dartmouth Atlas, a study of health-care systems in the United States. (Continue Reading)

Rating

Rocky Mountain Health Plans’s rating, as rated by A.M. Best Company. A.M. Best Company is a full-service credit rating organization dedicated to serving the financial services industries, including the banking and insurance sectors.

Financial Strength Rating
Rating: B++ (Good)
Affiliation Code: g (Group)
Financial Size Category: VII ($50 Million to $100 Million)
Outlook: Stable
Action: Affirmed
Effective Date: May 27, 2009