Rocky Mountain Health Plans | RMHP (2024)

FAQs

What type of insurance is Rocky Mountain health Plan? ›

Rocky Mountain Health Plans (RMHP) ), A UnitedHealthcare Company, is the RAE (Region 1) for Health First Colorado (Colorado's Medicaid Program) Members who have a primary care provider that is located in the following counties: Archuleta, Delta, Dolores, Eagle, Garfield, Grand, Gunnison, Hinsdale, Jackson, La Plata, ...

In my opinion, in 2016 when RMHP was acquired by United Healthcare, the largest for-profit insurance company in the world, things changed.

Kaiser Permanente is the best health insurance company in Colorado. The company has a perfect five-star rating on HealthCare.gov.

Regional Accountable Entities, or RAEs, are new organizations in Health First Colorado, Colorado's Medicaid program. They are responsible for coordinating members' care, ensuring they are connecting with primary and behavioral health care, and developing regional strategies to serve Health First Colorado members.

Platinum health insurance is the most expensive type of health care coverage you can purchase. You pay low out-of-pocket expenses for appointments and services, but high monthly premiums. Plans typically feature a small deductible or no deductible and cheap copays or coinsurance.

How do I submit claims for Rocky Mountain Health Plans patients? To pay claims online, visit the Claims and Payments page on UHCprovider.com and use the electronic data interchange (EDI) payer ID 87726 for all plan types.

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1. UnitedHealth Group. UnitedHealthcare, part of UnitedHealth Group, is the largest health insurance company based on revenue. UnitedHealthcare offers a variety of products from individual health insurance to employer plans for some of the biggest corporations.

What is the difference between a PPO and a HMO? ›

HMOs are known for their provider networks and lower costs. They are also restrictive and don't cover out-of-network care unless it's an emergency. PPOs offer more flexibility and allow out-of-network care, but that type of care typically comes with a higher cost.

As Colorado's highest-rated health plan,* Kaiser Permanente delivers care that is nationally recognized for its medical excellence.

Rocky Mountain Health Plans - PRIME is a Medicaid Managed Care plan for adults or those with a disability who live in certain counties on the Western Slope of Colorado and meet income and other requirements. Visit Colorado PEAK (Colorado.gov/PEAK Opens in a new tab) to apply online.

When a senior applies for Medicaid, they must provide bank statements as part of the application process. This is because Medicaid has financial eligibility requirements and the applicant must provide supporting documentation of their income and assets.

Health First Colorado (Colorado's Medicaid Program) is free or low cost public health insurance for Coloradans who qualify.

Why is a MultiPlan logo on my insurance ID Card? The MultiPlan Network is a nationwide complementary PPO network.

Two popular types you'll frequently see are HMO and PPO. Differences between HMO (Health Maintenance Organization) and PPO (Preferred Provider Organization) plans include network size, ability to see specialists, costs, and out-of-network coverage.

Health First Colorado (Colorado's Medicaid Program) is free or low cost public health insurance for Coloradans who qualify.

A “Group Health Plan” (GHP) is health insurance offered by an employer, union or association to its members while they are still working. GHP coverage is based on current employment.