Rocky Mountain Thrifty Plan (Cost)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by Rocky Mountain Health Plans
Additional Coverage
Hearing Vision
Overall Government Star Rating
 3.5
out of 5 stars

State: Colorado

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

$59
$59
$0
$450 In-network
$6,700 In-network
No
Yes
Yes
No

Medical Benefits

Doctor Services

$20 per visit
$50 per visit

Tests, labs, & imaging

$0-450
$0 copay
$150-200
$50
$100 per visit (always covered)
$50 per visit (always covered)

Hospital Services

$300 per day for days 1 through 7
$0 per day for days 8 through 90
$450 per visit

Skilled nursing facility

$0 per day for days 1 through 20
$172 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

$250

Therapy services

$20
$20

Mental health services

$50
$50
$50
$50

Opioid treatment services

Covered

Other services

20% per item
20% per item
20% per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

Not Applicable
Not Applicable

Extra Benefits

Hearing

$20-50
Not covered
$499-799

Preventive Dental

Not covered
Not covered
Not covered
Not covered

Comprehensive dental

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Vision

$50
Not covered
Not covered
Not covered
Not covered
Not covered

Other benefits

Limited coverage
Not covered
Not covered
Not covered
Not covered
Limited coverage
Not covered
 3.5
 3
 3
 3
 4
 4

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