Rocky Mtn Health Plans New Coverage & Member PCP Copay Structure Effective July 1, 2010

Wednesday, June 9th, 2010 | Uncategorized | Comments Off

Member PCP Copayment Payment Structure to Change

Rocky Mountain Health Plans commercial Members will soon have a new cost-saving benefit. Beginning July 1, 2010, when a Member receives care from any network Primary Care Provider (PCP), they will pay a PCP copayment, whether it is their PCP of record or not.

This change affects visits to physicians who typically provide primary care services: Family Practice, Internal Medicine, Pediatrics, Obstetrics, and Gynecology. In the past, if they were seen by a Primary Care doctor who was not their designated PCP, the Member was charged the higher Specialist copayment.

There will be no change to the Member ID cards or to the geographic locations where copayments are collected by providers.