Insurance & Payment Information

Insurance Plans We Accept

Before you begin care or treatment at RMCC, we encourage you to reach out to your health insurance provider to better understand your coverage and benefits. It’s helpful to know the name of your plan, your deductible, and how much of your deductible and/or out-of-pocket maximum you’ve already met. The amount you may need to pay out of pocket will depend on your individual plan.

Depending on your coverage, you may have co-pays or deductibles due at each office visit, including for treatments such as chemotherapy or radiation. While we understand that these costs can be challenging, federal regulations and our agreements with insurance providers do not allow us to waive these fees. For example, if your plan includes a co-pay for a specialist visit, that amount will be due at the time of service. We accept cash, check, Visa, MasterCard, Discover, and American Express to pay these fees.

RMCC works with many private insurance providers, as well as government programs like Medicare and Medicaid, to help ensure access to care for as many people as possible. We are in-network for most insurance plans.

However, keep in mind that not all plans are included. Even if your insurance company is in-network, some specific plans may still be considered out-of-network.

To avoid unexpected costs, we recommend confirming coverage before your visit. You can do this by contacting your insurance provider and your RMCC clinic to make sure your plan is in-network at your specific location.

Before receiving services, contact your health insurance company to verify your personal benefits, plan limitations, and referral and/or pre-authorization requirements, and in- or out-of-network status. This information is provided for general summary information only. It is not intended to provide specific advice. RMCC makes no warranties, expressed or implied, regarding errors or omissions, and assumes no legal liability or responsibility for loss or damages resulting from the use of information contained herein.

In some cases, your insurance plan may allow you to receive out-of-network care with proper authorization. If your plan is out-of-network with your RMCC facility, we recommend contacting your clinic to see if this an option for you.

Please note that RMCC does not participate with most Medical Sharing Plans, Shared Savings Plans, or Limited Benefits Plans—even if authorization can be granted.

For the most accurate and up-to-date information about your coverage, call the phone number on the back of your card.

RMCC is Contracted with These Insurance Carriers:

In addition to traditional health insurance, some insurance companies offer Medical Sharing Plans, Shared Savings Plans, or Limited Benefits Plans. RCCC does not participate with most of these plans.

Medicare

RMCC is a participating provider with Medicare.

Medicare Advantage

RMCC is contracted with many Medicare Advantage plans. We recommend contacting your Medicare Advantage provider to confirm that your plan is in-network at the RMCC facility or location where you plan to receive care.

For reference, a Medicare Advantage plan (also called Medicare Part C) is offered by a private insurance company that works with Medicare to provide your standard Medicare Part A and Part B benefits, along with any additional coverage included in your plan.

Medicare Supplements

RMCC accepts Medicare Supplement plans. These plans work alongside your Medicare Part A and Part B coverage and help pay for some of the costs that Medicare does not cover, such as copays, coinsurance, and deductibles.

Medicaid/Health First CO and Income-based Programs

RMCC accepts Colorado Medicaid/Health First CO and Managed Medicaid/Colorado Access, with the exception of Denver Health.

Income-based Plans Include:

• Colorado Access
• Colorado Indigent Care Program (CICP), which provides discounted healthcare services to low-income people and families. CICP is NOT a health insurance program and not all RMCC facilities participate in CICP.

Other Government Payers

RMCC accepts other government payers like Tricare and VA Coverage with proper prior authorization.

• Tricare HealthNet
• VA Community Care Contact Center

Medical Sharing Plans / Shared Savings Plans / Limited Benefits Plans

These plans offer limited coverage and reimbursement for limited services. In other words, they pay very little for very few types of services. Though Medical Sharing Plans, Shared Savings Plans, and Limited Benefits Plans may seem like health insurance, they are not. Often, patients with these types of plans do not realize that the plan they purchased is not health insurance and there may be no coverage for needed services.

Medical Sharing Plans, Shared Savings Plans, and Limited Benefits Plans are not always easy to identify, and the cards these plans give to their members are often confusing. Medical Sharing Plans, Shared Savings Plans, and Limited Benefits Plans go by many names, including, but not limited to: Medical Sharing Plans, Shared Savings Plans, Limited Benefits Plans, Cost Sharing Plan, Health Sharing Plan, Christian/Ministry Plan, Practitioner-Only Plan, Physician-Only Plan, etc. Sometimes the plan cards explicitly state that the plan is not health insurance. If your plan card has any of these phrases on it, you may have a limited benefits plan.

Here is a list of some, but not all, Medical Sharing Plans, Shared Savings Plans, and Limited Benefits Plans that RMCC does not accept and will not bill: