Frequently Asked Questions
What is Monument Health?
Why is Monument Health changing the way things are done?
What does having Monument Health mean for me?
What are Monument Health Providers doing differently to improve my care?
Monument Health providers are doing three things differently to improve your care and lower costs.
- First, these practices and hospitals have demonstrated, by meeting national standards, the commitment and ability to put patients at the center of care and to deliver care more efficiently and more smartly.
- Additionally, these practices and hospitals confidentially share data and follow very specific guidelines to work as a team.
- And last, physicians in our Tier 1 practices and other providers are paid on how well they take care of you, not how many patients they see each day.
What are the reasons for the tiers and what does it mean to be in tier1?
All Monument Health plans—including those offered by Rocky Mountain Health Plans (RMHP) or those offered in partnership with CNIC or CIGNA—offer you access to the clinically integrated Monument Health Tier 1 network. We believe you will experience the highest level of care with the most manageable costs when you see Monument Health Tier 1 providers.
You and your family may also see Tier 2 providers in Mesa County, throughout Colorado and even nationwide. For RMHP and CNIC health plans, Tier 2 includes providers in the RMHP statewide network and the First Health National Network. For CIGNA health plans, Tier 2 includes providers across Colorado and nationwide who are in the CIGNA national network.
You may also see Tier 3 providers who are considered “out-of-network” and who are generally associated with the highest costs.
Please remember that all emergency room care is covered at the Tier 1 benefit level without exception. And most urgent care is also covered at the Tier 1 benefit level (please call the number on your member ID card to confirm).
How do I know who is in tier1?
Why do i need primary care provider
Am i required to change my primary care provider to a Monument Health Provider?
What Happens if i need to go the emergency room?
First, your safety and well-being is the priority. Please seek care at the nearest facility if you truly have a life-threatening emergency. If, however, you are in a position to select which emergency room to seek care, we encourage that of St. Mary’s Hospital. At St. Mary’s emergency room, we have the teams, processes and technology set up to optimize your experience while best controlling the cost. Please also remember that Monument Health members have guaranteed access to Docs On-Call and the Redlands After Hours Clinic for your urgent-care needs. And last, we look forward to working with other local hospital partners to improve choice.
Traveling out of Mesa County? Emergency care is always covered as if it’s in network.