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Rocky Mountain Health Plans - PRIME - Lookup Tools

Primary Care Provider (PCP)

The RMHP PRIME Provider Directory lists doctors in your county. Look for a doctor that you want to see when you are healthy and when you are sick. This doctor may be a physician with a focus on primary care, general practice, internal medicine, pediatrics, geriatrics or obstetrics and gynecology. If you do not know the doctors on the list, pick a doctor with an office close to your home. If you pick a doctor you have not seen before, call the doctor’s office. Ask the office if they will take you as a new patient. If they will take you as a patient, tell them you are picking the doctor as your PCP. If you have not seen a doctor in the past year, make an appointment. Keep your scheduled appointment, or let the doctor’s office know you need to reschedule. The doctor may have you sign a form that shows that you want them to be your medical home.

Call Member Services at 1-800-421-6204, TTY 711 if you need help finding a PCP or if you need a Provider Directory. Each person in your family can have a different PCP.

RMHP Prime Provider Directories

Emergency and Urgent Care

The Provider Search Tool provides a list of many urgent care centers that you can use. You can use these centers when it’s not a life-threatening situation, but you are sick or need medical care right away and your PCP is not available. Urgent care centers are usually open in the evenings and on weekends.

Emergency rooms (ERs) are for major injuries or sudden sicknesses that may be life threatening and need medical care right away. In an emergency, you should call 911 or go to an ER immediately. Refer to your PRIME Member Handbook for more details about visits to the ER.

Preferred Drug List (PDL)

The RMHP PRIME and CHP+ Formulary provides the most up-to-date list of prescription medications covered and also provide details on any medications that may need prior approval from your doctor.

If you have questions about covered medications, please call Member Services at 1-800-421-6204.

If you have questions about covered medications or pharmacy locations, please call Member Services at 1-800-421-6204, TTY 711.

Health First Colorado Members, including PRIME Members, receive dental services through DentaQuest. Search for a dentist near you: Colorado State Dental Plans | Medicare, Medicaid, CHIP Dental Insurance - DentaQuest

Learn more about Rocky Mountain Health Plans PRIME