Neighborhood INTEGRITY (Medicare-Medicaid Plan) is a Medicare Advantage Plan by NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND.
This page features plan details for 2025 Neighborhood INTEGRITY (Medicare-Medicaid Plan) H9576 – 001 – 0 available in State of Rhode Island.
Neighborhood INTEGRITY (Medicare-Medicaid Plan) is offered in the following locations.
Neighborhood INTEGRITY (Medicare-Medicaid Plan) offers the following coverage and cost-sharing.
| Insurer: | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND |
| Health Plan Deductible: | $0 |
| MOOP: | Not Applicable |
| Drugs Covered: | Yes |
Ready to sign up for Neighborhood INTEGRITY (Medicare-Medicaid Plan) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST
| Part B | Part C | Part D | Part B Give Back | Total |
|---|---|---|---|---|
| $185.00 | $Not Applicable | $0.00 | $ | $ |
Neighborhood INTEGRITY (Medicare-Medicaid Plan) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
| Drug Deductible: | $0.00 |
| Drug Out-Of-Pocket maximum: | $2,000.00 |
| Drug Benefit Type: | Enhanced Alternative |
| Formulary Link: | Formulary Link |
The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.
The table below shows how the LIS impacts the Part D premium of this plan.
| Part D | LIS Full |
|---|---|
| $0.00 | $0.00 |
After you pay your $0.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2,000.00. Once you reach that amount, you will enter the next coverage phase.
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1) Generic Drugs | $0.00 min – $0.00 max In-Network Retail Pharmacy Maximum Copayment | $0.00 min – $0.00 max Out-of-Network Pharmacy Maximum Copayment | $0.00 min – $0.00 max Standard Mail-Order Maximum Copayment | $0.00 min – $0.00 max Long-Term Care Maximum Copayment |
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1) Generic Drugs | $0.00 min – $0.00 max In-Network Retail Pharmacy Maximum Copayment | $0.00 min – $0.00 max Out-of-Network Pharmacy Maximum Copayment | $0.00 min – $0.00 max Standard Mail-Order Maximum Copayment | $0.00 min – $0.00 max Long-Term Care Maximum Copayment |
| Tier | Pref. Pharm | Std. Pharm | Pref. Mail | Std. Mail |
|---|---|---|---|---|
| 1) Generic Drugs | $0.00 min – $0.00 max In-Network Retail Pharmacy Maximum Copayment | $0.00 min – $0.00 max Out-of-Network Pharmacy Maximum Copayment | $0.00 min – $0.00 max Standard Mail-Order Maximum Copayment | $0.00 min – $0.00 max Long-Term Care Maximum Copayment |
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced Alternative benefit type.
Neighborhood INTEGRITY (Medicare-Medicaid Plan) also provides the following benefits.
Ready to sign up for Neighborhood INTEGRITY (Medicare-Medicaid Plan) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST
Get help enrolling in a Medicare Advantage or Medicare Prescription Drug Plan by calling a licensed insurance agent today.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint
SMID: MULTIPLAN_HCIHNDOGMED01PY25_M
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