HomeFactsWhat Type Of Insurance Is Neighborhood Health Plan

What Type Of Insurance Is Neighborhood Health Plan

Do I Need To See My Primary Doctor Before Starting Therapy

Easy Entertaining – Member Story – Neighborhood Health Plan of Rhode Island

Because Neighborhood Health Plan of RI plans are HMO health insurance plans, you will need to get a referral from your primary care physician before you start seeing a therapist. This means that youll likely need to first schedule a visit with your primary care physician to get this referral. However, attaining a referral can be a quick process and not be a barrier to starting your mental health journey. Once you receive the referral, youre ready to start the search for a therapist just right for you!

Find vetted therapists who are in-network with Neighborhood Health Plan of Rhode Island

New For 2022 Extra Benefits And Services

In-Home Support Services Coverage includes up to 120 hours per year of companion care to assist with everyday tasks.

Healthy Food and Nutrition Benefit Coverage includes a healthy food and savings card with a $25 monthly allowance that can be used to purchase healthy and nutritious groceries.

Fitness benefit Coverage includes access to a contracted fitness facility. Fitness benefit includes a health and gym membership with an activity tracker.

Home Delivered Mealsafter inpatient hospitalization or surgery Coverage includes home-delivered meals after discharge from an inpatient hospitalization or surgery. This benefit covers fourteen meals for two weeks and limited to twice per year for a total of twenty-eight meals is covered.

No Authorization is required for supplemental benefits.

Please refer to Member Handbook for a complete listing of services.

***Note: Members receiving Long Term Services and Supports may have a patient share responsibility. Please contact the Department of Human Services Long Term Care Office for more information on whether patient share applies to you.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook.


Neighborhood INTEGRITY is a health plan that contracts with both Medicare and Rhode Island Medicaid to provide the benefits of both programs to enrollees.

H9576_WebBenefits22 Approved, 11/22/2021

How Much Does Therapy Cost With The Neighborhood Health Plan Of Ri Plan

Expect to pay a copayment of between $40-100 each time you see your therapist with the Neighborhood Health Plan of RI. You may instead have a coinsurance rate of between 10-40%, which means that youre responsible for that percentage of the total therapy costs.Your out-of-pocket costs for therapy services will depend on your specific health insurance plan. Because Neighborhood Health Plan of RI and Optum offer multiple health insurance plans, be sure to check the details of your plan before starting therapy to understand your financial responsibilities.

Its important to pay attention to whether or not your therapist is in-network with Optum. Many Optum plans offer out-of-network therapy coverage, however not all of them do. Neighborhood Health Plan of RI encourages their members to work directly with Optum regarding their mental health coverage, so calling Optums customer service line is an effective way to learn about your future therapy costs.

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Eloise: A Foster Mom Who Keeps Going

When we first met Eloise three years ago, we were impressed. At the time, she explained that during the 16 years she and her husband were foster parents they had welcomed 55 children into their Lincoln home. Some stayed, she said, smiling. Five stayed. Thats five adopted foster children, in addition to the

We Take Steps To Ensure You Are Able To Afford The Quality Care You Deserve

Insurance Plans: Types Of Health Insurance Plans

Neighborhood Health Center accepts most health insurance plans, including Medicaid and Medicare. With insurance, the charges for your visit are based upon many factors, such as services provided, your insurance status, your insurance policys benefits, deductibles, co-pays or co-insurance fees. Please click here to view our current listing of participating insurances.

It is recommended that you review your health insurance information before your visit to ensure that you understand your specific policy benefits and provider network requirements. It is also important to know who you have chosen as your primary care physician and to update that if necessary prior to your appointment.

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Small Group Plan Eligibility

Any self-employed person, small business or non-profit from the Commonwealth of Massachusetts is eligible to join NASRO and participate in our group health plans with Neighborhood Health Plan. Employer groups with employees in parts of Rhode Island, New Hampshire, Vermont and Connecticut can gain access to coverage for those employees. Please be prepared to provide documentation of your self employed or employer group status. Join today! Coverage is effective on the first of every month.

Neighborhood Health Plan For The Self

Neighborhood Health Plan has been providing more affordable health care and health care benefits to our members since 1997. NHP embodies the egalitarian and non-profit spirit that NASRO closely identifies with. NHP is now the third largest HMO in Massachusetts, with over 260,000 members providing health care through a network of 70 hospitals, 4,300 primary care providers and 13,000 specialists throughout all of the eastern and central counties of the state and part of western Massachusetts. Now part of Partners HealthCare, NHP maintains a solid balance sheet and may become an even more important part of Massachusetts health care in the years ahead, without losing its unique management style.

NASRO rates the Neighborhood Health Plan as our best buy because of the lower premium costs it brings our individual and small business members, while having a wide choice of benefit plans, and a rapidly expanding number of doctors from internal medicine, family practice and pediatrics. All with no deductible for most plans, low administrative costs, access to many times the same doctors and hospitals as the more well known plans and the most affordable monthly prices in the state year after year.

NASRO is also now able to offer group dental plans with Delta Dental to accompany our group health plans with Neighborhood Health Plan.

. If you are ready to enroll it can be done quickly and easily on line. Go to our Neighborhood Health Plan Member Enrollment Application to get started.

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Sliding Fee Discount Program

As a Federally Qualified Health Center, Neighborhood Health Center offers discounts based on income in accordance with the federal poverty guidelines and household size. Even if you have insurance and have concerns regarding payment and coverage, our Sliding Fee Discount program can help reduce your charges for medical and dental services based upon your households income. Our Sliding Fee program is accessible to all income-eligible insured, uninsured and underinsured patients and is part of our commitment to make sure you get the best care at a manageable cost.

You may apply for our Sliding Fee program in our office during your visit, or you can fill out the form ahead of your visit by downloading and printing one of the applications below:

Does Neighborhood Health Plan Of Ri Cover Couples Therapy

Meet Our Members Neighborhood Health Plan of Rhode Island

Whether Neighborhood Health Plan of RI covers couples therapy depends on the specific plan. Generally, health insurance plans do not cover couples therapy. This is partially because there cannot be a diagnosis to base the reimbursement upon. However, some Neighborhood Health Plan of RI plans may provide coverage at the same or differing rates as individual therapy. To see if yours does, visit your Summary and Benefits document. Again, because Neighborhood Health Plan of RI contracts with Optum for behavioral health services, you may need to check the information about your Optum benefits.

However, many couples still benefit from seeing a therapist together. If your Anthem Blue Cross and Blue Shield health insurance plan does not include a couples counseling benefit, there may be ways to decrease the cost of couples counseling, such as sliding scale.

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Is There Free Healthcare In Massachusetts

The law mandated that nearly every resident of Massachusetts obtain a minimum level of insurance coverage, provided free and subsidized health care insurance for residents earning less than 150% and 300%, respectively, of the federal poverty level and mandated employers with more than 10 full-time employees

Clara And Neighborhood: Here For One Another

Claras story is an unfortunately common one. For many years, I had no insurance, the Cranston resident explains. Even when I worked, I couldnt afford the insurance that was on my job. The Affordable Care Act changed that in 2014. For Clara, it was just in time. Her osteoarthritis long a problem in both of

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Already Enrolled Register To See Your Benefits

Our web services give you the most immediate access to your plan-specific benefits, eligibility and claims information.

To get started, enter your first and last name, along with your Delta Dental identification number as it appears on your ID card.

For privacy purposes, we do not accept Social Security numbers as a form of identification.

Neighborhood Health Plan of Rhode Island has chosen Delta Dental of Rhode Island to provide pediatric dental coverage to its members. We welcome Neighborhood members who now have coverage with us!

This coverage qualifies as an Essential Health Benefit under the Affordable Care Act and meets the ACA pediatric dental requirement, effective January 1, 2017.

When you renew your Neighborhood Health Plan coverage, youll receive a Delta Dental member ID card. The cards list the subscribers name and may be used for eligible children under age 19. We encourage you to create an online account by registering here. You can then log in to view your benefits and claims, and sign up to receive paperless communications from us.

Be sure to visit our Dental Health section for tips and tricks on how to keep your teeth and gums healthy.

You can learn more about the dental benefits for eligible children under age 19 that are part of your Neighborhood Health Plan of Rhode Island medical coverage by clicking on the link for your plan below:

Neighborhood 2022 Individual & Family Plans

Is Neighborhood Health Plan Of Rhode Island Medicaid

Types Of Health Insurance Pdf / Pdf Community Based Health ...

The new Medicare-Medicaid Plan, Neighborhood INTEGRITY, started in July 2016 and is a partnership between the Centers for Medicare and Medicaid Services , the State of Rhode Island and Neighborhood Health Plan of Rhode Island. For information on RIs Medicare-Medicaid Plan , see Neighborhood INTEGRITY.

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Altagracia’s Passport To Life: Neighborhood

There was a time only 18 months ago when Neighborhood Health Plan of Rhode Island member Altagracia was barely comfortable sitting on her own front porch. Yes, the Providence woman says through an interpreter. I was very, very scared. Altagracia was diabetic, hypertensive, in need of 21 dental extractions and still recovering from

Does Neighborhood Health Plan Of Ri Cover Online Therapy

Yes, Neighborhood Health Plan of RI offers coverage for online therapy. This opens the doors for many clients who arent able to physically attend therapy sessions each week. Neighborhood Health Plan of RIs mental health partner, Optum, also offers many online mental health resources such as education, activities, and FAQs.

Your coverage for therapy costs will remain the same, whether you visit your therapy in-person or online. This includes copayments and coinsurance rates.

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Neighborhood Health Plan Of Ri Secures 3

Monday, November 09, 2020

Peter Marino, CEO

It is good news for the 550 employees who work for Neighborhood in Rhode Island.

The contract extension “ensures that the more than 13,000 members on Neighborhoods INTEGRITY plan will have uninterrupted access to integrated managed care services through 2023,” said Neighborhood.

According to Neighborood, the renewal follows Neighborhoods naming by CMS as a top scoring Medicare-Medicaid Plan for Overall Rating of Health Plan as a result of the 2019 Consumer Assessment of Healthcare Providers and Systems survey. It also comes on the heels of a strong performance by Neighborhood on key outcome measures established prior to the 2016 launch of INTEGRITY.

When Neighborhood began working with the state to integrate Medicaid and Medicare benefits, we knew we had an opportunity to help some of Rhode Islands most vulnerable residents by streamlining their access to high-quality health care and creating long-term stability for them, said Peter Marino, president and CEO of Neighborhood. We are proud of the work we have done with EOHHS, CMS and terrific providers in the community to build a nationally-recognized Medicare-Medicaid program that provides first-class care coordination for eligible members and are honored to continue such important work.

$1.4 billion in revenue serves one out of every five Rhode Islanders.

About Neighborhood Health Plan

Health Insurance 101: Types of Plans (Health Insurance 2/3)

Neighborhood Health Plan is an NCQA-accredited, not-for-profit health plan that provides coverage to over 300,000 commercial and MassHealth members. For more than 25 years, employers, individuals, and families across Massachusetts have turned to NHP for high-quality, affordable healthcare coverage. NHP is known for plans that are easy-to-understand and manage. Members have access to a robust network of top doctors, community health centers, and academic and regional hospitals. Founded in 1986 with a commitment to promote health equity for members within the diverse communities they serve, NHPs service and care management programs today continue the tradition of personalized and high-quality care. NHP is a member of Partners HealthCare.

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What Types Of Mental Health Conditions Does Neighborhood Health Plan Of Ri Cover

Neighborhood Health Plan of RI health insurance covers the treatment for many mental health conditions. To reimburse therapists or clients, Neighborhood Health Plan of RI requires that the client receive a diagnosis from their therapist. This diagnosis guides treatment and insurance coverage.

Examples of eligible mental health conditions include:

Many therapists blend their approaches, using more than one treatment modality even in one session! As long as the therapist has professional credentials and they base their services upon a clinical diagnosis, they are eligible for reimbursement.

Getting Healthy Thanks To The Affordable Care Act

There are times in Maries life, like when shes sitting with her nurse case manager and reviewing strategies to improve her health, when Marie has to pause to realize how lucky she is. Im grateful, Marie says. I dont take things for granted. I appreciate even the smallest thing because I know what its like

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New Benefits And Services At No Extra Cost To You In 2022

We want you to be well, which is why were excited to offer four new benefits and services for healthy living at no extra cost to you. With Neighborhood INTEGRITY , you can get:*

  • A companion program that provides help with everyday tasks, transportation needs, and more. With Papa Pals, a trained companion will help you based on your needs.
  • A healthy food savings card through healthy benefits. With this card, you get $25 every month, plus weekly coupons for additional savings!
  • YMCA of Greater Providence gym membership that includes transportation and a fitness tracker.
  • Meal delivery service with Moms Meals when returning home from the hospital. Get healthy meals delivered to your home when you need it most.

To learn more:

  • Contact Neighborhood Member Services or your Care Manager


Please call us at 1-844-812-6896 , 8 am to 8 pm, Monday Friday 8 am to 12 pm on Saturday. On Saturday afternoons, Sundays and holidays, you may be asked to leave a message. Your call will be returned within the next business day. The call is free.

Neighborhood Health Plan of Rhode Island is a health plan that contracts with both Medicare and Rhode Island Medicaid to provide the benefits of both programs to enrollees.

H9576_New2022Benefits Pending

Neighborhood Helps Keep Andrew At Home

Mcc Health Insurance Plan / Community Clinic At Mcc ...

Visit Andrews Warwick home and you will find him surrounded by technology. Much of it is educational some is for entertainment. But the bulk of the electronics surrounding the nine-year-old boy has a much more important purpose: keeping him alive. He doesnt really have a true diagnosis he is undiagnosed, explains Andrews mother, Tara. But he has

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Helping John Live At Home

data-mce-fragment=1> It was a fluke accident in the middle of winter and John barely survived. He came outside, and he got caught, explains Darlene, from Bayada Home Health Care. There was a snowbank and he was in his electric wheelchair. He got caught and the wheelchair tilted. John was stuck in the cold, just

Health Care And Group Hugs: Keeping Barbara Well

Barbara chooses Neighborhood Health Plan of Rhode Island. That means when she interacts with her health insurance company, its typically with welcoming hugs at the front door of her Warwick apartment. People in say, Youve got to be the luckiest person in here! Barbara says. Every six weeks, the Two Tracys from Neighborhood pay

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Is Neighborhood Health Plan Part Of Masshealth

4/5NeighborhoodMassHealth plan

Then, is AllWays Health Partners MassHealth?

AllWays Health Partners is proud to provide MassHealth insurance coverage to members of My Care FamilySM. My Care Family offers complete care and coverage through MassHealth by Greater Lawrence Family Health Center, Lawrence General Hospital, and AllWays Health Partners.

Also Know, what happened to Neighborhood Health Plan? For decades, Neighborhood Health Plan was known for serving the poor. It became a leading Medicaid carrier in Massachusetts. So beginning in 2019, the company will change its name to AllWays Health Partners.

Also Know, what is Neighborhood Health Plan?

Neighborhood Health Plan , that will be known as AllWays Health Partners beginning January 1, 2019, is an NCQA-accredited, not-for-profit health plan that provides coverage to commercial and MassHealth members.

Is AllWays Health Partners private insurance?

AllWays Health Partners is an NCQA-accredited, not-for-profit health plan that is different than other health planswe put the needs of our members at the center of everything we do. Today, AllWays Health Partners is a member of Partners HealthCare.

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