With Neighborhood INTEGRITY for Duals (HMO D-SNP), you get all the benefits you are receiving from Medicare, Medicare Part D, and Rhode Island Medicaid through one plan. Certain Medicaid benefits will still be covered through Rhode Island Medicaid (ex. non-emergency transportation services). We can help you access those services.
For a full list of benefits, please see your Member Handbook on the Member Materials page for a complete listing of covered services, exclusions, and prior authorization rules.
NEW! 2026 Benefits
| Medical Benefits | Member Copay |
| Hospitalization – medical1 and behavioral health | $0 |
| Skilled Nursing Facility – 3 day hospitalization stay not required1 | $0 |
| Emergency Care in the US and its territories | $0 |
| Provider visits | $0 |
| Annual Physical | $0 |
| Urgent Care in the US and its territories | $0 |
| MRI, CT Scans, Labs2 | $0 |
| Durable Medical Equipment2 | $0 |
| Outpatient Behavioral Health Services2 | $0 |
| Medicare Part B Drugs1 | $0 |
| Preventive Services | $0 |
| Adult Day Health Programs2 | $0 |
| Respite Services | $0 |
| Homemaker services1 | $0 |
| Physical Therapy Evaluation & Services2 | $0 |
| Environmental Modification, e.g. shower chair1 | $0 |
| Part D and Over the Counter Drugs (Retail & Mail Order) 2 | $0 |
1Prior authorization rules apply
2Prior authorization rules may apply
Non-emergency medical transportation is provided through Medical Transportation Management, Inc.
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 Neighborhood INTEGRITY for Duals Member Handbook.
Neighborhood INTEGRITY for Duals benefits include behavioral health and substance use services. Covered benefits have a $0 copay, coinsurance, or deductible.
We cover both inpatient3 and outpatient mental health and substance abuse programs designed to help diagnose and treat your condition.
Services include:
- Day treatment
- Intensive outpatient services3
- Substance abuse residential treatment3
- Community Psychiatric Supported Treatment (CPST) 3
- Methadone maintenance3
- Integrated Health Homes (IHH) 3
- Mental Health Psychiatric Rehabilitation Residence (MHPRR) 3
- Supportive Mental Health Psychiatric Rehabilitative Residence Apartments (MHPRR-A) 3
- Acute Residential Treatment Services (ARTS)3
- Assertive Community Treatment (ACT) 3
- Psychiatric rehabilitation day programs3
- Opioid Treatment Program (OTP) 3
- Partial Hospitalization3
- SSTAR Birth Residential Program3
3For out-of-Network (OON) services, prior authorization rules apply
If eligible for Long-Term Services and Supports5, Neighborhood INTEGRITY for Duals provides coverage for:
- Skilled nursing services5
- Meals on Wheels
- Assisted Living Facility4
- RIte@Home shared living
- Nursing Home Care4
- Personal Emergency Response (PERS) 4
You may also be interested in the Personal Choice program. This program allows you to be your own boss in hiring personal care assistants4 and paying for the services that will help you to stay at home or in the community.
4Prior authorization rules apply
5Prior authorization rules may apply
Please note: Members receiving Long Term Services and Supports (LTSS) may have a patient share responsibility. Please contact the Department of Human Services (DHS) Long Term Care Office (LTC) for more information on whether patient share applies to you.
Neighborhood INTEGRITY for Duals also offers members extra benefits6 for $0 including:
- Routine Dental Service
- In-home support services
- A healthy food savings card
- Over-the-counter (OTC) prescription drugs
- Gym membership and fitness tracker
- Home delivered meals after an inpatient hospitalization or surgery
- Member rewards and incentives
For more information on Neighborhood INTEGRITY for Duals extra benefits, visit www.nhpri.org/INTEGRITYDuals/more-benefits.
No prior authorization is required for supplemental benefits.
6The benefits mentioned are part of a special supplemental program for the chronically ill. You may qualify for coverage if you have a chronic condition including but not limited to hypertension, diabetes, chronic pulmonary disease, severe hematologic-rare genetic disorders, and depression. Additional eligibility criteria apply. Please contact us for full details.
Please refer to the INTEGRITY for Duals Member Handbook for a complete list of benefits and services.
Questions?
Please call us at 1-844-812-6896 (TTY 711), 8:00 a.m. to 8:00 p.m., seven days a week from October 1st to March 31st. From April 1st through September 30th, 8:00 a.m. to 8:00 p.m. Monday through Friday (you may leave a voicemail on Saturdays, Sundays, and federal holidays). Your call will be returned within the next business day. The call is free.
H7635_0725DUALWBLPMmbrBnfts_M Pending Approval
Last updated: October 1, 2025 at 10:00 a.m.