Member Benefits

^*Prior authorization rules may apply
For out-of-Network (OON) services, prior authorization rules apply

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 Dual CONNECT Evidence of Coverage (EOC).

Neighborhood wants you to be well – both mentally and physically. That is why Neighborhood Dual CONNECT benefits also include behavioral health and substance use services. We cover both inpatient and outpatient behavioral health and substance use programs designed to help diagnose and treat your condition.

Services include:

• Individual and group sessions for mental health specialty services
• Opioid treatment program services
• Individual and group sessions for psychiatric services
• Individual and group sessions for outpatient substance use

For out-of-Network (OON) services, prior authorization rules apply.

Neighborhood Dual CONNECT also offers members extra benefits for $0 including:

• 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 Dual CONNECT’s extra benefits, visit www.nhpri.org/medicare-medicaid/DualCONNECT/more-benefits.

No prior authorization is required for supplemental benefits.

^*The 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 Dual CONNECT Evidence of Coverage (EOC) for a complete list of member benefits and services.