Lowest-priced Gold plan offered through HealthSource RI. This plan offers low copays on certain services. Preventive services are covered at 100% and include access to our full network of doctors and hospitals.
Deductible: $1,375 (Individual) / $2,750 (Family)
Out of Pocket Max: $7,550 (Individual) / $15,100 (Family)
Primary Care/Behavioral Health Office Visits: $25
Specialist/Urgent Care Visits: $50
Inpatient/Imaging/Lab Services: 20%*
Pharmacy (Tiers 1-6): $5/$10/$35/$50/30%*/30%*
*after deductible
What do you need help with today?
- I need a doctor.
- I want to know my rights and privacy.
- I want to know if my medicine is covered.
- I want to access my Pharmacy Member Portal.
- Use this portal to check your medications, sign up for mail order pharmacy and review drug costs
- Formulary Foreword
- You can also sign up for mail order pharmacy by calling: 1-844-254-9483
- I want to access my Behavioral Health Member Portal.
Where can I learn about my benefits?
- Price Information for Your Pharmacy Benefits
- Plan Summary (English) 2023
- Plan Summary (Spanish) 2023
- Certificate of Coverage
- Pediatric Dental Benefits
- Summary of Benefits and Coverage
- Your Rights and Protections Against Surprise Medical Bills
- Glossary of Health Coverage and Medical Terms
- Credible Coverage Disclosure Notice
Read the latest issue of our quarterly member newsletter, Healthy You.
Questions about PLUS? We’re happy to help.
Call us today at 1-855-321-9244.
Check out this list of commonly used terms to better understand your plan. Here you will find definitions for words like copayment, premium, deductible, and more.