*This plan is a type of Medicare Advantage plan specifically designed for individuals eligible for both Medicare and Medicaid (dual eligibles). These plans provide Medicare-covered services and are required to coordinate these benefits with the enrollee's Medicaid benefits.
Neighborhood Dual CONNECT is a health and drug plan for Rhode Islanders eligible for both Medicare and Medicaid and are Qualified Medicare Beneficiaries (QMBs). Whether you are caring for yourself or a loved one, we can help you get the care and support you need.
Please call us at 1-844-812-6896 (TTY 711), 8:00 a.m. to 8:00pm, seven days a week from October 1 through March 31. From April 1 through September 30 you can call us 8:00 a.m. to 8:00 p.m. Monday through Friday. You may leave a voicemail on Saturdays, Sundays, and federal holidays.
If you need a new Dual CONNECT member ID card, please call Member Services at 1-844-812-6896 (TTY 711). A Member Services representative can help you replace your card.
You may also ask for a new card online at this page .
You may leave Neighborhood Dual CONNECT at any time during the year by calling us at 1-844-812-6896 (TTY 711). You may also call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users (people who have difficulty with hearing or speaking) should call 1-877-486-2048. When you call 1-800-MEDICARE, you can also enroll in another Medicare health or drug plan. If you leave Neighborhood Dual CONNECT, your coverage will end the last day of the month after you tell us. If you leave Neighborhood Dual CONNECT and don’t join a Medicare health or prescription drug plan, you’ll be covered under Original Medicare and Medicare will enroll you in a Medicare prescription drug plan. You will get your Medicaid benefits directly through Rhode Island Medicaid Fee for Service (FFS).
Neighborhood Dual CONNECT members have the right to file a complaint or an appeal if they disagree with a decision that we have made or have an issue with the care they have received. Visit this page to learn more about the grievance and appeal process.
Neighborhood’s D-SNP Member Advisory Committee (MAC) provides members with an opportunity to let their voices be heard! Visit this page to learn more about our Member Advisory Committee or call 1-844-812-6896 (TTY 711) and ask for the Member Advocate.
**Some benefits mentioned on this website 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. ***At participating YMCA of Greater Providence and YMCA of Pawtucket locations. Neighborhood Health Plan of Rhode Island's Dual CONNECT (HMO D-SNP) is a health plan that contracts with Medicare and the Rhode Island Medicaid Program. Enrollment in Neighborhood Health Plan of Rhode Island's Dual CONNECT plan depends on contract renewal. If you speak another language, free language assistance services are available to you. Appropriate auxiliary aids and services to provide information in accessible formats are also available free of charge. Please call Member Services at 1-844-812-6896 (TTY 711) if you need assistance. Read our full Notice of Availability of Language Assistance Services and Auxiliary Aids and Services here. Neighborhood complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex, including sexual orientation, gender identity, or gender expression. Read our complete Non-Discrimination Notice here. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires Neighborhood to protect and guard against the misuse of an individual’s protected health information (PHI). The Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) strengthens privacy and security protections under HIPAA, especially those related to the exchange of electronic PHI. Read Neighborhood’s Notice of Privacy Practices for more information.