Affordably priced Silver plan offered through HealthSource RI that offers a traditional copay plan design. Preventive services are covered at 100% and include access to our full network of doctors and hospitals.
View Cost-Sharing
Deductible: $3,600 (Individual) / $7,200 (Family)
Out of Pocket Max: $7,900 (Individual) / $15,800 (Family)
Primary Care/Behavioral Health Office Visits: $25
Specialist/Urgent Care Visits: $60
Inpatient/Imaging/Lab Services: 25% co-insurance*
Pharmacy (Tiers 1-6): $10/$15/$40/$55/30%*/30%*
*after deductible
What do you need help with today?
- I need a doctor.
- I want to know if my medicine is covered.
- I want to know my rights and privacy.
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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
- I want to access my Behavioral Health Member Portal.
Where can I learn about my benefits?
- Price Information for Your Medical Benefits [PDF, 301KB]
- Price Information for Your Pharmacy Benefits
- Plan Summary [PDF, 1209KB]
- Certificate of Coverage [PDF, 2072KB]
- Pediatric Dental Benefits
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Summary of Benefits and Coverage:
- 10001-01 VALUE [PDF, 475KB]
- 10001-03 VALUE (LimitedCS) [PDF, 475KB]
- 10001-06 VALUE (CSR94) [PDF, 476KB]
- 10001-05 VALUE (CSR87) [PDF, 421KB]
- 10001-04 VALUE (CSR73) [PDF, 421KB]
- Glossary of Health Coverage and Medical Terms [PDF, 139KB]
Read the latest issue of our quarterly member newsletter, Healthy You.
Neighborhood’s VALUE plan has different variations depending on your income. To determine your VALUE plan variation, look for the plan code on the front of your member ID card.