Neighborhood Health Plan of Rhode Island

Category: Non-profit organization

Address: 910 Douglas Pike, Smithfield, RI 02917, USA

Phone: +14014596000

Opening hours

Sunday: Closed

Monday: 8AM–6PM

Tuesday: 8AM–6PM

Wednesday: 8AM–6PM

Thursday: 8AM–6PM

Friday: 8AM–6PM

Saturday: Closed

Reviews

Jen Bastian

Sep 13, 2022

Avoid if you can - Most doctors no longer accept this insurance because of their poor practices. They have declined so many of my bills I’ve lost track. Worst insurance company I’ve come across.

Nina Deramo

Jul 8, 2022

I have have no complaints about this insurance.

Andy

Jun 24, 2022

It’s not a place but a health plan. It's a great health plan. Very friendly and professional. They combine your Medicare and Medicaid insurance plans into one easy card to show the doctors at the lobby If you’re below the poverty level and are disabled you will never pay even a dime for your health costs. They have a contract with Medicare/Medicaid.. Dental and vision care included. Includes prescriptions. Premiums are taken out of your Social Security monthly payment amount. My complete monthly premiums are around less than $150.00 and if you do direct deposit you never see the premium. Note: I have recently switched to United Healthcare Dual Complete plan due to Assisted Living Facility recommendation. It’s been since February 2,2022 and I already don’t like it so I may return to Neighborhood Health soon. I am constantly receiving bills in my United Health Portal. $650.00 for a visit to my eyeglass store for glasses and the exam??? My previously owned RayBans where half that cost. I’m not paying it as I know it’s covered but the “kid” in customer service at United said “you can always appeal it!” I said that I was not going to appeal each bill. “It’s your job to bill me properly” so it’s barely been 2 months so I’ll give them the benefit of the doubt as so far, I haven’t heard from them. I never liked them as millions of dollars in lawsuits for fraudulently charging Medicare have been settled. Neighborhood Health said I could re-enroll anytime I wanted to so if I get anymore bills, I will drop them. Well, I did it. Returned to Neighborhood Health May 1st it starts United Healthcare will pay my bills until the end of April so no gap in coverage. I just felt that United Healthcare was too big and every time I called I was passed around the Country! UPDATE: 05/03/2022. I finally had enough and re-enroled May 1 /2022 in Neighborhood Health Integrity plan. Many reasons to leave United healthcare. Glad I made the move. Feels much better than United healthcare knowing I won't have to fight with them

Bernard Garrett

Jun 12, 2022

No after hours call line no one to call for emergency like ex being in a car fire on a trip lost all needs they won't cover half the meds but my friends ins. did. switch to united healthcare if you can cause when u have a urgent question or problem there nothing short of useless!

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Questions & Answers

Looking for oral surgeon

Paul Randall | Sep 27, 2018
Darline Melo | Sep 27, 2018

Need my back teeth pulled it's so Rotten

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why do i need prior authorization for prescription refills? My doctor refuses to fill out the forms so I am living without medication that I need

WJS Sales | Sep 27, 2019
Andy | Sep 26, 2020

Find another Doctor or ask why he/she won't authorize another refill because some medications are only meant to be used for a short period and if refilled too many times could cause you more harm than good. It's good to ask questions. If the doctor doesn't give you a reason then he is not the kind of doctor you want. Doctors need to answer their patient's questions. Did the doctor give you a reason? Sometimes an insurance company will not pay for a refill and that causes the patient to pay out of pocket and some doctors won't request another refill because of that. Or maybe he/she feels you're addicted to it, or can be. Especially if it's a prescription for morphine or other similar meds. Communication is the key.

I'm not sure why my coverage just STOPPED! My "Neighborhood" plan stopped, and now I'm supposed to choose a new company/part d I was happy with the coverage.... I'm sorry but I'm confused...

Ronda Abrahamson | Sep 26, 2020
William Johnson | Sep 26, 2021

I know what you mean I too had this problem that's why I'm now with United health of Rhode Island.

where do a get a list of dentist who accept neighborhood health plan

Eddie Lee | Sep 26, 2020
Kevin Burt | Sep 26, 2021

Dentist I need

Does neighborhood health cover thermography breast exam instead of mammogram?

karla newman | Sep 27, 2018
Gilda C. | Sep 27, 2018

Get CPT codes from your doctor and call their customer service line ..give the codes and they will tell you. Also if u have a private plan ..be ready to pay for this radiology service and only provider can tell u the price or cost..NHPRI can't give price to all services. That's your answer..btw u might need a prior with for a service like this one.

Where do I send my bills?

Grimspyy | Sep 27, 2019
James Laurent | Sep 27, 2019

If you are a member, you should call the customer service line on the back of your card for help. Member Services will help you determine your next action.

Is Accunpuncture covered under Neighborhood?

Shenathe Diva | Sep 27, 2019
Claude Christian Brostrup-Jensen | Sep 27, 2019

Yes. For the details (# of treatments, participating providers, etc) call Member Services.

I am 63 retired and was on vacation with relatives in Florida when I started to bleed from the rectum.I contacted neighborhood health and they said go to a hospital emergency room and it would be covered,2 months later has not been paid

Robert J Wood | Sep 27, 2019
Heather Woessner | Sep 26, 2020

I had to take my son while visiting Florida as well they said the state I live in they dont take there insurance so stuck with a ER bill as well

do u cover mental health or substance abuse treatment

richard frye | Sep 27, 2019
Andy | Sep 27, 2019

I don't work for neighborhood health integrity but they cover all mental health Psychiatrist, Social Workers, CNA's I'm a patient and use them. I'm not sure about substance abuse but I believe they cover at least maybe a couple of weeks. Google : Neighborhood Health and you'll be able to ask them anything. I don't even have co-pays but I have Medicaid from the state and I don't know if they pay anything. I pay zero dollars for my mental health disability insurance and doctor, hospitals like Butler's which is a mental health hospital. They pay for 2 weeks. Neighborhood Health is Medicare and Medicaid combined in one plastic card. Call them. It may depend on income elegebility. Good Luck!

What dentist are cover by neighborhood heath

shirley pattie | Sep 27, 2019
Jennifer Ashley | Sep 27, 2019

Blackstone valley dental in pawtucket

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I coulbn't fill a prescription and was wondering if my neighborhod insure stll valid?

Jacob Alley | Sep 27, 2019
Boston ReG | Sep 27, 2019

call nhpri to verify eligibility

I have 2 abscessed teeth. Am I not able to have the work done to root canal them through neighborhood? If it goes septic and I die my wife will surely sue the state.

Cory Moulton | Sep 27, 2019
shana delsanto | Sep 26, 2021

Your dentist had to call them

Eye care provider available

Bob Simm | Sep 27, 2018
Renee Gibbons | Sep 27, 2018

Www.nhpri.org and hit find a doctor

Does anyone have a list of items I can be eligible for like low does asperine,bengay etc.?

Susan Prats | Sep 27, 2018
Andy Lambert | Sep 27, 2018

It's easy to find out. Contact your pharmacy. They will tell you what your plan covers. Unfortunately, most over the counter meds are not covered by insurance. Sometimes certain over the counter meds may be covered if you have a doctors prescription. Call or visit your pharmacy.

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Does anyone know of child pscytrists

leandro Mendes Docouto | Sep 27, 2018
Cory Moulton | Sep 27, 2019

There's one in Woonsocket that's takes nhpri

Dermatologist that except neighborhood health plan of ri

Wendy Mcgovern | Sep 27, 2018
Susan Prats | Sep 27, 2018

Try at wake robin dr.lincoln ri.

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I need a Primary Care Dr!!!! I can't seem to find one who takes NHP! Anyone????

J “JW123” W | Sep 27, 2018
Karen Perron | Sep 27, 2018

I go to Women's Collaborative it's over by the Providence post office, I love them.

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If I choose a pair of glasses that isnt one in the selection that NHPRI offers will they still help with the frames and glasses?

Robyn Bonner | Nov 30, 2021
Renee Gibbons | Nov 30, 2021

I believe they will pay up to the allowed amount. You would be responsible for the difference

I have recently injured my knee, and what used to go away after a day is now lingering pain that won’t go away. I wanted to know if my insurance would cover a proper knee brace for me.

Sean DeCiantis | Sep 26, 2021
Lawrence Teming-Amoako | Sep 26, 2021

Sorry but I didn't work there.

Can I use neighborhood insurance out of state in case of emergency?

Jaime Agudelo | Sep 26, 2021
quiara1210 | Sep 26, 2021

Yes, you may. NHPRI covers out of state emergency room, and urgent care services. If you have an Exchange/Commercial plan, you will be liable for the cost share (copay/DED) listed for your plan. Out of state providers are able to balance bill Exchange/Commercial subscribers. You can find this information in the members section of nhpri.org

My mother-in-law was safe actibo and not now. What could be happening

Jenny Casado | Sep 27, 2018
Gilda C. | Sep 27, 2018

Call the member service line .. NHPRI does not activate or disconnect services if you have insurance from the state .. if so ... call HSRI or arrive at your local human service dept office

Where do I get Medicaid

Rosie Jackson | Sep 27, 2018
Patricia Robertson | Sep 27, 2018

www.healthyrhode.ri.gov Sign up online

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