Platinum plan offered through HealthSource RI that has low copays and a 0% coinsurance after the deductible. Preventative services are covered at 100%. Includes Out of network coverage with separate cost sharing, deductible, and out of pocket maximum
Who is Eligible?
Qualifying small employers with 2-50 employees.
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
- I want to access my Behavioral Health Member Portal.
Benefit Information
- Price Information for Your Medical Benefits
- Price Information for Your Pharmacy Benefits
- Plan Summary
- Pediatric Dental Benefits
- Certificate of Coverage
- Summary of Benefits and Coverage
- Your Rights and Protections Against Surprise Medical Bills
- Glossary of Health Coverage and Medical Terms
- Creditable Coverage Disclosure Notice
Read the latest issue of our quarterly member newsletter, Healthy You.
Members who enrolled in PRIME Elite for the 2021 benefit year, click here for plan details.
Questions about PRIME Elite? We’re happy to help.
Call us today at 1-855-321-9244.
Understanding Your Health Plan
Deductible
The amount you pay annually for covered healthcare services before your insurance plan starts to pay.
Copayment
A fixed amount you pay ($20, for example) for a covered healthcare service.
Co-insurance
The percentage of costs of a covered healthcare service you pay (20%, for example) after you’ve paid your deductible.
Out-of-pocket maximum
The most you will pay for covered healthcare in a year (does not include your monthly premium). Once you reach it, Neighborhood pays for everything.
Monthly premium
Your monthly payment that keeps your health insurance active. It does not count towards your deductible or out-of-pocket maximum.