BlueRI for Duals (HMO D-SNP)
Rhode Island Medicare-Medicaid Dual Eligible D-SNP Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
BlueRI for Duals (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Rhode Island and offered by the health insurance company Blue Cross Blue Shield of Rhode Island. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
BlueRI for Duals (HMO D-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $8,850 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for BlueRI for Duals (HMO D-SNP) are defined below.
Additional Benefits and Coverage
BlueRI for Duals (HMO D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. BlueRI for Duals (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. BlueRI for Duals (HMO D-SNP) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of BlueRI for Duals (HMO D-SNP) to Other Plans in Rhode Island
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, BlueRI for Duals (HMO D-SNP) received an overall government quality rating of 4.5 stars out of 5 stars.
BlueRI for Duals (HMO D-SNP) performed better than Rhode Island’s State average overall quality score of 3.3 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
BlueRI for Duals (HMO D-SNP) received 4.5 stars for its health plan quality score which is better than the Rhode Island State average health plan quality score of 3.0 stars.
BlueRI for Duals (HMO D-SNP) received 4.5 stars for its drug plan quality score which is better than the Rhode Island State average drug plan quality score of 3.3 stars.
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
Skilled nursing facility
Preventive services
Ambulance
Therapy services
Mental health services
Opioid treatment services
Other services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic |
Brand-name drugs :
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Brand-name drugs :
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| Generic | |||
| Preferred Brand | |||
| Non-Preferred Drug | |||
| Specialty Tier |
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Comprehensive dental
Vision
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