The Neighbourhood Health Plan of Rhode Island (Neighbourhood) is a non-profit health insurance company that has been serving the Rhode Island community since 1994. With a strong commitment to providing high-quality, affordable healthcare to its members, Neighbourhood has established itself as a trusted and reliable option for individuals and families seeking health insurance coverage.
History and Mission
Neighbourhood was founded with the goal of improving the health and well-being of Rhode Island residents, particularly those who are underserved or underinsured. The company’s mission is to provide access to comprehensive, coordinated, and patient-centered care that addresses the unique needs of its members. Over the years, Neighbourhood has worked tirelessly to build a network of healthcare providers and community partners who share its commitment to delivering exceptional care and service.
Health Insurance Plans and Services
Neighbourhood offers a range of health insurance plans and services designed to meet the diverse needs of its members. These plans include individual and family plans, Medicaid and CHIP (Children’s Health Insurance Program) plans, and Medicare Advantage plans for seniors and individuals with disabilities. Neighbourhood’s plans typically cover essential health benefits, such as doctor visits, hospital stays, prescription medications, and preventive care services. The company also offers additional services, including disease management programs, health education, and case management, to support its members in achieving optimal health outcomes.
| Plan Type | Eligibility | Coverage |
|---|---|---|
| Individual and Family Plans | Residents of Rhode Island | Comprehensive coverage, including doctor visits, hospital stays, and prescription medications |
| Medicaid and CHIP Plans | Low-income individuals and families | Comprehensive coverage, including doctor visits, hospital stays, and prescription medications |
| Medicare Advantage Plans | Seniors and individuals with disabilities | Comprehensive coverage, including doctor visits, hospital stays, and prescription medications, with additional benefits such as dental, vision, and hearing coverage |
Network and Provider Partnerships
Neighbourhood has established a comprehensive network of healthcare providers, including primary care physicians, specialists, hospitals, and other healthcare facilities. The company’s provider network is designed to ensure that its members have access to high-quality, affordable care, with a focus on preventive services, chronic disease management, and coordinated care. Neighbourhood also partners with community-based organizations and social service agencies to address the social determinants of health and provide wraparound support to its members.
Quality Improvement and Accreditation
Neighbourhood is committed to delivering high-quality care and service to its members. The company has achieved accreditation from the National Committee for Quality Assurance (NCQA) and has received high ratings from the Centers for Medicare and Medicaid Services (CMS) for its Medicare Advantage plans. Neighbourhood’s quality improvement initiatives focus on improving health outcomes, reducing healthcare disparities, and enhancing the patient experience.
Key Points
- Neighbourhood is a non-profit health insurance company serving Rhode Island residents since 1994
- The company offers a range of health insurance plans, including individual and family plans, Medicaid and CHIP plans, and Medicare Advantage plans
- Neighbourhood's plans cover essential health benefits, including doctor visits, hospital stays, and prescription medications
- The company has a comprehensive network of healthcare providers and partners with community-based organizations to address the social determinants of health
- Neighbourhood is committed to delivering high-quality care and service, with a focus on preventive care, chronic disease management, and coordinated care
Member Engagement and Support
Neighbourhood is dedicated to providing exceptional service and support to its members. The company offers a range of resources and tools to help its members navigate the healthcare system, including a member portal, a mobile app, and a customer service hotline. Neighbourhood also provides health education and wellness programs, as well as disease management services, to support its members in achieving optimal health outcomes.
Community Involvement and Outreach
Neighbourhood is committed to giving back to the Rhode Island community. The company participates in various community-based initiatives and partnerships, including health fairs, outreach programs, and charitable events. Neighbourhood also provides financial support to local organizations and agencies that share its mission of improving the health and well-being of Rhode Island residents.
What types of health insurance plans does Neighbourhood offer?
+Neighbourhood offers individual and family plans, Medicaid and CHIP plans, and Medicare Advantage plans for seniors and individuals with disabilities.
How do I enroll in a Neighbourhood health insurance plan?
+You can enroll in a Neighbourhood health insurance plan through the company's website, by phone, or in person at a local office. You can also contact a licensed insurance agent or broker for assistance.
What is the process for filing a claim with Neighbourhood?
+Neighbourhood has a streamlined claims process that allows members to submit claims online, by phone, or by mail. The company also provides a claims status tracker and a dedicated customer service team to assist with any questions or concerns.
In conclusion, Neighbourhood Health Plan of Rhode Island is a trusted and reliable health insurance company that has been serving the Rhode Island community for over 25 years. With its commitment to providing high-quality, affordable healthcare, Neighbourhood has established itself as a leader in the health insurance industry. The company’s comprehensive network of healthcare providers, community partnerships, and member support services make it an excellent choice for individuals and families seeking health insurance coverage in Rhode Island.
