HMO · Special Needs Plan · Contract H7635 · 2026
Neighborhood Health Plan OF Rhode Island
Neighborhood Health Plan OF Rhode Island is a HMO Medicare Advantage plan from Neighborhood Health Plan of Rhode Island, available in 1 state. Here is its CMS quality rating, drug coverage, and benefits.
- N/R
- Overall CMS rating
- $21.60
- Premium/mo
- 1
- States available
What the CMS Data Shows About Neighborhood Health Plan OF Rhode Island
Neighborhood Health Plan OF Rhode Island operates under CMS contract H7635, issued by Neighborhood Health Plan of Rhode Island (parent organization NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND). The contract is classified as a HMO product, which governs how enrollees access care: HMOs require in-network providers and referrals for most specialist care, trading network flexibility for lower cost-sharing. This contract is also flagged in CMS data as a Special Needs Plan (SNP), meaning enrollment is restricted to beneficiaries meeting specific eligibility criteria, chronic condition, dual Medicare-Medicaid status, or institutional residence. Service area spans 1 state (RI) and 5 counties, a geography set at the CMS service-area definition level.
The overall CMS Star Rating for this contract is not yet published by CMS. Individual measure-level data is not published for this contract. Ratings at 4+ stars trigger federal Quality Bonus Payments that insurers typically reinvest in supplemental benefits.
On costs, this contract lists a monthly plan premium of $21.60 (Part C + D combined) and an annual Part D drug deductible of $615.00, from the CMS CY2026 Landscape file; every enrollee also pays the standard Part B premium. Beyond standard Medicare Parts A and B, the contract documents 1 supplemental benefit in the CMS benefits file, coverage extras such as dental, vision, hearing aids, fitness programs, and OTC allowances that Original Medicare does not provide. Before enrolling, verify that your preferred providers participate in the plan's network for your specific county, review the current Summary of Benefits, and confirm that your prescriptions appear on the plan formulary. All figures shown come from CMS public-use files for the 2026 contract year; this page is informational only and is not personalized Medicare counseling advice.
Supplemental Benefits
| Benefit | Covered | Max Benefit |
|---|---|---|
| Dental (Preventive) | ✓ Yes | $1,250 |
Medicare Advantage Guides
Official Medicare resources
Frequently Asked Questions
What is the star rating for Neighborhood Health Plan OF Rhode Island?
Neighborhood Health Plan OF Rhode Island (Contract H7635) by Neighborhood Health Plan of Rhode Island has an overall CMS star rating of Not yet rated out of 5. Star ratings are based on quality measures including preventive care, chronic disease management, and member satisfaction.
How much does Neighborhood Health Plan OF Rhode Island cost per month?
Neighborhood Health Plan OF Rhode Island has a monthly plan premium (Part C + D combined) of $21.60, with an annual Part D drug deductible of $615. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026). Premiums are from the CMS CY2026 Landscape file and can vary by county; confirm current costs on Medicare.gov.
What type of plan is Neighborhood Health Plan OF Rhode Island?
Neighborhood Health Plan OF Rhode Island is a HMO Medicare Advantage plan offered by Neighborhood Health Plan of Rhode Island. This is also a Special Needs Plan (SNP) designed for beneficiaries with specific diseases, characteristics, or care needs. HMO plans generally require you to use in-network providers and get referrals for specialists.
Where is Neighborhood Health Plan OF Rhode Island available?
Neighborhood Health Plan OF Rhode Island is available in 1 state (RI) across 5 counties. Coverage area can vary, check with the insurer or Medicare.gov for exact availability in your ZIP code.
What supplemental benefits does Neighborhood Health Plan OF Rhode Island offer?
Neighborhood Health Plan OF Rhode Island covers 1 supplemental benefit beyond standard Medicare, including dental preventive. Many Medicare Advantage plans include dental, vision, and hearing coverage not available under Original Medicare.
Data Source
Data from CMS Medicare Advantage 2026 Star Ratings and Plan Finder datasets. Contract ID: H7635. Last updated: 2026 plan year.
Read our methodology - how this data is sourced, computed, and verified.