2027 Plan HMO D-SNP Extra Help Medicare + Medicaid

BlueRI for Duals (HMO D-SNP)

Qualify for Medicare + Medicaid? BlueRI for Duals provides eligible members with a $0 premium* and the most $0 benefits we offer, including a monthly allowance to help pay for groceries and utilities.** You'll also have your own Health Navigator to help you fill out paperwork, use your benefits, and get additional care and support.

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What's included

Prescription drug coverage

$0 drug deductible, $0 Tier 1 & 2 copays if you qualify for Extra Help

Flexible Benefit Card

$151/month for everyday health items, groceries, and utilities**

Dental

$0 preventive and comprehensive dental (up to $2,500/year); includes coverage for dentures, crowns, and implants

Vision & hearing

$0 annual routine vision and hearing exams, plus a $200/year eyewear allowance

Transportation

$0 rides to appointments – 60 one-way rides per year

Fitness benefits

$0-$40/month fitness center membership

Medical benefits at a glance

PCP visit

Visits to in-network primary care provider

$0 copay
Specialist visit

$0 copay per visit in-network

$0 copay
Preventive care

In-network preventive screenings and exams

$0 copay
Emergency care

Emergency coverage available worldwide

$0 copay per visit
Outpatient surgery

Copay is $0 per visit at in-network ambulatory surgery center or hospital

$0 copay per visit
Inpatient hospital stay

Copay is $0 per day at in-network hospitals

$0 copay per visit

For more details, download the Summary of Benefits below.

Prescription drug coverage

Tier 1 (Preferred Generic)
$0 copay
Tier 2 (Non-preferred Generic)
$0 copay
Tier 3 (Preferred Brand)
$0-$14.40 copay*
Tier 4 (Non-preferred Drug)
$0-$14.40 copay*
Tier 5 (Specialty Tier)
$0-$14.40 copay*

Plan documents

2027 Summary of Benefits Coming soon

*You must qualify for Extra Help (also called the Low-Income Subsidy program). If your eligibility for Extra Help changes, your plan premium and prescription drug costs may change.

**The grocery and utility benefits are Special Supplemental Benefits for the Chronically Ill (SSBCI). You may be eligible for SSBCI if you are enrolled in BlueRI for Duals (HMO D-SNP) and live with one or more qualifying chronic condition(s), as defined by CMS, including but not limited to chronic heart failure, chronic lung diseases, dementia, diabetes mellitus, and frailty & fall risk. Receiving these benefits is not solely determined by your condition(s); all relevant eligibility criteria must be satisfied before benefits are available for use. Please see your Evidence of Coverage for full details.