MedicarePartD.guide

A non-government resource built from CMS public data

BlueRI for Duals (HMO D-SNP)

Available to residents of Providence County, RI for 2026. Contract H4152, plan 021, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$615.00
Plan typeDual-eligible SNP
Contract / planH4152-021-0
Offered byBlue Cross & Blue Shield of Rhode Island
Parent organizationBlue Cross & Blue Shield of Rhode Island
Formulary drugs3,239

CMS star ratings

Overall
4 out of 5 stars for Overall
Health plan (Part C)
3.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
4 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$0.00
Tier 325%
Tier 429%
Tier 525%

Also available in 4 other RI counties