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Rhode Island health plans
Looking for low-cost or no-cost health insurance? We offer Medicaid plans. We also offer dual health plans for people with both Medicaid and Medicare.
For general information about the plans in your state, visit Rhode Island's homepage.
Prior authorization (PA) requirements that were lifted as a result of the COVID-19 public health emergency will go back into effect as of October 1, 2021 for medically necessary services and as of January 1, 2022 for Behavioral Health Services that require a prior authorization. A PA is a request from your healthcare provider or a Behavioral Health provider for approval from UnitedHealthcare to provide certain medically necessary services. Both your healthcare and behavioral healthcare providers are aware of the PA requirement and the effective dates.
11 results for Rhode Island
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You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive extra help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive extra help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive extra help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive extra help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
You may qualify for a dual health plan if:
- You are under age 65 and qualify on the basis of disability or other special situation OR you are at least 65 years old and receive extra help or assistance from your state.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
- You live in the plan's service area.
Before selecting a specific dual health plan, review the plan’s full or partial Medicaid coverage requirements.
Medicare + Medicaid eligible plan
2025 UHC Dual Complete RI-S001 (PPO D-SNP)
H0764-001-000
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
This plan is available in the following counties:
Bristol, Kent, Newport, Providence, and Washington.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Medicare + Medicaid eligible plan
2025 UHC Dual Complete RI-V001 (HMO-POS D-SNP)
H2272-001-000
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
This plan is available in the following counties:
Bristol, Kent, Newport, Providence, and Washington.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Need help finding a plan?
Answer a few quick questions to see what type of plan may be a good fit for you.
Medicare + Medicaid eligible plan
2025 UHC Dual Complete RI-S002 (HMO-POS D-SNP)
H3113-010-000
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
This plan is available in the following counties:
Bristol, Kent, Newport, Providence, and Washington.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Medicare + Medicaid eligible plan
2025 UHC Dual Complete RI-S3 (HMO-POS D-SNP)
H2272-003-000
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
This plan is available in the following counties:
Bristol, Kent, Newport, Providence, and Washington.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Medicare + Medicaid eligible plan
2024 UHC Dual Complete RI-S001 (PPO D-SNP)
H0764-001-000
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
This plan is available in the following counties:
Bristol, Kent, Newport, Providence, and Washington.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Medicare + Medicaid eligible plan
2024 UHC Dual Complete RI-V001 (HMO-POS D-SNP)
H2272-001-000
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
This plan is available in the following counties:
Bristol, Kent, Newport, Providence, and Washington.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
Medicare + Medicaid eligible plan
2024 UHC Dual Complete RI-S002 (HMO-POS D-SNP)
H3113-010-000
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
This plan is available in the following counties:
Bristol, Kent, Newport, Providence, and Washington.
Monthly premium:
$0.00*
*Your costs may be as low as $0, depending on your level of Extra Help.
UnitedHealthcare Rhody Health Partners
UnitedHealthcare® of New England's Medicaid health plan is accredited
by the National Committee for Quality Assurance (NCQA).
Rhody Health Partners (RHP) is Rhode Island's Medicaid managed care
plan for eligible adults with disabilities who are 21 years or older
have an option to enroll in a participating Rhody Health Partners
health plan. Rhody Health Partners members can use the large network
of doctors specialists, hospitals and other healthcare providers who
are part of the UnitedHealthcare of New England network.
Bristol, Kent, Newport, Providence, and Washington.
UnitedHealthcare Rhody Health Partners ACA Adult Expansion
The Affordable Care Act (ACA) expanded health coverage to certain adults age 19 or older and under 65. The UnitedHealthcare Rhody Health Partners ACA Adult Expansion plan is for certain Adults aged 19-64 with no dependent children with an income at or below 133 percent Federal Poverty Level -in other words, You have to earn less than $15,654 per year or earn less than $1,305 per month and are a United States citizen or a legal permanent resident under 65 meeting income eligibility guidelines.
You are able to enjoy the many benefits and services that we have to offer, call us today to learn about all these benefits. We will work with your doctors to give to you the quality of care you deserve.
Bristol, Kent, Newport, Providence, and Washington.
Children with Special Health Care Needs
Children with Special Health Care Needs (CSN) is Rhode Island's
Medicaid managed care plan for Children with a disability or chronic
condition and they are determined eligible for: Supplemental Security
Income (SSI), Katie Beckett or Adoption Subsidy through the Department
of Children, Youth, and Families (DCYF). When eligible for Medicaid,
parents or guardians are then given a choice of enrollment in a
participating health plan. Children who live in an institutional
facility are excluded from health plan enrollment. In those
situations, children will be enrolled in traditional Medicaid
Fee-For-Service.
Children with Special Healthcare Needs
may qualify for RIte Care under UnitedHealthcare Community Plan. The
Department of Human Services will enroll Children with Special
Healthcare Needs who are eligible for Medicaid.
Bristol, Kent, Newport, Providence, and Washington.
UnitedHealthcare RIte Care
UnitedHealthcare® of New England's Medicaid health plan is accredited
by the National Committee for Quality Assurance (NCQA).
RIte Care is Rhode Island's Medicaid managed care program for families
on the RI Works Program and eligible uninsured pregnant women,
children, and parents. Members enroll in a participating health plan.
UnitedHealthcare RIte Care members can use the large network of
doctors specialists, hospitals and other healthcare providers who are
part of the UnitedHealthcare of New England network.
Bristol, Kent, Newport, Providence, and Washington.
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