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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.
Important information about prior authorizations
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.
7 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.
UnitedHealthcare Dual Complete® (HMO-POS D-SNP)
H3113-010-000
Monthly premium: $0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).
This is a Health Maintenance Organization (HMO) plan. With an HMO plan, you must use network providers to get your medical care and services.
This plan is available in all counties.
UnitedHealthcare Dual Complete® Select (HMO-POS D-SNP)
H2272-001-000
Monthly premium: $0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).
This is a Health Maintenance Organization (HMO) plan. With an HMO plan, you must use network providers to get your medical care and services.
This plan is available in all counties.
Need help finding a plan?
Answer a few quick questions to see what type of plan may be a good fit for you.
UnitedHealthcare Dual Complete® Choice (PPO D-SNP)
H0764-001-000
Monthly premium: $0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).
This is a Preferred Provider Organization (PPO) plan. You have access to a local network of doctors and hospitals. Plus, you can see any provider outside the network nationwide that participates in Medicare and accepts the plan. You may pay a higher copay or coinsurance when you see an out-of-network provider.
This plan is available in all counties.
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.
This plan is available in all counties.
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.
This plan is available in all counties.
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.
This plan is available in all counties.
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.
This plan is available in all counties.
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