Skip to main content
Main Content

Health Plans for Rhode Island

EOHHS in collaboration with DHS, RIDOH and the Governor’s office, continue to monitor the COVID-19 outbreak in RI and will work with our government partners and MCOs to ensure all lines of communication remain open and available. The health, safety and welfare of our members is our highest priority. More information about COVID-19 is available in multiple languages at health.ri.gov/covid. People with questions about COVID-19 can call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. Please call 211 after hours. 

View more information from the Centers for Disease Control and Prevention

We offer 6 health plans in Rhode Island

Enter a 5-digit ZIP code, 2-letter state abbreviation or full state name.

Choose your filter below:

Filter by Plan Year (Dual Eligible Plans only)

Viewing All Results

2020 UnitedHealthcare Dual Complete® (HMO 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.

View Plan Details Enroll in Plan (opens modal window)

Benefits & Features

  • Dental Coverage

    $3000 toward dental services.

  • Health Products Benefit

    Up to $800 in credits to place catalog orders for health products you may need.

  • Routine Vision Coverage

    Annual exam and $150 credit every year for routine eyewear.

View Plan Details Enroll in Plan (opens modal window)

Have questions?    8 a.m. – 8 p.m. local time,  7 days a week    1-844-812-5967    TTY 711

2021 UnitedHealthcare Dual Complete® (HMO 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.

View Plan Details Enroll in Plan (opens modal window)

Benefits & Features

  • Prescription Drug Coverage

    $0 drug copays on all tiers of covered medications with option for home delivery

  • Dental

    Up to $3000 for covered types of preventive and comprehensive dental services

  • OTC Items - Debit and Food Allowance

    Up to $820 per year to buy OTC products, plus $300 per year for healthy foods

View Plan Details Enroll in Plan (opens modal window)

Have questions?    8 a.m. – 8 p.m. local time,  7 days a week    1-844-812-5967    TTY 711

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.

View Plan Details
View Plan Details

Call us to learn more: 1-800-587-5187 / TTY: 711 Monday – Friday 8:00am – 6pm

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.

View Plan Details
View Plan Details

Call us to learn more: 1-800-587-5187 / TTY: 711 Monday – Friday 8:00am – 6pm

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.

View Plan Details
View Plan Details

Call us to learn more: 1-800-587-5187 / TTY: 711 Monday – Friday 8:00am – 6pm

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.

View Plan Details
View Plan Details

Call us to learn more: 1-800-587-5187 / TTY: 711 Monday – Friday 8:00am – 6pm

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711 for more information. Benefits, features and/or devices vary by plan/area. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.  

Nurseline Disclaimer

The NurseLine service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. Access to this service is subject to terms of use.

Availability of Non-English Disclaimer

ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711.

ATENCIÓN: Si habla [ingrese el idioma], hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711.

Star Ratings Disclaimer

Every year, Medicare evaluates plans based on a 5-star rating system.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) through YEAR based on a review of UnitedHealthcare Connected’s Model of Care. UnitedHealthcare Connected has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until YEAR based on a review of UnitedHealthcare Connected’s Model of Care.

Important Provider Information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

For more detailed information on provider directory data, you may use the following link:

Important Provider Information URL: https://www.uhc.com/legal/provider

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Declaration of Disaster or Emergency

If you’re affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.

This site contains documents in PDF format. PDF (Portable Document Format) files can be viewed with Adobe® Reader®. If you don't already have this viewer on your computer, download it free from the Adobe website.

Last Updated: 06.24.2020 at 04:16 PM CDT

Y0066_UHCCPwebsite

© 2020 UnitedHealthcare Services, Inc. All rights reserved.