UnitedHealthcare Rhody Health Partners

Medicaid

The UnitedHealthcare® Rhody Health Partners Program provides health insurance to members of the state of Rhode Island's Rhody Health Partners Program. We work with our members and their doctors personally to arrange their healthcare. Call us today to learn more about these and other great benefits of UnitedHealthcare's Rhody Health Partners Program.

Adults on SSI that are part of Rhody Health Partners Program have access to the large network of doctors, specialists, hospitals and other health care providers that are part of the UnitedHealthcare of New England network.

This plan is available in all counties.

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

Benefits & Features

Member Handbook

Annual Notice of Change in Benefits

Benefits Summary

Listed below is a comprehensive list of professional health care services. Please review these services to find out which ones are covered by this health plan.

Benefits

  • Inpatient Hospital Care
  • Outpatient Hospital Services
  • Physical Therapy
  • Language Therapy
  • Speech Therapy
  • Hearing Therapy
  • Respiratory Therapy
  • Physician Services
  • Family Planning Services
  • Prescription Drugs
  • Non-Prescription Drugs
  • Laboratory Services
  • Radiology Services
  • Diagnostic Services
  • Mental Health and Substance Abuse Outpatient
  • Mental Health and Substance Abuse Inpatient

* For further details, see the Rhody Health Partners Benefits Summary

In addition to the services listed above, all Rhody Health Partners Members will receive the following mental health and substance abuse services Out-of-Plan:

Mental Health

  • Psychiatric Rehabilitation Day Programs
  • Community Psychiatric Supportive Treatment
  • Crisis Intervention for individuals with SMPI enrolled in Community Psychiatric Supportive Services
  • Clinician's services delivered at a Community Mental Health Center for individuals with SPMI enrolled in CPST - CSP
  • RI-Assertive Community Treatment I and II

Substance Abuse

  • Community-based narcotic treatment
  • Community based detoxification
  • Residential Treatment

The following services are not covered by the Health Plan or Medicaid Fee for Service

  • Experimental Procedures
  • Abortion Services except to preserve the life of the women, or in cases of rape or incest
  • Private rooms in hospitals (unless medically necessary)
  • Cosmetic surgery
  • Infertility Treatment Services
  • Sexual and erectile dysfunction medications
  • Medical Assistance Program Fee Schedule

Waiver Services
If you are enrolled in a Medicaid Waiver you may have additional benefits available to you through Medicaid Fee for Service. UnitedHealthcare Care Managers at 1-800-672-2156 or Hard of Hearing 711 can help you access these services.

Other Member Programs

Optum Behavioral Health (OBH)
OptumHealth can help you find solutions that relieve the pressures and demands of everyday life. OptumHealth focuses on prevention and education to guard against problems before they start.

Member Resources

View Available Resources

Learn More

UnitedHealthcare Rhody Health Partners