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UnitedHealthcare Rhody Health Partners
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.
UnitedHealthcare offers coverage to beneficiaries of Rhode Island's Rhody Health Partners programs throughout the state. Eligibility for enrollment in Rhody Health Partners is determined by the Department of Human Services (DHS).
To be eligible for Rhody Health Partners, you must be eligible for RI Medical Assistance and be:
- 21 years or older
- a Rhode Island resident
- not eligible for Medicare or other health insurance and
- live in the community (at home, in assisted living, or a group home)
Information and New Enrollment: Contact the Adult Managed Care Help Line 1-401-784-8877 (TTY 711).
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
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Benefits & Features
Annual Notice of Change in Benefits
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.
- 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:
- 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
- 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
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.
Are you ready for flu season?
Influenza, commonly called the flu, is a serious illness that can spread easily. It can lead to missed days at school or work, and even hospital stays. Here’s the good news: a simple shot can reduce your chances of getting influenza — and it’s available to you at no cost with your UnitedHealthcare Community Plan. Talk to your UnitedHealthcare network doctor about getting the flu shot. If you don’t have one, please contact Member Services at 888-716-8787 and a representative can help you find one.
For a list of places to get a flu shot near you, visit http://www.health.ri.gov/flu
If English is not your primary language, you can ask for an interpreter to help with your call to Member Services. We can also provide interpreter services for your doctor visits.
Call Member Services at (844) 445-7222 (TTY 711) at least 72 hours hours before your scheduled appointment to arrange for an interpreter to meet you at your appointment. Call Member Services 14 in advance for American Sign Language interpreter requests.
At UnitedHealthcare, we care about your health. Our goal is to improve the health of our members by providing high-quality services. Learn more about the CAHPS Survey below.
Citizenship Documents Required
There are new laws that may require you to show proof of citizenship in order to renew your health coverage. Click on a document below to read about what you will need:
Member Advisory Committee
Join our Member Advisory Committee and share your feedback and concerns with us. Members come and learn about your health plan and share your feedback and concerns with us. and transportation is provided. Call Member Services at 844-445-7222 (TTY: 711) if you are interested in joining.
Member Rights & Responsibilities
As a UnitedHealthcare member, you have certain rights and assume certain responsibilities when you become a member. It is important you fully understand both your rights and your responsibilities. For more information, For more information, refer to your Member Handbook.
Notice of Privacy Practices
We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it. You can download a copy of our Notice of Privacy Practices below.
Quality Improvement Initiatives
A summary of accomplishments and opportunities for improvement are identified for 2012.
A summary of accomplishments and opportunities for improvement are identified for 2011.
A summary of accomplishments and opportunities for improvement are identified for 2010.
As a RIte Care member, you may qualify for a bus pass for you and your family to use to get to the doctor’s office. You will need to call MTM Transportation at 1-855-330-9131 TTY (866) 288-3133 to request a bus pass at least 7 business days before the appointment. Tell them the date and time of the medical, dental and behavioral health appointments as well as the name of the provider and a bus pass will be mailed to you.
If you cannot take a bus for medical reasons or because your home or your adult managed care appointment is not near a bus line, please call MTM Transportation for help in getting transportation to your appointment. Please use family and friends for transportation needs before calling MTM Transportation.
Member Newsletters 2016 - Current
Member Newsletters Prior to 2016
UnitedHealthcare Rhody Health Partners
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