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Information to clarify health plan choices for people with Medicaid and Medicare.Benefits
Learn about dual health plan benefits, and how they’re designed to help people with Medicaid and Medicare.Enrollment
Do you or someone you know have Medicaid and Medicare? Learn how to enroll in a dual health plan.Eligibility
What does it take to qualify for a dual health plan? Here are some resources for people with Medicaid and Medicare.Frequently asked questions
Get answers to frequently asked questions for people with Medicaid and MedicareCaregiver
Valuable information and tips to help those who care for people with both Medicaid and Medicare - About Us
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Medicaid
Plans that are low cost or no-costMedicare dual eligible special needs plans
Plans that provide special coverage for those who have both Medicaid and Medicare - For Members (Opens in a new tab)
UnitedHealthcare Rhody Health Partners ACA Adult Expansion
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Medicaid
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 - 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.
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UnitedHealthcare Rhody Health Partners ACA Adult Expansion
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Who can join?
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).
The Affordable Care Act has enabled millions of people to apply for health insurance. This means, that if you are a single adult, (adult with no dependent children) you may now qualify for Medicaid.
To be eligible for Rhody Health Partners ACA Adult Expansion, you must:
- Be a Rhode Island resident.
- Be a Citizen of the United States or a legally permanent non-citizen who has been in the United States for 5 years.
- Be between the ages of 19-64.
- Have no dependent children and not pregnant.
- Have annual income at or below 133% Federal Poverty Level or make less then $15,654 per year.
Under federal health care reform, the income eligibility limits for Medicaid are bumped up to include people with income up to 138% of the federal poverty level.
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Federal Poverty Level Chart (Opens in a new tab)
PDF 74.98KB - Last Updated: 04/21/2023
We are committed to making a difference in each member’s life by providing benefits and services to help them take charge of their health. We take great pride in the quality of service we provide our members in the communities we serve. We’d be proud to have you as a member of UnitedHealthcare Community Plan.
Information and New Enrollment: Contact HealthSource RI at 1-855-840-4774 or visit healthsourceri.com.
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Search for providers, clinics and treatment centers.
Find medications covered by this plan.
Find a pharmacy near you.
Benefits & Features
Member Handbook
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English (Opens in a new tab)
PDF 853.11KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 861.87KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.37MB - Last Updated: 04/21/2023
Annual Notice of Change in Benefits
2018
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English (Opens in a new tab)
PDF 462.07KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 462.06KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 439.78KB - Last Updated: 04/21/2023
Benefits Summary
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English (Opens in a new tab)
PDF 86.46KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 87.50KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 98.24KB - Last Updated: 04/21/2023
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:
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
Member Handbook
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English (Opens in a new tab)
PDF 853.11KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 861.87KB - Last Updated: 04/21/2023
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Portugese (Opens in a new tab)
PDF 1.37MB - Last Updated: 04/21/2023
News Bulletins
Flu Season
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
Annual Notification
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English (Opens in a new tab)
PDF 742.73KB - Last Updated: 04/21/2023
CAHPS Survey
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.
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English (Opens in a new tab)
PDF 39.77KB - Last Updated: 04/21/2023
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:
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English (Opens in a new tab)
PDF 87.55KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 135.20KB - Last Updated: 04/21/2023
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Chinese (Opens in a new tab)
PDF 197.44KB - Last Updated: 04/21/2023
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Russian (Opens in a new tab)
PDF 130.13KB - Last Updated: 04/21/2023
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Arabic (Opens in a new tab)
PDF 121.47KB - Last Updated: 04/21/2023
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Nuer (Opens in a new tab)
PDF 126.30KB - Last Updated: 04/21/2023
Interpretation
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.
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.
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English (Opens in a new tab)
PDF 284.41KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 157.34KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 158.32KB - Last Updated: 04/21/2023
Transportation
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.
Preventive Care Guidelines
Preventative care helps you manage your health and health of your family. Maintaining or improving your health is important – and a focus on regular preventive care, along with following the advice of your doctor, can help you stay healthy.
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English (Opens in a new tab)
PDF 626.43KB - Last Updated: 04/21/2023
Member Newsletters 2016 - Current
2023
Spring
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English (Opens in a new tab)
PDF 1.77MB - Last Updated: 05/26/2023
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Español (Opens in a new tab)
PDF 1.69MB - Last Updated: 05/26/2023
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Portuguese (Opens in a new tab)
PDF 1.71MB - Last Updated: 05/26/2023
Winter
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English (Opens in a new tab)
PDF 1.66MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.61MB - Last Updated: 04/21/2023
2022
Fall
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English (Opens in a new tab)
PDF 1.37MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.38MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 722.31KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 2.08MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 2.08MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.78MB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 1.60MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.58MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 870.85KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 2.02MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 2.02MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 396.76KB - Last Updated: 04/21/2023
2021
Fall
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English (Opens in a new tab)
PDF 1.39MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.08MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 965.52KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 1.57MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.52MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.53MB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 6.23MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.35MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 6.03MB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 1.99MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.97MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.65MB - Last Updated: 04/21/2023
2020
Fall
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English (Opens in a new tab)
PDF 1.01MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF .99MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.01MB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 3.06MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 3.02MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 3.05MB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 1.18MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 871.77KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.15MB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 625.51KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 592.63KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 622.72KB - Last Updated: 04/21/2023
2019
Fall
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English (Opens in a new tab)
PDF 636.95KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 649.58KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 666.24KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 654.05KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 636.21KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 649.70KB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 617.64KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 596.56KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 569.81KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 647.51KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 633.94KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 620.44KB - Last Updated: 04/21/2023
2018
Fall
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English (Opens in a new tab)
PDF 1.12MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.40MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.42MB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 659.15KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 635.60KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 597.48KB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 620.34KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 572.71KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 548.11KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 712.06KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 800.71KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 650.03KB - Last Updated: 04/21/2023
2017
Fall
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English (Opens in a new tab)
PDF 414.05KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 404.93KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 373.51KB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 502.15KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 515.87KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 493.27KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 418.62KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 397.58KB - Last Updated: 04/21/2023
2016
Fall
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English (Opens in a new tab)
PDF 397.81KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 390.22KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 391.62KB - Last Updated: 04/21/2023
Special Edition
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English (Opens in a new tab)
PDF 1.03MB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 758.50KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 684.09KB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 514.23KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 477.68KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 394.63KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 359.65KB - Last Updated: 04/21/2023
Member Newsletters Prior to 2016
2015
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English (Opens in a new tab)
PDF 431.01KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 418.97KB - Last Updated: 04/21/2023
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Special Insert English (Opens in a new tab)
PDF 731.45KB - Last Updated: 04/21/2023
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Special Insert Espanol (Opens in a new tab)
PDF 636.70KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 408.03KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 336.52KB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 463.20KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 429.78KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 749.80KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 757.81KB - Last Updated: 04/21/2023
Privacy Insert
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English (Opens in a new tab)
PDF 162.24KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 157.37KB - Last Updated: 04/21/2023
2014
Fall
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English (Opens in a new tab)
PDF 2.26MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 2.03MB - Last Updated: 04/21/2023
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Insert English (Opens in a new tab)
PDF 79.38KB - Last Updated: 04/21/2023
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Insert Espanol (Opens in a new tab)
PDF 79.51KB - Last Updated: 04/21/2023
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Special Issue English (Opens in a new tab)
PDF 690.12KB - Last Updated: 04/21/2023
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Special Issue Espanol (Opens in a new tab)
PDF 594.42KB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 758.82KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 736.85KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 628.48KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 496.62KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 498.00KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 476.63KB - Last Updated: 04/21/2023
Fall
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English (Opens in a new tab)
PDF 824.30KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 806.98KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 752.37KB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 847.32KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 926.91KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 681.83KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 697.98KB - Last Updated: 04/21/2023
Learn More
UnitedHealthcare Rhody Health Partners ACA Adult Expansion