Find 2018 Medicare Plans in Rhode Island - RI Medicare Insurance Overview

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Rhode Island Medicare Insurance

Medicare in Rhode Island

Medicare offers healthcare coverage to Rhode Island residents age 65 or older, or to those Rhode Island residents that suffer from certain medical disabilities. In 2015, 197,000 people are enrolled in Medicare in Rhode Island, accounting for 19% of the population in Rhode Island. In 2009 an average of $10,121 was spent per Medicare enrollee in Rhode Island, approximately 2.35% lower than the national average of $10,365. Between 2015 to 2030 the number of seniors in Rhode Island is expected to rise by an estimated 40.67% according to calculations based off of the 2000 Census. Thus, the number of Medicare beneficiaries in the state is also expected to grow.

Local Medicare Resources

Like other states, Rhode Island participates in a national network of Senior Health Insurance Programs (SHIP). Medicare beneficiaries and their caregivers can receive free, unbiased, and one-on-one health insurance counseling from SHIP. Another program available to residents is Senior Medicare Patrol (SMP) which aims to educate and also empower consumers on how to identify, avoid, and report instances of Medicare waste, fraud and/or abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you sign up for Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Many Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

Rhode Island 2017 Medicare

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Rhode Island is $59.67, 4.5% less than the national average of $62.48. 33.33% of 2017 Medicare Part C insurance plans in Rhode Island have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $290, but in Rhode Island the average annual drug deductible for Medicare Part C insurance plans with drug components is $119. 50% of 2017 Medicare Part C insurance plans with a drug component in Rhode Island have a $0 annual drug deductible.
  • All 2017 Medicare Part C insurance plans without a drug component in Rhode Island have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Rhode Island is $4,300. 16.67% of 2017 Medicare Advantage plans in Rhode Island had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Rhode Island was 4.5 stars in 2017.
  • Among Rhode Island's 2017 Medicare Advantage plans with CMS star ratings:
    • 100% earned a score of 4 or 4.5 stars

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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Rhode Island Medicare Insurance Companies

There are 13 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Rhode Island. Of these, the companies that offer the largest variety of plans to choose from are UnitedHealthcare, Blue Cross Blue Shield of Rhode Island, and Medco Medicare. In Rhode Island,. The following are all medicare insurance providers in Rhode Island:

Humana

3 Plans

WellCare

2 Plans

Cigna

2 Plans

Aetna

2 Plans

NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND

1 Plans

2018 Featured Medicare Plans in Rhode Island

There are 35 medicare plans in Rhode Island. The following are the 10 highest rated medicare plans in Rhode Island based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $38Anthem BCBS - Blue MedicareRx Value Plus (PDP)
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from $122Anthem BCBS - Blue MedicareRx Premier (PDP)
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from $0UnitedHealthcare - AARP MedicareComplete Essential (HMO) - Bristol County
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from $0UnitedHealthcare - AARP MedicareComplete Plan 1 (HMO) - Bristol County
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from $24UnitedHealthcare - AARP MedicareComplete Plan 2 (HMO) - Bristol County
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from $74UnitedHealthcare - AARP MedicareComplete Plan 3 (HMO) - Bristol County
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from $0Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Core (HMO) - Bristol County
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from $0Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Advance (HMO) - Bristol County
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from $19UnitedHealthcare - AARP MedicareComplete Choice (Regional PPO)
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from $22Medco Medicare - Express Scripts Medicare - Saver (PDP)
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Rhode Island Featured Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Rhode Island based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $257Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Preferred (HMO-POS) - Bristol County
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from $168Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Plus (HMO) - Bristol County
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from $97Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Extra (HMO-POS) - Bristol County
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from $58Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Standard with Drugs (HMO) - Bristol County
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from $33Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Value (HMO-POS) - Newport County
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Rhode Island Featured Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Rhode Island based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $257Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Preferred (HMO-POS) - Bristol County
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from $168Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Plus (HMO) - Bristol County
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from $97Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Extra (HMO-POS) - Bristol County
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from $58Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Standard with Drugs (HMO) - Bristol County
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from $33Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Value (HMO-POS) - Newport County
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Rhode Island Featured Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Rhode Island based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $74UnitedHealthcare - AARP MedicareComplete Plan 3 (HMO) - Bristol County
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from $24UnitedHealthcare - AARP MedicareComplete Plan 2 (HMO) - Bristol County
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from $0UnitedHealthcare - AARP MedicareComplete Plan 1 (HMO) - Bristol County
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from $0UnitedHealthcare - AARP MedicareComplete Essential (HMO) - Bristol County
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from $257Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Preferred (HMO-POS) - Bristol County
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Rhode Island Featured Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Rhode Island based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $257Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Preferred (HMO-POS) - Bristol County
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from $168Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Plus (HMO) - Bristol County
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from $97Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Extra (HMO-POS) - Bristol County
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from $58Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Standard with Drugs (HMO) - Bristol County
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from $33Blue Cross Blue Shield of Rhode Island - BlueCHiP for Medicare Value (HMO-POS) - Newport County
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Most Popular Medicare Doctors in Rhode Island

The following are the most popular medicare doctors in Rhode Island based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
Neurological SurgeryPROVIDENCE, RI
RadiologyEAST PROVIDENCE, RI
RadiologyEAST PROVIDENCE, RI
OphthalmologyPROVIDENCE, RI
Orthopaedic SurgeryWAKEFIELD, RI
RadiologyPROVIDENCE, RI
RadiologyCUMBERLAND, RI
RadiologyPROVIDENCE, RI
Neurological SurgeryPROVIDENCE, RI
RadiologyPROVIDENCE, RI
See all doctors accepting Medicare in Rhode Island

Browse Medicare Plans by Cities

  1. Providence, RI
  2. Warwick, RI
  3. Cranston, RI
  4. Pawtucket, RI
  5. East Providence, RI
  6. Woonsocket, RI
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