HomeTrendingHow To Get Health Insurance In Rhode Island

How To Get Health Insurance In Rhode Island

When Is The 2022 Open Enrollment Period In Rhode Island

Neighborhood Health Plan of Rhode Island Our Members, Our Mission

The 2022 Open Enrollment Period in Rhode Island starts on . .6

If you dont sign up then, you wont be able to apply for ACA plans until next years OEP unless you have whats called a qualifying life event. This is something that changes the size of your family or leaves you uninsured, such as getting married, having a baby or losing your job. Events like these open a short window of time called a Special Enrollment Period during which you can get insurance.7

Enrollment in Rhode Islands ACA Marketplace started at 28,000 residents in 2014 and, with minor exceptions, settled in around 34,000 ever since.8

More Time to Enroll

Rhode Island extended sign ups for health insurance due to the coronavirus. Residents have until August 15, 2021 to do so.

What Is Covered And How Much Will It Cost

Coverage and cost depend on family size, the age of family members, household income and the type of plan you choose.If you qualify for Medicaid, youll be able to get free or low-cost coverage and may not need to worry about premiums or copays, depending on your level of income.All HealthSource RI plans are required by the Affordable Care Act to provide essential benefits, including:

  • Emergency services and hospitalization
  • Pediatric services, including dental and vision
  • Prescription drugs
  • Preventative care, such as vaccines, screenings and yearly physicals

Insurance companies cannot deny coverage because of preexisting conditions. When you apply for health coverage through the states marketplace, you can identify your medical needs and choose a plan that makes financial sense for you and your family. Deductibles and out-of-pocket costs vary between plans.Dental coverage must be purchased separately, although children under 18 may already have basic dental services included in their HealthSource RI plans.

Consumer Assistance In Rhode Island

The Rhode Island Consumer Assistance Program is run by the Rhode Island Parent Information Network, Inc. . Staff can answer questions about health insurance regulations, rights, and responsibilities. They can help you file a complaint or appeal a health plan decision. Get consumer help with a problem or question.

You May Like: What Is Sidecar Health Insurance

Individual And Family Plans

You normally need to enroll in an ACA compliant plan during the yearly Open Enrollment Period. The Enrollment Period for 2022 coverage is now open! This is your yearly opportunity to enroll in a new healthcare plan. Act fast, this period closes on January 15th. Nevertheless, youre given the opportunity to enroll at other times of the year if you experience a qualifying life event such as moving home, losing existing coverage, and having children. There are many life events that qualify for 60-day Special Enrollment Period. We can check to see if youre eligible for registration today as part of our quoting process. We can also connect you with great short-term options if you dont qualify.

Medicare And Medicare Advantage

Rhode Island health insurance marketplace: history and ...

The charts showing the cost the the number of enrollees includes people covered by all types of Medicare and Medicare Advantage. The cost of this type of health coverage includes participation from employers, individuals, federal, state and local government. Excluded from the costs are any form of co-pay or a deductible the individual must pay to receive care.

How enrollees use their health care services is based on enrollees in Medicare Advantage plans only. Medicare Advantage plans are Medicare health plans offered by private companies that contract with Medicare. Medicare Advantage plans include Health Maintenance Organizations , Preferred Provider Organizations , Private Fee for Service Plans, Special Needs Plans and Medicare Medical Savings Account Plans .

Also Check: What Is Family Health Insurance

How Do You Enroll In Rhode Islands Health Insurance Marketplace

Every Affordable Care Act plan is required to provide 10 essential health benefits, starting with coverage for preexisting conditions, inpatient hospital care and prescription drugs.

Rhode Island runs its own health insurance marketplace. That means you can buy coverage and possibly qualify for subsidies through the Health Insurance Marketplace at the HealthSource RI website.

At HealthSource RI, you can compare affordable health plans, purchase coverage and apply for Medicaid and other subsidized coverage.9

Besides establishing its own state-based ACA exchange and expanding Medicaid, Rhode Island has virtually banned short-term health insurance policies that dont comply with the ACA. The state also put in place a state-based individual mandate, which means that all Rhode Islanders must get and maintain health coverage. The mandate took effect in January 2020. If you didnt have insurance in 2020, penalties will start appearing on 2020 tax returns filed in 2021.10

To buy insurance through Rhode Islands health insurance exchange, visit HealthSource RI, or call 840-4774 or 211.

How Much Does Self

The cost of self-employed health insurance in Rhode Island can vary depending on the provider and healthcare plan you select. Your income will largely determine the cost of your monthly premiums. For example, there are some plans that only qualify people that have a low income. Some health insurance plans are flexible and allow you to change your plan according to your income levels, which may enable you to qualify for government subsidies that can help with the cost of coverage. There are also several cost assistance options.

Recommended Reading: How Much Do You Pay For Health Insurance

Why Ripins Call Center Is The One

We know that understanding health insurance isnt easy. Injust the last year alone, weve interacted with our clients over 30,000 timesto work on their education and health insurance issues.

And while you need to make sure your family is still gettingthe coverage they need, the insurance company uses confusing and complicatedterms that are hard to understand. You may receive multiple notices in the mailfrom your doctor, your insurance company, or the hospital or lab you visited,leaving you wondering what to do.

Meanwhile, weeks or months go by and you feel like you haventgotten very far. You never wanted bills to pile up or your coverage to stop.

Fortunately, RIPIN is here to help.

Real help with your health coverage

RIPIN provides a free helpline for consumers who have questions or are trying to solve problems with their healthcare. We take a unique, step by step approach and never try to give you the runaround.

RIPIN is an independent, nonprofit community organization,which means serving you is our top priority. All of our services areconfidential, multilingual, and available at no cost to consumers.

If youre looking for personalized support to get answers, youre in luck! All it takes is a simple phone call to get started.

How RIPINs Call Center Can Work for You

Want to get started? Call 401-270-0101 or email .

Struggling to find insurance in Rhode Island?

Rhode Island License Application

Easy Entertaining – Member Story – Neighborhood Health Plan of Rhode Island

Once you have completed your exams and fingerprinting, you are now ready to apply for your license. If you have more than one line of authority that you have passed the exam for, be sure to apply for all of those lines.

The fee for an online application is $120, and an NIPR fee of $5, for a total of $125. If you wish to add another line of authority at a later date, there is a $50 license amendment fee.

Fill out and submit your online application on the NIPR Rhode Island page.

Also Check: Do You Have To Get A Physical For Health Insurance

Pros And Cons Of Self

One change made by the Affordable Care Act is it now allows monthly premiums to be a deductible line item on a tax return for someone that is self-employed. It is also beneficial to be able to have the flexibility to change income levels, which may qualify you for subsidies to help with the cost of coverage. That being said, this can be a double-edged sword. If business circumstances change in the opposite direction and you find yourself doing better than you anticipated, you must remember to update your income and risk paying a higher amount in monthly premiums.

Ri Health Insurance Mandate

Health insurance is a requirement in the state of Rhode Island.If you go without continuous health coverage, you might pay a penalty when you file your taxes in 2021. See below for more information about the health insurance mandate and how it might affect you.

Better yet, sign up for coverage through HealthSource RI today to avoid a tax penalty later.

COVID-19 Hardship ExemptionIf you are looking for more information about exemptions from the penalty fee, please see the exemptions section below. Additionally, the State of Rhode Island recognizes that the COVID-19 pandemic has brought about unusual and unanticipated circumstances for many individuals. As a result, HealthSource RI filed a regulation expanding its criteria for qualification for the Hardship Exemption to include a COVID HARDSHIP, which can be claimed on an individuals RI Personal Income Tax return by using code 19. Filers who may claim this exemption DO NOT need to file an exemption application with HealthSource RI.

This exemption is valid for use ONLY for the months of April 2020 through December 2020 and may be claimed directly if the taxpayer attests that, due to a direct impact of the COVID-19 pandemic, the following statements are true:

1) The individual lost minimum essential coverage during the 2020 calendar year, and

2) The individual suffered a hardship with respect to the capability to obtain minimum essential coverage during the subsequent months in the 2020 year.

Recommended Reading: How Much Does Private Health Insurance Cost In California

Number Of People Covered By Type Of Health Insurance

Data from the Kaiser Family Foundation.

Trends identified in the above data include an increase in the number of people with individual insurance, Medicaid and Medicare coverage. Only group insurance declined over the period of time. The most significant increase was in the category of Medicaid, totaling an increase of 48,000 people.

Q: How Do I Renew My Health Insurance License In Rhode Island

Rhode Island Health Insurance Exchange

Complete online renewal application and pay renewal fees online by credit card at NIPR. You must have your resident license number and your national producer number available. All continuing education credits must be completed prior to renewal and your licensing record must be compliant. You can verify your continuing education credits here.

Resident Renewal Fee: $120.00

Non-Resident Renewal Fee: $130.00

Don’t Miss: How To Sign Up For Obama Care Health Insurance

You Have Chosen To Enroll In

  • What is DSNP?

    A Dual Special Needs Plan is a type of health insurance plan for people who have both Medicaid and Medicare. It works together with your Medicaid health plan. You’ll keep all your Medicaid benefits. Most dual plans also give you more benefits and features than you get with Original Medicare. All for a $0 plan premium.

  • Who is eligible?

    You might qualify for Dual Eligibility Plans if

  • You are under age 65, eligible for state Medicaid benefits, and qualify on the basis of disability or other special situation.
  • You are at least 65 years old and receive Extra Help or assistance from your state.
  • The Medicare Annual Enrollment Period happens once a year in the fall. If you qualify for a Dual Special Needs Plan, you may not have to wait.

    You may be able to enroll right away if you

  • Are 65 and newly eligible for Medicare or have a qualifying disability
  • Are retiring and losing your current coverage
  • Have moved out of your current Medicare plan’s service area
  • Have a chronic condition like diabetes or chronic heart failures
  • Receive Medicaid benefits
  • Looking for the federal governments Medicaid website? Look here at Medicaid.gov.

    Unitedhealthcare Rhody Health Partners

    UnitedHealthcare┬« of New England’s Medicaid health plan is accredited by the National Committee for Quality Assurance .Rhody Health Partners 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.

    You May Like: How To Put Someone On Your Health Insurance

    Help For Families With Children

    Families with children may get Medicaid coverage through RIte Care and RIte Share. RIte Care is a managed care program for families with children, pregnant women and children under 19, offered through the Neighborhood Health Plan of Rhode Island, Tufts Health Plan and UnitedHealthcare Community Plan.

    RIte Share provides premium assistance to Medicaid-eligible individuals who have access to health insurance through their employers. The program pays all or part of the monthly premium for the employer-sponsored plan instead of enrolling the individuals in RIte Care.25

    Adults 19 to 64 without children who are eligible for Medicaid can choose to enroll in one of the same three managed care plans: Neighborhood Health Plan of RI, UnitedHealthcare or Tufts Health Plan. .26

    How Do I Get Access To Self

    RI health care workers required to get vaccinated by Oct. 1 as new cases, hospitalizations spike

    You can access Rhode Island self-employed health insurance through the federal marketplace by filling out the Health Insurance Marketplace application or by utilizing a private broker for assistance. There are several self-employed health insurance options available via private health insurance companies as well. See the list below of those companies who offer self-employed health plans in Rhode Island.

    Read Also: Does Health Insurance Cover Daycare

    Will My Family Members Qualify For The Same Health Plan That I Do

    In most cases, family members can enroll in the same plan. But in some cases, there may be certain family members, often children, who qualify for no-cost coverage through Medicaid. A specialist with HealthSource RIs can answer your questions. Call 855-840-4774 or use the live web chat option on the marketplaces website.This guide, originally published on June 25, was updated on Nov. 1 to include information about open enrollment.

    Where To Apply For Health Coverage

    People in most states use HealthCare.gov to apply for and enroll in health coverage.

    If your state appears on the list below, you wont use HealthCare.gov. Youll use your states website to enroll in individual/family or small business health coverage, or both.

    Covered California is your state’s Marketplace. Visit Californias website.

    Recommended Reading: Who Qualifies For Health Insurance Subsidies

    The Rhode Island Health Insurance Exchange

    With HealthSource RI, eligible people throughout the state can find subsidized ACA plans. Open Enrollment for 2022 in Rhode Island begins November 1, 2021 and ends December 15, 2021. Some states extend this window, but theres no guarantee.

    HealthSource RI is unique in that you can pay your premium at any CVS in the country. This makes paying your premium very easy and accessible.

    Like all other state exchanges, each plan on HealthSource RI covers 10 essential health benefits. These include things like prescription coverage, maternity and mental health care, and laboratory services.

    Buying insurance with HealthSource RI involves four steps:

    1. Create an account on HealthSource RI

    2. Complete the online application form

    3. Compare your options

    4. Select your plan and enroll

    In true health insurance fashion, each of these steps can be trickier than you expect. Many people need help navigating the website, estimating their income, figuring out if they are eligible for subsidies, and understanding what documents are needed for proof of income, citizenship, or identity. Luckily, you can find a navigator to help you in-person with your application!

    Children With Special Health Care Needs

    Coventry, RI Drug Rehab Centers And Addiction Treatment ...

    Children with Special Health Care Needs 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 , Katie Beckett or Adoption Subsidy through the Department of Children, Youth, and Families . 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.

    Don’t Miss: Can I Have Health Insurance In Two Different States

    Cheapest Health Insurance By Metal Tier

    We compared quotes from the HealthSourceRI exchange to find a low-cost health insurance policy available at every metal tier Neighborhood Health Plan’s policies consistently had the best rates.

    The table below shows the cheapest health insurance plan for each metal tier, along with its deductible, out-of-pocket maximum and the monthly cost for a 40-year-old applicant. These health policies should be used as your initial starting point to identify a metal tier that works with your income and health care needs.

    Metal tierMonthly cost for a 40-year-old
    Bronze
    VantageBlue Direct Plan 750/1500 Modified$750$1,800$629

    As you can see, health insurance in Rhode Island is broken down into four different metal tiers: Bronze, Silver, Gold and Platinum. The cheaper plans like Bronze will have low monthly premiums but high deductibles, which will require you to spend more out of pocket before any coinsurance benefits will begin. On the other hand, a more expensive plan, like Gold or Platinum, will cost more in monthly premiums but your coverage will kick in more quickly.

    Your premium for health insurance will be determined in large part by your age as you get older, you will pay significantly more for health insurance coverage. For example, for a Silver tier policy, a 60-year-old applicant in Rhode Island will have to pay 112%, or $474 per month on average, more than a 40-year-old.

    Popular Articles

    explore more