Affordable Health Insurance in Rhode Island: free quotes available

By: Darla J. Christy
Updated: November 1, 2022
cheap medical insurance in rhode island

If you’re looking for health insurance in Rhode Island, it can seem like there are a million different options to choose from.

Like most people, you’ve probably spent hours figuring out how to get health insurance and finding a plan that matches your needs and fits your budget can be tricky.

We’re here to help, so don’t worry! In this blog post, we’ll give you bite-sized tips on how to get health insurance in Rhode Island in just 30 minutes.

So you may be totally new to the marketplace or just looking for a few weeks to your current policy. Read on for some helpful advice.


What Rhode Islanders Should Know About Health Insurance

The research by NewHealthInsurance sample rates is associated with private healthcare plan data from the healthcare market in Rhode Island.

When you register on the health insurance platform, you might be able to find less costly options.

Rhode Islanders with lower incomes or adults may be eligible for Medicaid or Medicare.

Compared to Marketplace insurance plans, these choices are cheaper.


Who Requires Coverage

Everyone residing in the US is required to get the best health insurance there under Obamacare Public Option. You will be charged a tax penalty if you do not enroll in an approved Affordable Care Act coverage during the Enrollment Period or through your company.


The Marketplace of Health Insurance Marketplace in Rhode Island

Residents of Rhode Island can enroll in health insurance through private insurance exchanges. Compared to the state exchange, these markets provide a wide range of ACA-compliant packages.

You can access the best insurance coverage through the insurance marketplace, such as:

  • Critical Illness
  • Vision
  • Disability
  • Medicare Advantage, Medicare Supplemental
  • Dental
  • Life
  • Accidental Death


ACA-Compliant Individual and Family Plans

Insurance coverage companies are now required to meet a set of basic coverage requirements. This indicates that healthcare coverage, such as prescription medications, diagnostic tests, and treatment, is essential.

These policies are considered Affordable Care Act compliant and provide full coverage at a reasonable price. Moreover, despite suffering from a pre-existing diagnosis, you cannot be denied insurance. All of Rhode Island’s health insurance options are approved by the government exchange.

This guarantees that you will be given access to moderately priced Care act health insurance. If you require assistance paying your healthcare average costs, you might be considered for a subsidy. People who have average incomes between 100 to 400 percent of the federal poverty line are eligible for subsidies.


Small Business Health Insurance Rhode Island

cheap health insurance in rhode island

Assume you are the owner of a small business in Rhode Island with two to fifty full-time equivalents (FTEs). The Small Business Health Options Program (SHOP) allows you to get a qualifying policy for your workers. Like with specific procedures, you can do so via a private insurance broker or insurance agent. Ordinary policies cover 4-6 employees.

You are qualified for income tax credits if you pay for your workers’ insurance premiums.


Who May Apply for Health Insurance in Rhode Island?

Anyone in Rhode Island whose employer or spouse does not have insurance can purchase health insurance, including legitimately present immigrants, migrants, and refugees.

You might potentially be able to receive Medicaid, which has no monthly premium and offers lower families and individuals affordable or free care. If you are not concern about high deductible but looking for such kind of policy which offer low month premiums for them catastrophic health insurance plans can be an option to choice. You’ll learn if you’re eligible for this choice when you apply for coverage.

The Rhode Island Free Clinic may be able to provide you with health care services if you don’t have coverage and aren’t qualified for Medicare or Medicaid coverage.


What If I Have Health Insurance Already?

If you now pay for insurance directly from an insurance company because you don’t have coverage through your employer, transferring to pay for your plan potentially qualifies you for financial assistance and leads to significant savings.

But you might have to wait till the registration process. When a unique 3-month registration period opens up after you lose your COBRA plan, you might be able to enroll in a Health care plan. To prevent a coverage gap, try to apply and choose your health care plan before your COBRA coverage finishes.


How Much Will It Cost and What Is Covered?

The ages of the family members, the size of the family, the household income, and the type of plan you select all affect coverage and average cost.

Depending on your income level, you may not have to worry about paying premiums or copays if you are eligible for Medicaid. You will also be able to acquire free or inexpensive coverage.

According to the Affordable Healthcare Act, each health source must have the following essential benefits:

  • Services for drug use disorders and mental health (including counseling)
  • Newborn and maternity care
  • Services for emergencies and hospitalization
  • Services for children, such as dental and vision care
  • Medicines on prescription
  • Management of chronic illness
  • Annual physicals, screenings, and vaccinations are examples of preventative care.

Insurance companies cannot use preventative care as an excuse to refuse coverage. You may decide which health plan is best for you and your family financially when you apply for health insurance through the state’s marketplace.

You can also determine your medical needs. Plans differ in terms of deductibles and then out expenses.

Though children under the age of eighteen may already have some basic dental services and dental coverage must be purchased separately.


How Can I Sign Up?

At the same time as requesting coverage, you select your plan. When you fill out an application on a particular website, you’ll receive a notification of the coverage options available.

Your coverage won’t start if you sign up for a plan until your first monthly fee has been paid. Several options exist for making payments, including visiting any CVS Pharmacy nationwide.


How to Enroll in Health Insurance in Rhode Island

  • Online
  • By phone
  • In-person


There is various marketplace that maintains their website online and takes enrollment online. Choose a company, then register your name.

By phone

By phone, A call center agent may walk you through all of the plans that are offered, assist you in comparing them based on features and price, and complete your enrollment over the phone.


Make arrangements for a coordinator who can guide you through the application process to provide you with yet another help.


Rhode Island’s Top Health Insurance Companies

health insurance in rhode island

Selecting from more than 50,000 programs might be difficult without impartial, professional guidance.

The top five health insurance providers in Rhode Island are provided below to assist. These ACA-compliant health plans are Rhode Island’s BEST, according to the NCQA.

  • United Healthcare Insurance Company (Rhode Island)
  • Cigna Health and Life Insurance Company – Rhode Island
  • Blue Cross & Blue Shield of Rhode Island
  • United Healthcare Services, Inc (Rhode Island)
  • Tufts Associated Health Maintenance Organization, Inc.


Best Health Insurance Plans to Choose

The last thing you want to do when selecting a health insurance plan is purchase a low premium to discover yourself afterward coming medical expenses. But if you don’t frequently need medical treatment, there’s also no incentive to pay for a high-value plan.

When comparing plans, the most important thing to consider is if you and your family have ongoing medical problems or expenses. If so, pick a healthcare plan or Metal tier that covers more of those costs.

The government and regional exchanges have seen the most popularity for silver plans. 70percent of buyers pick those. The best approach to preparing is to consider your medical costs from the previous year and choose the scenario that most strongly matches your own.

  • Gold
  • Silver
  • Bronze
  • Platinum


  • You or a family member do have a chronic illness, regularly visit the doctor, or have pricey medication that would be excessively costly to pay out of budget.
  • You are older or more susceptible to the common cold and flu than others.
  • Your kids need to see a pediatrician frequently because they’re too young for elementary school.


  • One or two severe diseases in your family call for medication and doctor appointments, but not constant monitoring or care.
  • All your kids are in good health, in elementary school or older, and participate in few or no activities that frequently result in injuries.
  • Your age has been under 70.
  • Your family is in good health.


  • Apart from an annual checkup and one or two drugs you may quickly pay out of yourself, you hardly ever become sick or need medical services.
  • You are in excellent health.
  • You are not a senior.
  • If purchasing a family plan, ensure that your children are at least primary school level, in excellent health, and refrain from engaging in harmful activities.


  • You or a family member suffers from a severe chronic illness, and you must take many drugs.
  • You go to the doctor more than once a month, often need checkups to manage a disease or use urgent care or emergency services more than once a year.
  • You have a higher risk of being sick or hurt if you’re older.


Rhode Island’s most affordable PPO, HMO, and POS health insurance plan

Depending on your medical needs and preferences, you can select the sort of plan you want to purchase. Health Maintenance Organization (HMO) plans make up the majority of policies in Rhode Island. The state also provides programs run by preferred provider organizations (PPOs) or point-of-service (POS).

HMO plans generally offer lower rates but often require you to remain in your provider network to have services covered. Although PPO plans often cost something beyond HMO plans, they offer a more comprehensive network infrastructure. POS plans offer coverage inside and outside the network, but the price is typically more excellent outside of it.

For each kind of plan, the least expensive Silver plans are:

HMO: NHPRI’s Neighborhood Community program. For a 40-year-old, on average, this expenses $329 each month.

POS: BCBSRI’s BlueCHiP Direct Advance 4650/9300 plan. For a 40-year-old, on average, this expenses $401 per month.

PPO: BCBSRI’s BlueSolutions for HSA Direct 4100/8200 plan. For a 40-year-old, this expense is $456 a month.

Prior to enrolling in an insurance plan, it is wise to research various providers, such as PPOs, POSs, and HMO reviews.

Cheapest HSA-Eligible Plan in Rhode Island

People in good health who don’t anticipate having frequent doctor visits may decide to buy a Health Savings Account (HSA).

You can pay for medical bills which were before dollars if you choose this less expensive alternative. It can serve as savings if you decide not to use this money for medical bills.

The least expensive health insurance plans with a Health Savings Account (HSA) in Rhode Island are:

Gold: The BlueSolutions for HSA Direct 1700/3400 plan offered by BCBSRI is the gold level. For a 40-year-old guy, the average annual cost is $498.

Silver: The NHPRI-provided Neighborhood Community plan. For a 40-year-old male, the cost is $328 annually on average.

Bronze: The NHPRI’s Neighborhood Economy strategy. A 40-year-old male pays $236 on average per year.

Bear in mind that premiums for HSAs might be very expensive. This suggests that your savings may suffer if you incur a sudden medical bill.



The most cost-effective option for you will rely on your unique demands and traits; newhealthinsurance study is based on estimates. No single plan is guaranteed to be the least expensive for you in Rhode Island by this study, which is only meant to be a recommendation.

newhealthinsurance gathered plans and costs for health insurance in Rhode Island from the HealthSource RI website for all available metal tiers and a wide range of age groups. In 2021 in May, plans, and premiums were examined.

The estimated cost of health insurance premiums on this page does not include any potential premium tax credits or cost-sharing subsidies for which customers may qualify.


Health Insurance in Rhode Island FAQs

How to get health insurance in Rhode Island?

Through the Health Insurance Exchanges, you can buy individual health insurance. These are plans that conform with the Affordable Care Act’s governmental standards.

Can I sign up for health insurance now Rhode island?

If you had a Qualifying Life Event prior to 1st February, you might be qualified to enroll in health insurance with financial help.

Do you have to have health insurance in Rhode Island?

On January 1st, 2020, Rhode Island’s health insurance requirement went into force. Beginning on 1st January 2020, the obligation calls for all residents of Rhode Island (apart from those who are expressly excluded under the legislation) to have “qualified health coverage.”

Do you need health insurance in Rhode Island?

On January 1st, 2020, Rhode Island’s health insurance requirement went into force. Beginning on 1st January 2020, the obligation calls for all residents of Rhode Island (apart from those who are expressly excluded under the legislation) to have “qualified health coverage.”

Does Rhode Island have good health insurance?

Seventh overall, Rhode Island’s health system is one of the best in the country.

Does Rhode island teacher pension pay for health insurance?

Most teachers who work in public schools are qualified for defined benefit pension plans, under which the state guarantees a lifetime payout upon retirement based on the duration of employment and income history.


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