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Best Medicare Advantage Plans in Rhode Island for 2020

The best Medicare Advantage plans in Rhode Island for 2020 will be popular, and they might be a good option for you. Once you compare your options and rates for enhancing your Medicare coverage, you may just find that Medicare Advantage plans in Rhode Island are right for your needs. This guide will help you understand these Medicare plans, restrictions related to in-network providers and more so that you can make the right decision when looking at your health insurance plan options.

Overview of the Best Medicare Advantage Plans in Rhode Island for 2020

A lot of people find that the coinsurance, copayments and deductibles of Medicare really add up. If you’d like to sign up for a replacement policy that is regulated by Medicare, Medicare Advantage is probably right for you. We’ll help you compare 2020 rates and perks for your different options and then choose and enroll in a plan right here on our website, or you can call and talk one-on-one with one of our licensed insurance agents.

Best Medicare Advantage Plans in Rhode Island: When Can You Enroll?

Now that you know that you don’t want to rely on Original Medicare alone, you might be wondering when you can sign up for Medicare Advantage. These periods all give you the option to sign up for these HMO, preferred provider organization PPO plans or other MA policies, as long as you are enrolled in Medicare Part A and Medicare Part B first:

  • Medicare Initial Coverage Election Period ICEP: Many people find that it’s best to sign up for Medicare Part C plan in Rhode Island as soon as they become a beneficiary of Medicare Part A and Part B, and this period gives you that opportunity.
  • Medicare Annual Election Period AEP: Each year from October 15 to December 7, you can sign up for, disenroll or change your Medicare Advantage policy during the AEP.
  • Medicare Advantage Disenrollment Period MADP: Now discontinued, beneficiaries once used this period to disenroll from a Medicare Advantage plan and switch back to Original Medicare (Medicare Part A and Part B).
  • Medicare Advantage Open Enrollment Period MA OEP: This period just started from January 1 to March 31st of 2020 and will run for the same period each year. This is another time when you have the opportunity to change your MA policy.
  • Medicare Special Election Periods SEP: If you lose your coverage, move or otherwise need the opportunity to sign up for a policy outside of one of the Medicare Enrollment periods listed above, an SEP may be triggered to allow you to do so.

Best Types of Medicare Advantage Plans in Rhode Island

From HMO Medicare Advantage plans to PPO Medicare Advantage plans and beyond, you do have a lot of options in Rhode Island for 2020. These are the best and most popular policies that you can choose from when shopping for a Medicare Advantage plan to replace Original Medicare (Medicare Part A and Part B). Compare their pros and cons so that you will know which Medicare Advantage plan in Rhode Island to sign up for.

PPO Preferred Provider Organization Plans (PPO) in Rhode Island

  • There are provider network service areas.
  • You can see a doctor or go to a hospital outside of your insurance company’s network for treatment with preferred provider organization PPO plan, but costs for care outside of your provider network will be higher.
  • When seeing in-network doctors, hospitals, nursing homes, skilled nursing facility options and other healthcare providers, you will pay less.
  • You do not need referrals to see a specialist.

HMO Health Maintenance Organization Plans (HMO) in Rhode Island

  • If you’re looking for a $0 premium option, you may be able to find one with health maintenance organization HMO plans. These policies typically have the lowest monthly premiums of all of the Medicare Advantage plans that are available in Rhode Island for 2020.
  • Your insurance company will only pay for out-of-network care in emergency situations.
  • You will have to see your primary care doctor (PCP) when you need to see specialists so that you can get referrals.

Private Fee-for-Service PFFS in Rhode Island

  • How much your insurance company pays and how much you will pay will be based on the specifics of your policy
  • These policies do not have network restrictions.

Special Needs Plans SNPs in Rhode Island

  • Special Needs Plans are designed for people with end stage renal disease ESRD and other chronic health conditions and institutional conditions.
  • Insurance companies that sell these special Medicare Advantage plans in Rhode Island are required to include Medicare Part D prescription drug plans in these policies. These Medicare prescription drug plans can help you save a lot of money on medication for your chronic condition.

Enrollment Figures for Rhode Island Medicare Advantage Plans

If you are curious about other Medicare beneficiaries in Rhode Island, take a look at these interesting enrollment figures about Original Medicare and Medicare Advantage plans in your state:

  • The five largest counties in Rhode Island are Providence, Bristol, Kent, Washington and Newport.
  • There were 219,877 Medicare beneficiaries in Rhode Island in 2018.
  • 80,788 of Medicare beneficiaries in Rhode Island were enrolled in Medicare Advantage in 2018.

How Do Medicare Advantage Plans in Rhode Island Cover Prescription Drugs?

Medicare Part A and Part B do not cover prescription medication for you to take home. Medicare Supplement plans do not pay for prescription drugs, either. Your basic Medicare Advantage plan in Rhode Island for 2020 won’t pay for them, but many Medicare Part C policies in Rhode Island do include Medicare Prescription Drug Plans.

Sometimes, this is a good thing. In other cases, though, the prescription drug coverage might not cover everything that a stand-alone policy would. To find out, you’ll need to take a look at the formulary, which is a list of drugs that are covered by the Part D plan. Many insurance companies also use prescription drug tiers and charge higher amounts for certain medications, so you will want to know about this, too.

Network Restrictions for Medicare Advantage Plan in Rhode Island?

When you’re just enrolled in Medicare Part A and Part B, you do not have to worry about network restrictions. If you sign up for Medicare Part C plan in Rhode Island after you are eligible for Medicare, on the other hand, you will need to be aware of network restrictions. Knowing about these restrictions before enrolling in a Medicare Advantage plan will help you make the best decision:

  • In-Network vs. Out-of-Network Within Coverage Area: An HMO will not pay for care outside of your network unless it’s an emergency, but a PPO will (with higher out-of-pocket expenses for you).
  • Traveling With Plan: You can feel peace of mind when traveling with either Rhode Island Medicare Advantage plan type, since you can get emergency care when you’re traveling in the United States.
  • Moving Across State Lines: If you move, you will need to change Medicare Advantage plans. This is because unlike Original Medicare (Medicare Part A and Medicare Part B), Medicare Advantage plans are affected by your location.

Added Benefits of Medicare Advantage Plan in Rhode Island

During your Medicare Advantage Enrollment Period, you may want to look for a Medicare Advantage plan that includes some of these perks while shopping for a policy with top star ratings:

  • Hearing care, routine vision and dental care
  • Wellness programs
  • Silver Sneakers or other similar gym membership
  • Recommendations for diet and nutrition
  • Allowance for over-the-counter medication costs
  • Healthy living seminars and classes
  • Transportation to and from medical appointments
  • Payment of some or all of the Medicare Part B premium

Here are a few changes for 2020:

  • Starting in 2020, insurance companies that provide Medicare Advantage plans in Rhode Island will be able to add some supplemental non-health related benefits to certain beneficiaries, such as providing help with making structural changes to the home when needed. This is designed to help those who might need help with widening doorways or installing ramps for their homes.
  • The Centers for Medicare and Medicaid Services approved a 2.53% payment increase to Medicare insurers that offer Medicare Advantage plans in Rhode Island.

Top Companies for Medicare Part C Plans in Rhode Island

In any case, this list offers you a brief comparison of some of the top companies that will probably offer Medicare Advantage Plans in Rhode Island for 2020:

  • Blue Cross: The Rhode Island Blue Cross company has enrolled 69 percent of the Medicare Part C plan market. The company offers HMO and HMO-POS plans that have also earned high star ratings.
  • PACE of Rhode Island: This small, regional Medicare insurance company has a small share of enrollment.
  • Humana: Humana may not be active in Rhode Island for Medicare Advantage plans at this time.
  • Other Popular companies to look for are Aetna and Cigna.

At this period, there wasn’t published information about 5-star ratings for Rhode Island. During Open Enrollment, you might see updated information about 5-star ratings or other changes to star ratings. Medicare complies dozens of different pieces of information about the performance of various Medicare Advantage plans to come up with their ratings.

Rhode Island Medicare Resources

You may have some questions about getting enrolled in Medicare Part A and Part B, and you could be hoping to take a look at a complete description of benefits of Original Medicare so that you’ll know what is and is not included. These resources can help with those things and can also help you with extra help if you need it; for example, if you’re a low-income Medicare beneficiary, you might be dual-eligible for Medicare and Medicaid. These links can help:

Not only can the resources above help you, but we can help you, too. We’ll help you better understand the Medicare program, and we can help talk to you about health plans like Medicare Supplement insurance (Medigap) vs. Medicare Advantage plans in Rhode Island so that you can choose the right Medicare insurance for you. We work with companies like Blue Cross & Blue Shield of Rhode Island and UnitedHealthcare and can help you find the policy that works best for you, from an HMO-POS to a PPO or another option.