Rhode Island · 2027 plan year

Medicare Advantage HMO plans in Rhode Island

There are 16 Medicare Advantage HMO plans in Rhode Island from 4 carriers, averaging 3.57 out of 5 stars across the 14 plans CMS has rated. 43% of those with a published premium charge $0 a month (7 of 16); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.

16
HMO plans
4
Carriers
5
Counties covered
3.6
Avg stars (14 of 16 rated)
$6,525
Median out-of-pocket max

Across the 16 HMO plans in Rhode Island that publish one, the in-network out-of-pocket maximum has a median of $6,525 and tops out at $9,850 — the ceiling on what you pay in a year for covered in-network care. The mean is $7,209, which sits above the median — the spread is not symmetric, so the median is the better guide.

A $0 plan premium is not a free plan. You still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. Star ratings are published by CMS per contract, so every plan a carrier files under the same contract shares one rating — it describes the carrier’s performance, not this specific plan’s benefits. Estimate your real costs.

44% of Rhode Island's HMO plans are Special Needs Plans.

7 of 16 plans here are SNPs — restricted to people who also have Medicaid, live in an institution, or have a qualifying chronic condition. If none of those apply to you the field is smaller than the headline count suggests, so filter them out before comparing.

Rhode Island HMO plans rank 39th of 49 on star rating.

Across the 14 rated plans here the average overall rating is 3.57 stars, 39th highest of the 49 states with HMO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.

Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.

Highest rated

Top-rated HMO plans in Rhode Island

Showing 5 of 16. See all Rhode IslandMedicare Advantage plans →

Who sells here

HMO plans by carrier

CarrierPlansAvg starsSNPs
UnitedHealthcareUnitedHealth Group, Inc.73.74
Blue Cross & Blue Shield of Rhode Island63.51
Neighborhood Health Plan of Rhode IslandNEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND2—2
Aetna MedicareCVS Health Corporation13.0—
Other plan types in Rhode Island

How HMO compares

All Rhode IslandMedicare Advantage plans →

Nearby on quality

States with similar HMO star ratings

Common questions

Rhode Island Medicare Advantage HMO plans, answered

How much do Medicare Advantage HMO plans cost in Rhode Island?
Of the Rhode Island HMO plans with a published premium, 44% charge $0 a month. The monthly premium is what you pay the plan for its medical (Part C) and drug (Part D) coverage together. A $0 premium does not mean the plan is free: you still pay your Part B premium to Medicare, plus copays and coinsurance as you use care. The number that actually caps a bad year is the in-network out-of-pocket maximum, with a median of $6,525 across these plans.
What are the star ratings for Rhode Island HMO plans?
The 14 rated HMO plans in Rhode Island average 3.57 out of 5 stars, with 4 rating 4 or better. CMS rates a contract rather than an individual plan, so every plan a carrier files under the same contract shares one score. A contract that is too new or has too little data is not rated at all, which is different from rating badly.
How many Medicare Advantage HMO plans are available in Rhode Island?
There are 16 HMO plans from 4 carriers, sold across 5 counties. Availability is set by county, so the plans you can actually join depend on where you live — the full list is rarely available in any one place. 7 of them are Special Needs Plans with extra eligibility rules (see below).
Do Rhode Island HMO plans include prescription drug coverage?
14 of the 16 HMO plans here bundle Part D drug coverage into the plan. That is the usual arrangement for Medicare Advantage, and you pay one monthly premium to the plan — but that premium has a medical (Part C) part and a drug (Part D) part, and the drug part is often what makes it more than $0. Each plan's page shows both. If you join a Medicare Advantage plan without drug coverage, you generally cannot add a standalone Part D plan alongside it.
What is a Special Needs Plan, and are there any in Rhode Island?
7 of the 16 HMO plans in Rhode Island are Special Needs Plans. SNPs limit enrollment to people who also have Medicaid, live in a nursing home or similar institution, or have a qualifying chronic condition. They often carry richer benefits for that group, but if you do not meet the criteria you cannot join one — so the real number of plans open to you may be lower than the total.

A $0 premium is not the whole cost.
See what a year really looks like.

Simplivera models your actual annual costs across Rhode Island Medicare Advantage plans.

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