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Providence County, Rhode Island — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

23 individual Medicare Advantage plan segments from 4 parent organizations are filed for Providence County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
23plans filed −1 vs prior year
11with a $0 premium +1 vs prior year
$5,900median in-network MOOP +$950 vs prior year
15on 4-star or better contracts
18report comprehensive dental
22report an OTC allowance

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
AARP Medicare Advantage CareFlex from UHC RI-5 (HMO-POS)
UnitedHealth Group, Inc. · H5253-169-000 · SoB ✓
HMO-POS$0$6,700$5204.0out of 5 stars, Above averageReportedVision exam Eyewear Hearing aids OTC allowance Meals
AARP Medicare Advantage from UHC RI-0002 (HMO-POS)
UnitedHealth Group, Inc. · H5253-150-000 · SoB ✓
HMO-POS$0$4,900$3554.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
AARP Medicare Advantage from UHC RI-0003 (PPO)
UnitedHealth Group, Inc. · H8768-046-000 · SoB ✓
PPO$0$6,700$5203.5out of 5 stars, AverageReportedVision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Prime Care (HMO-POS)
CVS Health Corporation · H5793-019-000 · SoB ✓
HMO-POS$0$4,500$2003.5out of 5 stars, Average$75Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Signature (PPO)
CVS Health Corporation · H5521-375-000 · SoB ✓
PPO$0$5,900$6154.5out of 5 stars, Above average$30Vision exam Eyewear Hearing aids OTC allowance Meals
BlueCHiP for Medicare Essential (HMO-POS)
Blue Cross & Blue Shield of Rhode Island · H4152-023-000 · SoB
HMO-POS$0$6,750$6154.0out of 5 stars, Above average—Preventive dental Vision exam Eyewear
UHC Complete Care RI-4 (HMO-POS C-SNP)
UnitedHealth Group, Inc. · H5253-168-000 · SoB ✓
HMO-POS C-SNP$0$4,900$3554.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete RI-V001 (HMO-POS D-SNP)
UnitedHealth Group, Inc. · H2272-001-000 · SoB ✓
HMO-POS D-SNP$0$4,900$590Not ratedReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete RI-S002 (HMO-POS D-SNP)
UnitedHealth Group, Inc. · H3113-010-000 · SoB ✓
HMO-POS D-SNP$13.40$9,250$6153.5out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
UHC Dual Complete RI-S001 (PPO D-SNP)
UnitedHealth Group, Inc. · H0764-001-000 · SoB ✓
PPO D-SNP$16.60$9,250$615Not ratedReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Neighborhood Dual CONNECT (HMO D-SNP)
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND · H2126-001-000 · SoB
HMO D-SNP$18.20$9,250$615Not rated$25OTC allowance Meals
Neighborhood INTEGRITY for Duals (HMO D-SNP)
NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND · H7635-001-000 · SoB
HMO D-SNP$21.60$9,250$615Not rated$28Preventive dental Comprehensive dental OTC allowance Meals
Aetna Medicare Value Plus (PPO)
CVS Health Corporation · H5521-449-000 · SoB ✓
PPO$26.20$5,900$6154.5out of 5 stars, Above average$45Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
UHC Dual Complete RI-S3 (HMO-POS D-SNP)
UnitedHealth Group, Inc. · H2272-003-000 · SoB ✓
HMO-POS D-SNP$26.60$9,250$615Not ratedReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
BlueCHiP for Medicare Access (HMO-POS)
Blue Cross & Blue Shield of Rhode Island · H4152-022-000 · SoB
HMO-POS$27.30$6,000$6154.0out of 5 stars, Above average$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
AARP Medicare Advantage from UHC RI-0001 (HMO-POS)
UnitedHealth Group, Inc. · H5253-148-000 · SoB ✓
HMO-POS$35$4,500$3554.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
BlueCHiP for Medicare Enhanced (HMO-POS)
Blue Cross & Blue Shield of Rhode Island · H4152-013-000 · SoB
HMO-POS$35$5,750$5004.0out of 5 stars, Above average$25Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
BlueRI for Duals (HMO D-SNP)
Blue Cross & Blue Shield of Rhode Island · H4152-021-000 · SoB
HMO D-SNP$35.80$9,250$6154.0out of 5 stars, Above average$151Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
UHC Nursing Home Plan RI-F001 (PPO I-SNP)
UnitedHealth Group, Inc. · H0710-035-000 · SoB ✓
PPO I-SNP$35.80$9,250$6154.5out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance
BlueCHiP for Medicare Extra (HMO-POS)
Blue Cross & Blue Shield of Rhode Island · H4152-018-000 · SoB
HMO-POS$143$5,000$3504.0out of 5 stars, Above average$40Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance
AARP Medicare Advantage Patriot No Rx RI-MA01 (HMO-POS)
UnitedHealth Group, Inc. · H5253-149-000 · SoB ✓
HMO-POS—$4,900—4.0out of 5 stars, Above averageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
Aetna Medicare Eagle Giveback (PPO)
CVS Health Corporation · H5521-296-000 · SoB ✓
PPO—$5,900—4.5out of 5 stars, Above average$90Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals
BlueCHiP for Medicare Core (HMO)
Blue Cross & Blue Shield of Rhode Island · H4152-004-000 · SoB
HMO—$5,000—4.0out of 5 stars, Above average$50Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

How to read this table

Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.

Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.

Is a drug covered by plans in Providence County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 11 stand-alone Part D plans in the Central New England (Connecticut, Massachusetts, Rhode Island, and Vermont) region. From the CMS monthly formulary file.

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Download all 23 Providence County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

Pro data Free 10-row sample

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