MEDICAID – ADULTS AGE 19 – 64

The Medicaid Program provides comprehensive medical coverage to low-income adults age 19 – 64 who do not have children in their care. This category of Medicaid is sometimes called Medicaid Expansion or “MAGI” Income must be less than 138% of the federal poverty level which is $17,774 for a single adult (Effective March 2021). There is no resource test for eligibility. …

HealthSource RI – Affordable Health Coverage

HealthSource RI (HSRI) is the state’s health insurance marketplace where Rhode Islanders can compare affordable health plans and purchase coverage that meets their health care needs and budget. HSRI also hosts the on-line application process for both Medicaid and subsidized commercial coverage. COVID: The American Rescue Plan (ARP) signed into law on March 11, 2021, includes changes that make health insurance …

Hospital Free Care

Each hospital in Rhode Island has a “charity care program.”  The hospital may cover all or part of the bill if the applicant is unable to pay.  The income limit is 200% FPL for full coverage and up to 300% FPL for partial coverage.  Hospitals can choose to apply an asset test in determining eligibility for charity care.  The hospital should …

Medicaid – Adults 65 and older & people with disabilities

The Medicaid program provides comprehensive medical coverage to seniors (age 65+) and people with permanent disabilities. People receiving SSI benefits  automatically receive Medicaid. Seniors and people with disabilities who are receiving Social Security Retirement or Disability benefits (or have other income) and have income/resources that exceed the SSI limits may be eligible for Medicaid under the rules described in this section. Note: People …

Medicare Premium Payment Program

These programs pay for some of the cost of Medicare for seniors and people with disabilities who are not otherwise eligible for Medical Assistance. Medicare Part A covers hospital services.  There is no monthly premium but there are co-pays and deductibles.  Medicare Part B covers doctors’ visits and other medical costs.  There is monthly premium for Medicare Part B which …