Latest RI Health Coverage Project News
900 Seniors and People with Disabilities incorrectly dropped from Medicare Premium Payment Program-coverage will soon be restored
Seniors and people with disabilities who have Medicare may be eligible to have Medicaid pay their Medicare monthly premiums (around $134/month) instead of having the cost of premiums deducted from their Social Security check.
In February, the state mailed 900 seniors and people with disabilities a notice telling them that they had incorrectly been dropped from this Medicaid Premium Payment Program (MPP) – and their Social Security checks had been incorrectly reduced to pay the Medicare Premium. While eligibility for MPP has been restored, it may take some time before the person sees their Social Security check increase.
Please read and distribute the fact sheet about this to help ensure that people get the benefits to which they are entitled.
Medicaid enrollees can switch plans through May 31
The nearly 300,000 Rhode Islanders enrolled in the state’s Medicaid program are eligible to change their health plans through the Annual Plan Change Opportunity, which runs from February through May. Neighborhood Health Plan of Rhode Island, Tufts Health Plan, and UnitedHealthcare Community Plan are the three participating plans.
OHHS is mailing Medicaid members notice about the plan change opportunity. The first notices were mailed at the end of February and the last notices will be mailed at the end of March. Members can call Health-Source RI at 1-855-840-4774 or mail in a plan change request form.
Before switching health plans, members should check to make sure their doctors and other providers are in the health plan in which they wish to enroll. Members are also encouraged to check the health plan’s drug list to ensure their medications are covered.
More information is available at http://www.eohhs.ri.gov/Home/PlanChange.aspx.
Health Insurance for People who are Uninsured
The type of health insurance available to you and your family depends on your income. Adults with income below 138% of the Federal Poverty Level (FPL) may be eligible for RIte Care/Medicaid. The RIte Care/Medicaid income limits for children and pregnant women are higher.
Individuals and families with income above the RIte Care/Medicaid limits can buy coverage through Health Source RI (HSRI). Tax credits are available to help pay for coverage if income is below 400% FPL and if income is less than 250% FPL you can also get help paying for out-of-pocket costs (cost-sharing reduction).
HOW TO ENROLL
• Apply on-line at www.HealthSourceRI.com.
• Call 1-855-840-4774 to enroll over the phone.
• Enroll in-person at the HSRI contact center at 401 Wampanoag Trail, East Providence
• Enroll in-person with a community-based Navigator. (Call 2-1-1 to find a navigator in your community or check this brochure.).
WHEN TO ENROLL
• Individuals and families who are eligible for Medicaid/RIte Care coverage can enroll at any time.
• The Open Enrollment period for HealthSource RI plans closed on January 31, 2016, and reopens in November, 2016. Until open enrollment in November, people who are uninsured because of life changes such as losing health insurance at a job, giving birth or adopting a child, marriage/divorce, a death in the family, or moving to Rhode Island can enroll in a HealthSource RI plan. It’s important to apply for coverage soon after the life-changing event. For more information click here for a factsheet about the special circumstances for enrolling in coverage through HSRI. You can also download a poster explaining eligibility for HSRI coverage here.
HealthSource RI also hosts enrollment sessions for currently uninsured Rhode islanders who want to enroll in coverage:
Webinar: Recording of our webinar for Community Helpers that explains how to help families renew their insurance and more about the rolling renewal option.
Business Process Plan: Help make sure families who come to your agency know about RIte Care renewal. See our Business Process Plan to help your organization think about how to make sure everyone you work with stays covered.
Notices: The Executive Office of Health and Human Services has sent a series of notices to families who need to renew their RIte Care Coverage.
Press and alerts: Read our recent press releases and newsletters about the RIte Care renewal process.