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RI

Rhode Island Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to Rhode Island residents.

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Rhode Island Dental Coverage

Moderate

Rhode Island Medicaid covers dental for dual-eligible beneficiaries. University of Rhode Island and Brown University provide dental education and care resources.

Available Programs

  • RI Medicaid Dental
  • Medicare Advantage dental plans
  • RI Dental Association resources

Typical Out-of-Pocket Cost

$400โ€“$1,800/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Rhode Island Residents

  1. Community dental clinics in Providence offer low-cost care
  2. RI SHIP (1-800-322-2880) for plan guidance
  3. RI has small MA market โ€” compare plans carefully
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Rhode Island Vision Coverage

Moderate

RI Medicaid covers vision for dual-eligible members. RI has a small but competitive MA market.

Available Programs

  • RI Medicaid vision
  • Medicare Advantage vision
  • RI Services for the Blind and Visually Impaired

Typical Out-of-Pocket Cost

$150โ€“$400/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Rhode Island Residents

  1. SBVI: 401-421-7005 for vision rehabilitation
  2. Diabetic eye exam covered by Part B
  3. RI SHIP: 1-800-322-2880
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Rhode Island Hearing Aids Coverage

Limited

RI Medicare Advantage plans offer hearing benefits. RI has limited audiology resources for such a small state.

Available Programs

  • Medicare Advantage hearing plans
  • RI Commission on the Deaf and Hard of Hearing
  • RI Assistive Technology Access Partnership

Typical Out-of-Pocket Cost

$1,000โ€“$6,500 per pair

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Rhode Island Residents

  1. RICDHHH: 401-222-1204 for resources
  2. OTC hearing aids available in Providence area
  3. RI SHIP: 1-800-322-2880
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Rhode Island Nursing Home Coverage

Not Covered

Medicare Part A covers SNF. RI Medicaid covers long-term care. RI has high nursing home costs relative to the region.

Available Programs

  • Medicare Part A SNF
  • RI Medicaid LTC
  • PACE Rhode Island
  • RI SHIP (1-800-322-2880)

Typical Out-of-Pocket Cost

$320โ€“$420/day

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Rhode Island Residents

  1. PACE RI program available in Providence area
  2. Home-based alternatives through HCBS waivers
  3. RI SHIP: 1-800-322-2880
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๐Ÿ“Š Live CMS Data Rhode Island Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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243,313
Total Medicare Beneficiaries (2024)
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143,776
Enrolled in Medicare Advantage (2024) 59.1% of total
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99,537
Original Medicare (Parts A & B) Only
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46,687
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
38
Plans available in Rhode Island
Average Monthly Premium (2025)
$14.3
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. UnitedHealth
  2. Tufts Health Plan
  3. Anthem BCBS
Free SHIP Counseling
Rhode Island SHIP
1-800-322-2880
Free, unbiased Medicare help

Get Free Help in Rhode Island

SHIP Counseling

Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.

Find Rhode Island SHIP โ†’

1-800-MEDICARE

Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.

Medicare.gov โ†’

Medicare Plan Finder

Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Rhode Island by ZIP code.

Compare Plans โ†’

Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Rhode Island.

Care Compare โ†’