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Medicare in Rhode Island

By the numbers

Rhode Island reported a total of 188,502 Medicare beneficiaries in 2012, which made up 18% of the state's population. Rhode Island spent $10,121 per beneficiary for a total of just under $2 billion in 2012. The following is some information on Medicare enrollment and spending in Rhode Island in 2012:

  • Rhode Island residents enrolled in a Medicare Advantage plan - 66,207
  • Residents with creditable prescription drug coverage - 159,706
  • Beneficiaries with stand alone prescription drug plan - 35%
  • Beneficiaries enrolled in Medicare Advantage with drug coverage - 33%

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in Rhode Island

Rhode Island Medicare Savings Programs: There are various programs that may help pay for Part A premiums or other health expenses. You can apply for these programs and may qualify if your income is under a certain amount.

Rhode Island State Health Insurance Counseling and Assistance Program (SHIP): Funded by the Centers for Medicare and Medicaid Services, Rhode Island SHIP has volunteers that give one-to-one counseling to beneficiaries and their families. SHIP helps Rhode Island residents better understand their Medicare benefits and deal with health insurance issues.

How healthy is the state of Rhode Island?

Rhode Island is the forty-third most populous state in the U.S. and ranked as the 10th healthiest state to live. Rhode Island's strength as a healthy state is helped by its high coverage of immunization as well as low rate of people who are uninsured. Two challenges facing Rhode Island are its high rate of preventable hospitalizations as well as a high percentage of children in poverty.

All data provided by the Kaiser Family Foundation.

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Medicare has neither reviewed nor endorsed this information.