Best Medicare Advantage Plans in Rhode Island (2026)


Best Medicare Advantage Companies in Rhode Island

The best Medicare Advantage companies in Rhode Island are Aetna Medicare, UnitedHealthcare and Blue Cross & Blue Shield of Rhode Island. All three serve every county in the state. Aetna has the highest median CMS star rating at 4.5 and has both HMO-POS and PPO plans for people seeking greater provider flexibility. UnitedHealthcare has the lowest maximum annual cost exposure at $4,900, while all five of its plans have $0 premiums. Blue Cross & Blue Shield includes dental and vision benefits on all five plans and has the most enrollees in the state. With statewide availability largely equal, costs, plan type and supplemental benefits are the more useful points for comparison.

Aetna Medicare
4.2
$5,900
4.5
5
4
UnitedHealthcare
4.2
$4,900

4.0

5
5

Blue Cross & Blue Shield

4.1
$5,750

4.0

5
5

Rhode Island Medicare Advantage Market Overview

Rhode Island has a small Medicare Advantage market, with just three carriers and 14 non-SNP plans, but the available options compare well on cost and quality. Nearly all plans have $0 monthly premiums, average CMS ratings exceed 4 stars and the median out-of-pocket maximum is $5,825. HMO, HMO-POS and PPO plan types are available in the state.

Non-SNP Medicare Advantage plans
14
Rhode Island has a small, concentrated Medicare Advantage market, with fewer plans and carriers than larger states.
Carriers
3
You only have three insurers to choose from in the state.
CMS contracts
5
Some insurers offer plans under different CMS contracts, so quality can vary.
Median plans per county
13
Despite having only 14 plans statewide, most counties have access to nearly the full statewide selection.
Medicare Advantage enrollment in non-SNP plans
105,784
More than 100,000 Rhode Islanders are enrolled in the non-SNP plans included in our analysis.
Plans with a $0 premium
93%
Most plans in the state have no additional monthly premium.
Median max out-of-pocket (MOOP)
$5,825
Half of Rhode Island plans have an in-network MOOP of $5,825 or less.
MOOP range
$4,500–$6,750
Plans differ less on maximum annual cost exposure than in larger markets.
Average CMS star rating
4.04 out of 5
The average plan clears the 4-star quality benchmark.
Contracts rated 4+ stars
60%
Most rated contracts earn at least 4 stars, so you have access to several higher-rated options despite the small market.
Aetna Medicare

Aetna Medicare

MoneyGeek Rating
4.2/ 5
4/5Affordability
4.5/5Quality & Member Experience
3.9/5Benefits & Availability
  • Median Max Annual Cost Exposure

    $5,900
  • Median CMS Star Rating

    4.5
  • Counties Served

    5
  • Plans Available

    4
UnitedHealthcare

UnitedHealthcare

MoneyGeek Rating
4.2/ 5
4.3/5Affordability
4.1/5Quality & Member Experience
4.4/5Benefits & Availability
  • Median Max Annual Cost Exposure

    $4,900
  • Median CMS Star Rating

    4.0
  • Counties Served

    5
  • Plans Available

    5
Blue Cross Blue Shield

Blue Cross Blue Shield

MoneyGeek Rating
4.1/ 5
4/5Affordability
4.2/5Quality & Member Experience
4.1/5Benefits & Availability
  • Median Max Annual Cost Exposure

    $5,750
  • Median CMS Star Rating

    4.0
  • Counties Served

    5
  • Plans Available

    5

How to Choose the Best Medicare Advantage Plans in Rhode Island

Choosing the best Medicare Advantage plan in Rhode Island comes down to comparing total costs, provider networks, prescription coverage and benefits.

  1. 1
    Check your provider network

    Confirm that your primary care doctor, specialists and preferred hospitals participate in the plan. HMO plans require in-network care, while PPOs give more flexibility to use out-of-network providers at a higher cost.

  2. 2
    Compare prescription drug coverage

    Check each plan's prescription drug formulary to make sure your medications are covered and review their assigned tiers, copays and pharmacy requirements.

  3. 3
    Look beyond the premium

    Most Rhode Island Medicare Advantage plans have $0 monthly premiums, so copays, deductibles and out-of-pocket maximums are more useful for comparing potential costs.

  4. 4
    Compare supplemental benefits

    Dental, vision and hearing coverage varies by plan. Consider the benefit limits and covered services rather than simply whether a benefit is included or not.

  5. 5
    Review CMS star ratings

    The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage contracts from 1 to 5 stars based on care quality, member experience and customer service. A rating of 4.0 or higher indicates above-average performance and can help distinguish plans with similar costs and benefits.

How Much Does Medicare Advantage Cost in Rhode Island?

Medicare Advantage costs in Rhode Island are low upfront, with most HMO, HMO-POS and PPO plans charging $0 monthly premiums. Your total costs, however, depend on how much care you use. HMO plans have the lowest median out-of-pocket maximum at $5,000, compared with $5,900 for PPO plans, while median specialist copays range from $0 for HMOs to $40 for PPOs. A $0 premium doesn’t mean $0 health care costs, so be sure to compare out-of-pocket limits, copays and other cost sharing alongside the monthly premium.

Median Monthly Premium
$0
$0
$0
Median Max Out-of-Pocket
$5,000
$5,000
$5,900
Median Inpatient Copay
$275
$400
$327
Median PCP Copay
$15
$15
$15
Median Specialist Copay
$0
$10
$40

Rhode Island Medicare Advantage Resources

Rhode Island residents can use these free state and federal resources to compare Medicare Advantage plans, get enrollment guidance and find programs that can lower Medicare costs.

Compare Medicare Advantage Rates

Get the best insurance rate. Compare quotes from top insurance companies.

Frequently Asked Questions

Our Methodology

MoneyGeek evaluated Rhode Island Medicare Advantage companies using five CMS data sources for the 2026 plan year, including the Medicare Plan Landscape File, Plan Benefit Package files, CMS Star Ratings, the CAHPS Report Card Master Table and the Contract/Plan Enrollment file.

How We Score Carriers

Each carrier in the state receives an overall MoneyGeek score out of five from a weighted average of three category scores:

  • Affordability (40%): Maximum annual cost exposure, calculated as annual premiums plus the maximum out-of-pocket limit, along with inpatient hospital, specialist and primary care costs.
  • Quality and Member Experience (40%): CMS Star Ratings make up 60% of this category and CAHPS C26 member ratings make up 40%. Both are measured at the contract level.
  • Benefits and Access (20%): Supplemental benefits, including dental, OTC, vision and hearing, make up 50% of this category. County coverage makes up 30% and plan choice per county makes up 20%.

About Patrick Bryant


Patrick Bryant, Vertical Lead, Life & Health Insurance, MoneyGeek

Patrick Bryant is the Vertical Lead for Health Insurance at MoneyGeek, where he researches insurance products, writes consumer guides and maintains the scoring methodologies behind our provider comparisons. He analyzed more than 100 health insurance carriers across all 50 U.S. states and multiple policy types. His methodologies are reviewed quarterly to reflect current market conditions and carrier data.