NEW: Healthsource RI Announces Health Benefits Exchange Rates

Tuesday, August 20, 2013


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Healthsource RI announced today the rates for the state's health benefits exchange starting October 1.

HealthSource RI announced this afternoon the plans and rates that will be offered through the state's health benefits exchange when open enrollment begins on October 1 for individuals and small businesses.  

Blue Cross & Blue Shield of Rhode Island, United HealthCare, and Neighborhood Health Plan of Rhode Island will offer 28 plans through the exchange.  Twelve will be on the individual market and 16 through the Small Business Health Insurance Options Program (SHOP). Blue Cross and Neighborhood Health Plan will offer plans on the individual market, and all three carriers will offer plans through SHOP.

“With final approval of plans and rates, HealthSource RI will be ready on October 1 to offer Rhode Islanders the truly powerful ability to comparison shop for quality affordable health insurance,” said Christine Ferguson, director of HealthSource RI.

“When making these important choices about health care coverage, consumers and small businesses should carefully weigh monthly premiums, the type of network that each plan is offering, deductibles, out-of-pocket expenses, and out-of-pocket cost maximums. We understand that these are often complicated choices that are unique for each consumer, and that’s why HealthSource RI is ready to assist Rhode Islanders online, by phone or in-person, to help them choose the plan that best fits their needs."

See Statement from HealthSource RI on Plans:

"These plans are the result of HealthSource RI’s extensive negotiations with the carriers, and include a “full employee choice” model through SHOP. All plans offered through HealthSource RI include coverage for doctor visits, prescription medications, hospital stays, preventative screenings, and additional essential health benefits. All plans also feature maximum out-of-pocket limits for major medical expenses.

Beginning October 1, Rhode Island consumers and small businesses will use HealthSource RI to compare and choose among approved plans and rates in four metal tiers (bronze, silver, gold and platinum). Plans within each tier offer standardized benefits and terms to enable apples-to-apples comparison shopping and to foster price competition among insurers.

When comparing plan options, consumers and small businesses should consider these five important components:

1. What is the monthly plan premium?
2. What type of network is offered? (HMO, PPO, Tiered, etc.)
3. What is the plan’s deductible?
4. What will you pay each time you interact with the health care system? (Co-pays or co-insurance for primary care visits, specialist visits, emergency room care, inpatient hospital care, prescriptions, etc.)
5. What is the plan’s annual out-of-pocket cost maximum? (The total amount of out-of-pocket costs — not including the premium — cannot exceed this amount. Once it is reached, you are protected from any additional costs.)

Rate & Benefit Charts

For a listing of approved individual plan rates by age and tier, please visit:

Note: Approved individual plan rates do not factor in additional tax credits for which many Rhode Islanders may qualify. Individuals with incomes below 400 percent of the federal poverty level ($45,960 for individuals and $94,200 for a family of four) may qualify for tax credits to make their monthly insurance premiums more affordable. Tax credit calculators are available on to help individuals, families and small businesses understand what credits they may be eligible to receive.

For a listing, by tier, of individual plan details, including network type, deductibles and out-of-pocket expenses, please visit:

For a listing of approved SHOP plan rates by age and tier, please visit:

For a listing, by tier, of SHOP plan details, including network type, deductibles and out-of-pocket expenses, please visit: 


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