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  1. 🏠
  2. Medicare Advantage Plans
  3. Rhode Island
  4. Providence County

2027 Medicare Advantage Plans in Providence County, RI

Last update: October 5, 2026.

For 2027, Providence County, RI includes 13 Medicare Advantage plans. Enrollment across these plans totals approximately 53,922, with 7 $0 premium options and 54% rated 4 stars or higher.

  • PPO Plans
  • HMO Plans
  • HMO-POS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

  • Average Monthly Premium: $27.56/mo
  • $0 Premium Plans: 7
  • Average MOOP: $6,454 ($9,250 max. in 2027)
  • Star Ratings (Plan Mix): 4+ Stars: 54% · 3 Stars: 46% · Below 3: 0%
  • Average Part D Deductible: $591.50
  • Total MA/MAPD Enrollment: 53,922
  • Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. BlueCHiP for Medicare Enhanced (HMO-POS) — 26,170 enrollees
    2. BlueCHiP for Medicare Extra (HMO-POS) — 6,644 enrollees
    3. AARP Medicare Advantage from UHC RI-0002 (HMO-POS) — 5,490 enrollees

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Providence County, RI are provided separately. Or you can discover all Medicare Options in Providence County, RI. For a statewide view, browse Medicare Advantage plans in Rhode Island to examine available plan types, average premiums, out-of-pocket limits, CMS star ratings, and the most-enrolled plans across the state.

Medicare Advantage PPO Plans

Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.

Total PPO Plans
4
Average Monthly Premium
$20.25/mo
Total PPO Enrollment
8,880
$0 Premium PPO Plans
2
Average MOOP
$7,150
Top PPO by Enrollment
Aetna Medicare Signature (PPO) — 3,901 enrollees
PPO Plans Without Drug Coverage
1

2027 PPO Medicare Advantage plans in Providence County, Rhode Island (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage from UHC RI-0003
☆☆☆☆☆
$27 $7,150 $685 H8768-046-0
Aetna Medicare Eagle Giveback
☆☆☆☆☆
$0 $7,150 N/A H5521-296-0
Aetna Medicare Enhanced
☆☆☆☆☆
$54 $7,150 $700 H5521-449-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $7,150 $700 H5521-375-0

What is the typical premium for PPO plans available in Providence?

PPO plans in Providence cost $20.25 per month on average.

Which PPO plan do most beneficiaries choose in Providence?

The most popular PPO plan in Providence is Aetna Medicare Signature (PPO), with 3,901 enrollees.

How many PPO options are offered without drug coverage in Providence?

1 PPO plans in Providence do not include prescription drug coverage.

Medicare Advantage HMO Plans

Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.

  • Total HMO Plans 1
  • Average Monthly Premium $0.00/mo
  • Total HMO Enrollment 334
  • $0 Premium HMO Plans 1
  • Average MOOP $5,000
  • Top HMO by Enrollment BlueCHiP for Medicare Core (HMO) — 334 enrollees
  • HMO Plans Without Drug Coverage 1

2027 HMO Medicare Advantage plans in Providence County, Rhode Island (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
BlueCHiP for Medicare Core
☆☆☆☆☆
$0 $5,000 N/A H4152-004-0
What is the total number of HMO plans offered in Providence?

In 2027, Providence County has 1 HMO plans with 334 enrollees.

How much do HMO plans cost in Providence?

The typical HMO premium in Providence is $0.00, and 1 plans have no monthly premium.

Medicare Advantage HMO-POS Plans

HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.

Total HMO-POS Plans
8
Average Monthly Premium
$34.66/mo
Total HMO-POS Enrollment
44,708
$0 Premium HMO-POS Plans
4
Average MOOP
$6,288
Top HMO-POS by Enrollment
BlueCHiP for Medicare Enhanced (HMO-POS) — 26,170 enrollees
HMO-POS Plans Without Drug Coverage
1

2027 HMO-POS Medicare Advantage plans in Providence County, Rhode Island (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
AARP Medicare Advantage from UHC RI-0001
☆☆☆☆☆
$48 $5,400 $595 H5253-148-0
AARP Medicare Advantage from UHC RI-0002
☆☆☆☆☆
$0 $6,300 $685 H5253-150-0
AARP Medicare Advantage Patriot No Rx RI-MA01
☆☆☆☆☆
$0 $6,200 N/A H5253-149-0
BlueCHiP for Medicare Access
☆☆☆☆☆
$31 $6,000 $700 H4152-022-0
BlueCHiP for Medicare Enhanced
☆☆☆☆☆
$39 $6,750 $500 H4152-013-0
BlueCHiP for Medicare Essential
☆☆☆☆☆
$0 $6,750 $500 H4152-023-0
BlueCHiP for Medicare Extra
☆☆☆☆☆
$159 $6,000 $450 H4152-018-0
Aetna Medicare Prime Care
☆☆☆☆☆
$0 $6,900 $400 H5793-019-0
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Providence cost $34.66 per month on average.
Which HMO-POS plan is most popular in Providence?
The most popular HMO-POS plan in Providence is BlueCHiP for Medicare Enhanced (HMO-POS), with 26,170 enrollees.
How many HMO-POS plans in Providence do not include drug coverage?
There are 1 HMO-POS plans in Providence without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Providence County, RI (2027) are summarized below.

Quality Ratings for Medicare Advantage Plans in Providence County, RI (2027)
Rating Category Number of Plans Percent of Plans
5 Stars No 5-star plans available. 0%
4 Stars (includes 5 Stars) 7 54%
3 Stars 6 46%
Below 3 Stars 0 0%
Not Rated 0 0%
Average Rating 3.73

* Star ratings are based on CMS quality measures and reflect plan performance for the 2027 rating period.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Providence County, Rhode Island, including communities such as Chepachet, Foster, Greenville, Harrisville, Hope, Manville, Mapleville, North Scituate, Pascoag, Pawtucket, Central Falls, Cumberland, Lincoln, Woonsocket, North Smithfield, Providence, Cranston, North Providence, East Providence, Riverside, Rumford, Smithfield, Johnston, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09

All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
  • Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .

Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.

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