- Entity
- county:rhode-island-providence-44007
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/rhode-island/providence/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 14
- PPO Plans
- 4
- HMO Plans
- 1
- HMO-POS Plans
- 9
- PFFS Plans
- 0
- Average Monthly Premium
- 19.04
- Average MOOP
- 5600
- Average Part D Deductible
- 478.18
- $0 Premium Plans
- 9
- Plans Without Part D Coverage
- 3
- Average CMS Star Rating
- 4.04
- $0 Premium Plan Share
- 64.29
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 86
- 3-Star Plan Share
- 14
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 6.55
- PPO Average MOOP
- 6100
- PPO Enrollment
- 8704
- PPO $0 Premium Plans
- 3
- PPO Plans Without Part D Coverage
- 1
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 5000
- HMO Enrollment
- 333
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 26.7
- HMO-POS Average MOOP
- 5444.44
- HMO-POS Enrollment
- 44908
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:rhode-island-providence-44007
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/rhode-island/providence/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-rhode-island-providence-44007-landscape-stats
- Plans Indexed
- 14
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-296-0 -
Aetna Medicare Signature
H5521-375-0 -
Aetna Medicare Value Plus
H5521-449-0 -
AARP Medicare Advantage CareFlex from UHC RI-5
H5253-169-0 -
AARP Medicare Advantage from UHC RI-0001
H5253-148-0 -
AARP Medicare Advantage from UHC RI-0002
H5253-150-0 -
AARP Medicare Advantage Patriot No Rx RI-MA01
H5253-149-0 -
BlueCHiP for Medicare Access
H4152-022-0 -
BlueCHiP for Medicare Core
H4152-004-0 -
BlueCHiP for Medicare Enhanced
H4152-013-0 -
BlueCHiP for Medicare Essential
H4152-023-0 -
BlueCHiP for Medicare Extra
H4152-018-0 -
AARP Medicare Advantage from UHC RI-0003
H8768-046-0 -
Aetna Medicare Prime Care
H5793-019-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 53945
2026 Medicare Advantage Plans in Providence County, RI
Last update: .
Providence County, RI has 14 Medicare Advantage plans available in 2026. These include 9 plans with no monthly premium, and roughly 86% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Providence County, RI. Or explore all Medicare Options available in Providence County, RI.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 4
- Average Monthly Premium $6.55/mo
- Total PPO Enrollment 8,704
- $0 Premium PPO Plans 3
- Average MOOP $6,100
- Top PPO by Enrollment Aetna Medicare Signature (PPO) — 3,801 enrollees
- PPO Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $5,900 | N/A | H5521-296-0 | |
| Aetna Medicare Signature | $0 | $5,900 | $615 | H5521-375-0 | |
| Aetna Medicare Value Plus | $26 | $5,900 | $615 | H5521-449-0 | |
| AARP Medicare Advantage from UHC RI-0003 | $0 | $6,700 | $520 | H8768-046-0 |
What is the most popular PPO plan in Providence?
Aetna Medicare Signature (PPO) is the top PPO in Providence, with 3,801 enrollees.
What is the number of PPO plans without Part D coverage in Providence?
There are 1 PPO plans in Providence without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 333
- $0 Premium HMO Plans
- 1
- Average MOOP
- $5,000
- Top HMO by Enrollment
- BlueCHiP for Medicare Core (HMO) — 333 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| BlueCHiP for Medicare Core | $0 | $5,000 | N/A | H4152-004-0 |
What is the typical premium for HMO plans in Providence?
HMO plans in Providence cost $0.00 per month on average.
Which HMO plan do most beneficiaries choose in Providence?
The most popular HMO plan in Providence is BlueCHiP for Medicare Core (HMO), with 333 enrollees.
How many HMO options are offered without prescription drug coverage in Providence?
There are 1 HMO plans in Providence without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 9
- Average Monthly Premium $26.70/mo
- Total HMO-POS Enrollment 44,908
- $0 Premium HMO-POS Plans 5
- Average MOOP $5,444
- Top HMO-POS by Enrollment BlueCHiP for Medicare Enhanced (HMO-POS) — 26,044 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage CareFlex from UHC RI-5 | $0 | $6,700 | $520 | H5253-169-0 | |
| AARP Medicare Advantage from UHC RI-0001 | $35 | $4,500 | $355 | H5253-148-0 | |
| AARP Medicare Advantage from UHC RI-0002 | $0 | $4,900 | $355 | H5253-150-0 | |
| AARP Medicare Advantage Patriot No Rx RI-MA01 | $0 | $4,900 | N/A | H5253-149-0 | |
| BlueCHiP for Medicare Access | $27 | $6,000 | $615 | H4152-022-0 | |
| BlueCHiP for Medicare Enhanced | $35 | $5,750 | $500 | H4152-013-0 | |
| BlueCHiP for Medicare Essential | $0 | $6,750 | $615 | H4152-023-0 | |
| BlueCHiP for Medicare Extra | $143 | $5,000 | $350 | H4152-018-0 | |
| Aetna Medicare Prime Care | $0 | $4,500 | $200 | H5793-019-0 |
What is the total number of HMO-POS plans in Providence?
In 2026, Providence has 9 HMO-POS plans with 44,908 enrollees.
How much do HMO-POS plans cost in Providence?
The typical HMO-POS premium in Providence is $26.70, and 5 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Providence County, RI for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 12 | 86% |
| 3 Stars | 2 | 14% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 4.04 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — 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 documentation is maintained in alignment 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.