How Much Is Health Insurance in Rhode Island?

On this page

• What a Rhode Island Marketplace plan costs before subsidies
• What you’d pay after a tax credit
• Costs beyond the premium
• Rhode Island Marketplace facts
• When to enroll
• Other options in Rhode Island
• Frequently asked questions

What a Rhode Island Marketplace plan costs before subsidies

Age	Benchmark silver plan, per month (2026 estimate)
21	$396
30	$449
40	$506
50	$707
60	$1,075
64	$1,188
Child under 15	$303

Two 40-year-old parents with two young children would pay about $1,618 a month for benchmark plans before any tax credit.

Two local rules affect how prices are set. The whole state is a single rating area, so your ZIP code doesn’t change your premium, and insurers in Rhode Island can’t charge more for tobacco use.

What you’d pay after a tax credit

The federal premium tax credit works the same on HealthSource RI as on HealthCare.gov: with household income from 100% to 400% of the federal poverty level, your cost for the benchmark plan is capped at a share of that income. A single 40-year-old earning $40,000 would pay about $287 a month for the benchmark plan in 2026, with a credit of about $219 making up the rest. In 2027 that person’s share would be about $289 a month. Earn more than 400% of the poverty level ($62,600 for one person for 2026 coverage, $63,840 for 2027) and the federal credit stops.

In 2026, 82% of HealthSource RI enrollees got financial help, and those who qualified paid $166 a month on average. For 2027, the state has budgeted its own premium subsidies for enrollees with incomes up to 200% of the poverty level, on top of the federal credit.

Rhode Island expanded Medicaid, so adults with incomes up to 138% of the poverty level (about $22,025 a year for one person in 2026) can usually get Medicaid instead. See health insurance for low-income families.

Costs beyond the premium

You’ll still pay a share when you use care, starting with the deductible and then copays or coinsurance, up to the out-of-pocket maximum of $10,600 for one person in 2026 and $12,000 in 2027. Cost-sharing reductions lower those costs for silver-plan buyers with incomes under 250% of the poverty level, and 34% of HealthSource RI enrollees had them in 2026.

Rhode Island Marketplace facts

• Marketplace: HealthSource RI (healthsourceri.com), the state-run exchange.
• Enrollment: 43,446 plan selections for 2026, up from 42,117 in 2025. Enrollment hit a new high for the third year in a row while most states lost enrollees.
• Insurers: Two carriers, Blue Cross & Blue Shield of Rhode Island and Neighborhood Health Plan of Rhode Island. Both are returning for 2027.
• 2027 prices: Requested, not decided, as of late September 2026. The requests average about 20%: Blue Cross & Blue Shield of Rhode Island asked for 9.8%, and Neighborhood asked for more than 20%. The Office of the Health Insurance Commissioner reviews the requests, and the state’s attorney general urged it in August to reject both. Rates rose about 21% on average for 2026.
• State help: A state individual mandate with a tax penalty, a reinsurance program since 2020, and new state premium subsidies for 2027 for enrollees up to 200% of the poverty level.
• Medicaid: Rhode Island expanded Medicaid in 2014 and covers adults up to 138% of the poverty level. RIte Care covers children and pregnant women, with children eligible up to 266% of the poverty level. A 2025 federal law requires most expansion states to add Medicaid work requirements in 2027; see Medicaid work requirements.

When to enroll

HealthSource RI’s open enrollment for 2027 coverage runs from November 1 to December 31, 2026, about two weeks shorter than HealthCare.gov’s window. Check HealthSource RI for the last day to sign up if you want coverage to start January 1. Pregnancy has counted as a qualifying life event in Rhode Island since 2023, so you can enroll outside open enrollment if you become pregnant.

Other options in Rhode Island

• Coverage through your employer or a family member’s employer.
• Medicaid for adults up to 138% of the poverty level, and RIte Care for children; see health insurance for children.
• Medicare at 65.

Short-term health plans aren’t sold in Rhode Island, so they aren’t an option here.

Health insurance costs in nearby states: Connecticut, Massachusetts and New York. You can also compare health insurance costs in every state.

See 2027 Rhode Island plans and prices: compare quotes by ZIP code.

Frequently asked questions

Is there a penalty for not having health insurance in Rhode Island?

Yes. Since 2020, Rhode Island has charged a penalty on your state tax return: the higher of 2.5% of household income above the tax filing threshold, or $695 per adult and $347.50 per child under 18, capped at the yearly cost of an average bronze plan on HealthSource RI. Exemptions exist, including for hardship and unaffordable coverage; see proof of coverage at tax time.

When is open enrollment in Rhode Island?

For 2027 coverage, HealthSource RI’s open enrollment runs from November 1 to December 31, 2026. That’s earlier than the January 15 end date on HealthCare.gov.

How much are Rhode Island premiums going up in 2027?

Insurers requested increases averaging about 20% before subsidies. As of late September 2026, the Office of the Health Insurance Commissioner hadn’t announced its decision.

Does Rhode Island help pay for coverage beyond federal tax credits?

Starting with 2027, yes. The state budget includes new premium subsidies for HealthSource RI enrollees with incomes up to 200% of the poverty level, in addition to the federal premium tax credit.

This article is general information, not insurance, tax or legal advice. Your premium depends on your age, income and plan, and Rhode Island’s 2027 rates weren’t final when this was written. Last reviewed September 2026.