Rhode Island COVID-19 Did You Lose Health Coverage Notice

T
o enroll:
Visit HealthSourceRI.com •
C
ompa	re 	pla	ns a	nd	 c	osts with our  
redesig	
ned P	la	n Comparison &  
Sa	
vings Tool
• Call u	
s or visit HealthSourceRI.c	om 
to	
 enr	oll T
o	
 learn m	ore, c	all	 at 1 -855-840-4774 
or	
 use our web chat  service	 wit	h 	a live 
r	
epresen	tative. 
Monday - Friday  8:00 am - 6:00pm Wha
t you may need to 
e	
n	roll: •
Ph	
oto	 ID (driver’s license or  
p	
assport)
• So
cial	 Security Number(s)
• Last 4 weeks of pay stubs
• Imm	
igration documents
• M	
ost re	cen	t ta	x return Ple	
ase	 note:  
You can enroll any	
 time if you are 	an individual 
m	
aking less than $	1,436/month or a fam	ily of 
f	
our making less th	an $2,961/month. This m	ay 
qualify you for low	
 cost coverage or f	ree 
c	
overage through Me	dicaid. Did you lose your health 
coverage?
Lost health covera	
ge through your job and 
need to sign up?   •
Yo u
 	
have up to	 60 days	 t o enroll in a health
plan for 2020.
• You can enroll before your current coverage
ends, to  avoid a gap in coverage.
• Coverage can begin as soon as the 1st of the
month after your previous coverage ends. 8	
 out of 10 HealthSource R	I customers received fi	nan	cial 
h	
elp to lower the cost of t	heir health insurance this year.  
I	
ndividuals making less th	an $51,040 annually and a 
fa	
mily of 4 making less than $	103,000 annually are 
el	
igible to receive financi	al assistance.  
I	
f you've had a change in	 income, plans through 
H	
ealthSource RI may be more affordable than COBRA 	or 
other options. *
Health insurance is now required in the state of RI for 2020. Sign up today to avoid a tax penalty later.