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UnitedHealthcare RIte Care
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Medicaid
UnitedHealthcare® of New England's Medicaid health plan is accredited by the National Committee for Quality Assurance (NCQA).
RIte Care is Rhode Island's Medicaid managed care program for families on the RI Works Program and eligible uninsured pregnant women, children, and parents. Members enroll in a participating health plan. UnitedHealthcare RIte Care members can use the large network of doctors specialists, hospitals and other healthcare providers who are part of the UnitedHealthcare of New England network.
This plan is available in the following counties:
Bristol, Kent, Newport, Providence, and Washington.
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UnitedHealthcare RIte Care
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Who can join?
UnitedHealthcare offers coverage to beneficiaries of Rhode Island's RIte Care program, including Children With Special Health Care Needs. Children with Special Health Care Needs includes: children who are eligible for Rhode Island Medical Assistance through Supplemental Security Income (SSI), Katie Beckett or Adoption Subsidy.) Eligibility for enrollment in RIte Care is determined by the Department of Human Services (DHS).
RIte Care Eligibility basis
Eligibility is based on income and family size.
- Pregnant women (family's income less than 250 percent of the Federal Poverty Level- FPL)
- Children up to age 19 (family's income less than 250 percent of the FPL)
- Parents with children under age 18 (family's income less than 133 percent of the FPL)
Under the new health reform, eligibility is determined in a new way that lets people with income up to 5% higher qualify for Medicaid.
If you think you may qualify for RIte Care, a trained Navigator can help you apply for RIte Care. Visit HealthSourceRI to apply for coverage or to find the nearest Navigator near you.
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Federal Poverty Level Chart (Opens in a new tab)
PDF 74.98KB - Last Updated: 04/21/2023
Find providers and coverage for this plan.
Search for doctors, hospitals and specialists.
Search for providers, clinics and treatment centers.
Find medications covered by this plan.
Find a dentist near you.
Find a pharmacy near you.
Benefits & Features
Benefits Summary
Listed below is a comprehensive list of professional health care services. Please review these services to find out which ones are covered by this health plan.
Member Handbook
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English (Opens in a new tab)
PDF 870.23KB - Last Updated: 09/08/2023
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Español (Opens in a new tab)
PDF 861.87KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.37MB - Last Updated: 04/21/2023
Benefits Summary
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English (Opens in a new tab)
PDF 94.61KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 96.29KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 121.32KB - Last Updated: 04/21/2023
Annual Notice of Change in Benefits
2018
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English (Opens in a new tab)
PDF 462.07KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 462.06KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 439.78KB - Last Updated: 04/21/2023
Other Member Programs
Healthy First Steps
Pregnant women can receive rewards just be keeping up with their prenatal doctor visits – even 15 months after the baby is born! For more information, visit Healthy First Steps.
Optum Behavioral Health (OBH)
OptumHealth can help you find solutions that relieve the pressures and demands of everyday life. OptumHealth focuses on prevention and education to guard against problems before they start.
Member Resources
Member Handbooks
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English (Opens in a new tab)
PDF 870.23KB - Last Updated: 09/08/2023
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Español (Opens in a new tab)
PDF 861.87KB - Last Updated: 04/21/2023
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Portugese (Opens in a new tab)
PDF 1.37MB - Last Updated: 04/21/2023
News Bulletins
Interpretation
If English is not your primary language, you can ask for an interpreter to help with your call to Member Services. We can also provide interpreter services for your doctor visits.
Call Member Services at (844) 445-7222 (TTY 711) at least 72 hours hours before your scheduled appointment to arrange for an interpreter to meet you at your appointment. Call Member Services 14 in advance for American Sign Language interpreter requests.
Are you ready for flu season?
Influenza, commonly called the flu, is a serious illness that can spread easily. It can lead to missed days at school or work, and even hospital stays. Here’s the good news: a simple shot can reduce your chances of getting influenza — and it’s available to you at no cost with your UnitedHealthcare Community Plan. Talk to your UnitedHealthcare network doctor about getting the flu shot. If you don’t have one, please contact Member Services at 888-716-8787 and a representative can help you find one.
For a list of places to get a flu shot near you, visit http://www.health.ri.gov/flu
Annual Notification
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English (Opens in a new tab)
PDF 742.73KB - Last Updated: 04/21/2023
CAHPS Survey
At UnitedHealthcare, we care about your health. Our goal is to improve the health of our members by providing high-quality services. Learn more about the CAHPS Survey below.
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English (Opens in a new tab)
PDF 39.77KB - Last Updated: 04/21/2023
Citizenship Documents Required
There are new laws that may require you to show proof of citizenship in order to renew your health coverage. Click on a document below to read about what you will need:
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English (Opens in a new tab)
PDF 87.55KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 135.20KB - Last Updated: 04/21/2023
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Chinese (Opens in a new tab)
PDF 197.44KB - Last Updated: 04/21/2023
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Russian (Opens in a new tab)
PDF 130.13KB - Last Updated: 04/21/2023
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Arabic (Opens in a new tab)
PDF 121.47KB - Last Updated: 04/21/2023
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Nuer (Opens in a new tab)
PDF 126.30KB - Last Updated: 04/21/2023
Member Advisory Committee
Join our Member Advisory Committee and share your feedback and concerns with us. Members come and learn about your health plan and share your feedback and concerns with us. and transportation is provided. Call Member Services at 844-445-7222 (TTY: 711) if you are interested in joining.
Member Rights & Responsibilities
As a UnitedHealthcare member, you have certain rights and assume certain responsibilities when you become a member. It is important you fully understand both your rights and your responsibilities. For more information, For more information, refer to your Member Handbook.
Notice of Privacy Practices
We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it. You can download a copy of our Notice of Privacy Practices below.
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English (Opens in a new tab)
PDF 284.41KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 157.34KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 158.32KB - Last Updated: 04/21/2023
Quality Improvement Initiatives
A summary of accomplishments and opportunities for improvement are identified for 2012.
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2012 (Opens in a new tab)
WORD 96.00KB - Last Updated: 04/21/2023
Text4baby
Text4baby is a no charge service to help you through your pregnancy and baby’s first year of life.
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English (Opens in a new tab)
PDF 1.11MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.00MB - Last Updated: 04/21/2023
Transportation
As a RIte Care member, you may qualify for a bus pass for you and your family to use to get to the doctor’s office. You will need to call MTM Transportation at 1-855-330-9131 TTY (866) 288-3133 to request a bus pass at least 7 business days before the appointment. Tell them the date and time of the medical, dental and behavioral health appointments as well as the name of the provider and a bus pass will be mailed to you.
If you cannot take a bus for medical reasons or because your home or your adult managed care appointment is not near a bus line, please call MTM Transportation for help in getting transportation to your appointment. Please use family and friends for transportation needs before calling MTM Transportation.
Member Newsletters 2016 - Current
2023
Fall
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English (Opens in a new tab)
PDF 2.64MB - Last Updated: 09/22/2023
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Español (Opens in a new tab)
PDF 2.60MB - Last Updated: 09/22/2023
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Portuguese (Opens in a new tab)
PDF 2.32MB - Last Updated: 09/22/2023
Summer
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English (Opens in a new tab)
PDF 794.43KB - Last Updated: 08/11/2023
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Español (Opens in a new tab)
PDF 1.22MB - Last Updated: 08/11/2023
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Portuguese (Opens in a new tab)
PDF 804.41KB - Last Updated: 08/11/2023
Spring
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English (Opens in a new tab)
PDF 1.77MB - Last Updated: 05/26/2023
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Español (Opens in a new tab)
PDF 1.69MB - Last Updated: 05/26/2023
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Portuguese (Opens in a new tab)
PDF 1.71MB - Last Updated: 05/26/2023
Winter
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English (Opens in a new tab)
PDF 1.66MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.61MB - Last Updated: 04/21/2023
2022
Fall
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English (Opens in a new tab)
PDF 1.37MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.38MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 722.31KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 2.08MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 2.08MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.78MB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 1.60MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.58MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 870.85KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 2.02MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 2.02MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 396.76KB - Last Updated: 04/21/2023
2021
Fall
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English (Opens in a new tab)
PDF 1.39MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.08MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 965.52KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 1.57MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.52MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.53MB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 6.23MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.35MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 6.03MB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 1.99MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.97MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.65MB - Last Updated: 04/21/2023
2020
Fall
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English (Opens in a new tab)
PDF 1.01MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF .99MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.01MB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 3.06MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 3.02MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 3.05MB - Last Updated: 04/21/2023
Spring
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English (Opens in a new tab)
PDF 1.18MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 871.77KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.15MB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 625.51KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 592.63KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 622.72KB - Last Updated: 04/21/2023
2019
Fall
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English (Opens in a new tab)
PDF 636.95KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 649.58KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 666.24KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 654.05KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 636.21KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 649.70KB - Last Updated: 04/21/2023
Spring
-
English (Opens in a new tab)
PDF 617.64KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 596.56KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 569.81KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 647.51KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 633.94KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 620.44KB - Last Updated: 04/21/2023
2018
Fall
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English (Opens in a new tab)
PDF 1.12MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 1.40MB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 1.42MB - Last Updated: 04/21/2023
Summer
-
English (Opens in a new tab)
PDF 659.15KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 635.60KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 597.48KB - Last Updated: 04/21/2023
Spring
-
English (Opens in a new tab)
PDF 620.34KB - Last Updated: 04/21/2023
-
Español (Opens in a new tab)
PDF 572.71KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 548.11KB - Last Updated: 04/21/2023
Winter
-
English (Opens in a new tab)
PDF 712.06KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 800.71KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 650.03KB - Last Updated: 04/21/2023
2017
Fall
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English (Opens in a new tab)
PDF 414.05KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 404.93KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 373.51KB - Last Updated: 04/21/2023
Spring
-
English (Opens in a new tab)
PDF 502.15KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 515.87KB - Last Updated: 04/21/2023
Winter
-
English (Opens in a new tab)
PDF 493.27KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 418.62KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 397.58KB - Last Updated: 04/21/2023
2016
Fall
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English (Opens in a new tab)
PDF 397.81KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 390.22KB - Last Updated: 04/21/2023
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Portuguese (Opens in a new tab)
PDF 391.62KB - Last Updated: 04/21/2023
Special Edition
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English (Opens in a new tab)
PDF 1.03MB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 758.50KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 684.09KB - Last Updated: 04/21/2023
Spring
-
English (Opens in a new tab)
PDF 514.23KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 477.68KB - Last Updated: 04/21/2023
Winter
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English (Opens in a new tab)
PDF 394.63KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 359.65KB - Last Updated: 04/21/2023
Member Newsletters Prior to 2016
2015
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English (Opens in a new tab)
PDF 431.01KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 418.97KB - Last Updated: 04/21/2023
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Special Insert English (Opens in a new tab)
PDF 731.45KB - Last Updated: 04/21/2023
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Special Insert Espanol (Opens in a new tab)
PDF 636.70KB - Last Updated: 04/21/2023
Summer
-
English (Opens in a new tab)
PDF 408.03KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 336.52KB - Last Updated: 04/21/2023
Summer
-
English (Opens in a new tab)
PDF 408.03KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 336.52KB - Last Updated: 04/21/2023
Spring
-
English (Opens in a new tab)
PDF 463.20KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 429.78KB - Last Updated: 04/21/2023
Winter
-
English (Opens in a new tab)
PDF 749.80KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 757.81KB - Last Updated: 04/21/2023
Privacy Insert
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English (Opens in a new tab)
PDF 162.24KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 157.37KB - Last Updated: 04/21/2023
2014
Fall
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English (Opens in a new tab)
PDF 2.26MB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 2.03MB - Last Updated: 04/21/2023
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Insert English (Opens in a new tab)
PDF 79.38KB - Last Updated: 04/21/2023
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Insert Espanol (Opens in a new tab)
PDF 79.51KB - Last Updated: 04/21/2023
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Special Issue English (Opens in a new tab)
PDF 690.12KB - Last Updated: 04/21/2023
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Special Issue Espanol (Opens in a new tab)
PDF 594.42KB - Last Updated: 04/21/2023
Summer
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English (Opens in a new tab)
PDF 628.48KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 496.62KB - Last Updated: 04/21/2023
Spring
-
English (Opens in a new tab)
PDF 758.82KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 736.85KB - Last Updated: 04/21/2023
Summer
-
English (Opens in a new tab)
PDF 498.00KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 476.63KB - Last Updated: 04/21/2023
Fall
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English (Opens in a new tab)
PDF 824.30KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 806.98KB - Last Updated: 04/21/2023
Summer
-
English (Opens in a new tab)
PDF 752.37KB - Last Updated: 04/21/2023
Spring
-
English (Opens in a new tab)
PDF 847.32KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 926.91KB - Last Updated: 04/21/2023
Winter
-
English (Opens in a new tab)
PDF 681.83KB - Last Updated: 04/21/2023
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Español (Opens in a new tab)
PDF 697.98KB - Last Updated: 04/21/2023
Learn More
UnitedHealthcare RIte Care