Health insurance after a layoff in Rhode Island
When you lose job-based coverage in Rhode Island, you have a 60-day window to enroll through the Marketplace, plus the option to keep your old plan through COBRA (usually at full price). Rhode Island runs its own marketplace, HealthSource RI, at healthsourceri.com. If your income dropped, you may also qualify for Medicaid (from 2027, most adults also need to show work or another qualifying activity).
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Rhode Island coverage, at a glance
Marketplace
HealthSource RI (state-run)
Enroll at
healthsourceri.com
Special enrollment
60 days from losing job coverage
Medicaid
Medicaid, expanded (to ~138% FPL)
Rhode Island runs its own ACA exchange, HealthSource RI; open enrollment for 2026 ran Nov 1, 2025 through Jan 31, 2026, and it is the only place RI residents can get premium tax credits.
Subsidies in 2026 and 2027: the enhanced pandemic-era Marketplace subsidies expired December 31, 2025, and as of September 2026 Congress had not restored them. Subsidies still exist but are smaller, and the income cutoff (about 4 times the poverty line) is back, so price your real numbers at healthsourceri.com rather than assuming. If your income dropped a lot, a subsidized Marketplace plan can still beat COBRA.
Your 60-day window covers the rest of 2026. HealthSource RI sets its own open-enrollment dates for 2027 coverage; check healthsourceri.com before your 60-day window closes.
Medicaid in 2027: From January 1, 2027, federal law requires most adults aged 19 to 64 on expansion Medicaid to show 80 hours a month of work, community service, a work program, or half-time school, or earnings of at least 80 times the federal minimum wage ($580 a month in 2026). A state can start sooner, or later if federal officials grant it more time. New applicants show it for the month or months before they apply, so work before a layoff can count. Parents of a child 13 or younger, people who are disabled or medically frail, and some others are exempt.
Both clocks run about 60 days: COBRA gives you 60 days to elect (retroactive to when your plan ended), and the Marketplace gives you a 60-day Special Enrollment window. Don't let either run out.
This is general information, not insurance or financial advice. Confirm plans, prices, and eligibility at healthsourceri.com before you rely on them.
Rhode Island health coverage FAQ
Where do I buy health insurance in Rhode Island after a layoff?
Rhode Island runs its own marketplace, HealthSource RI. Enroll at healthsourceri.com. Losing job-based coverage opens a 60-day Special Enrollment window, so you don't have to wait for open enrollment. You can also keep your old plan through COBRA, usually at full price.
Do I qualify for Medicaid in Rhode Island if I lost my job?
Possibly. Rhode Island expanded Medicaid (Medicaid), so adults can qualify based on current monthly income (generally up to 138% of the federal poverty level), and you can apply any time, not just during open enrollment. A job loss can make you newly eligible. From January 1, 2027, federal law requires most adults aged 19 to 64 on expansion Medicaid to show 80 hours a month of work, community service, a work program, or half-time school, or earnings of at least 80 times the federal minimum wage ($580 a month in 2026). A state can start sooner, or later if federal officials grant it more time. New applicants show it for the month or months before they apply, so work before a layoff can count. Parents of a child 13 or younger, people who are disabled or medically frail, and some others are exempt.
How long do I have to get a Marketplace plan in Rhode Island?
A 60-day Special Enrollment Period that starts when you lose job-based coverage, which covers you for the rest of this year. Subsidies are based on your household income for the whole calendar year, not last year: for 2026 coverage that includes what you earned before the layoff and any severance, so enter your expected full-year income at healthsourceri.com to see your real cost. For 2027 you choose again in open enrollment, priced on what you expect to earn in 2027. HealthSource RI sets its own open-enrollment dates for 2027 coverage; check healthsourceri.com before your 60-day window closes.
Keep going
COBRA vs. the Marketplace, compared
The two 60-day windows, the real costs, and the 2026 subsidy change.
File for unemployment in Rhode Island
The official Rhode Island portal, the waiting week, and what to have ready.
Was your layoff covered by WARN in Rhode Island?
Where Rhode Island posts mass-layoff notices, and the 60-day notice rule.
Health coverage in another state
Where to enroll and the Medicaid rules for every other state.
Reviewed September 2026, unchanged since September 2026. Marketplaces, subsidies, and Medicaid rules change; confirm current details at the official Rhode Island site (healthsourceri.com) or healthcare.gov before relying on them.