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The UnitedHealthcare Rhody Health Partners ACA Adult Expansion plan is for certain Adults aged 19-64 with no dependent children with an income at or below 133 percent Federal Poverty Level - You have to earn less than $15,654 per year or earn less than $1,305 per month and are a United States citizen or a legal permanent resident under 65 meeting income eligibility guidelines.
For example: William, Paula and their son, Sammy, are enrolled in a family plan with an out-of-pocket limit of $12,000. William incurs $10,000 in cost-sharing charges due to a hospitalization in May. However, William is protected by the individual maximum out-of-pocket limit and he will only pay $6,850. For the remainder of the year, he will pay no cost sharing. If Paula and Sammy have additional medical expenses and spend $5,150 on cost-sharing charges during the year, the family will reach their health planâs $12,000 out-of-pocket limit and will pay no cost sharing for the rest of the year.