Pawtucket, Rhode Island
Medicare agents in Pawtucket, RI
Find a licensed agent with an office in Pawtucket, and see what Medicare looks like locally: how many people have it, how many are in Medicare Advantage, and how many plans are offered for 2027.
Last reviewed October 27, 2026. General information, not advice about any plan.
Agents in Pawtucket
No agents with an office in Pawtucket are listed yet. Agents licensed anywhere in Rhode Island can help by phone or video: see agents in Rhode Island.
Before you meet anyone, check their Rhode Island license. Agents in nearby towns are on the Providence County page.
Medicare in Providence County
- People with Medicare
- 133,741
- In Medicare Advantage or another Medicare health plan
- 64% (86,204)
- With both Medicare and Medicaid*
- 24% (31,897)
Source: CMS Medicare Monthly Enrollment, July 2026, for all of Providence County; Pawtucket itself has about 76,996 residents (Census, 2024). Medicare health plans include Medicare Advantage, cost plans and PACE, not Medigap or drug plans. *Includes people who get help only with Medicare costs from a Medicare Savings Program.
2027 plans offered in Providence County
- Medicare Advantage with drug coverage
- 10 plans, 4 with a $0 plan premium
- Medicare Advantage without drug coverage
- 3 plans
- Special Needs Plans
- 9 plans: 7 for people with both Medicare and Medicaid; 1 for people with certain chronic conditions; 1 for people who live in, or need the care of, a nursing home. Only people who qualify can join.
- Companies offering these plans
- 4
Standalone drug plans in Rhode Island: 10 plans, with monthly premiums from $13.30.
Source: CMS 2027 plan landscape (updated October 2026), which lists plans by county. A $0 plan premium doesn't mean $0 costs: you still pay the Part B premium, plus copays, and plans differ in their yearly limit and in which doctors and drugs they cover. How to compare.
Free local help
- Rhode Island State Health Insurance Assistance Program (SHIP)
- Rhode Island's free, unbiased Medicare counseling program. 1-888-884-8721 · Website
- The Rhode Island Department of Business Regulation, Insurance Division
- Licenses agents and takes complaints. 401-462-9520 · How to check a license
- 1-800-MEDICARE
- 1-800-633-4227 (TTY 1-877-486-2048), 24 hours a day, 7 days a week, except some federal holidays.
Rhode Island rules to know
- Switching Medigap plans
- Yearly window. Each year from October 15 to December 7, if you've had Medigap or Medicare Advantage with no gap of more than 90 days, you can buy any available Medigap plan with no health questions.
- Medigap under 65
- Required, with limits. Rhode Island companies must sell Plan A only to people under 65 on Medicare because of a disability or ESRD if they apply within the first 6 months after first becoming eligible for Part B, with no medical underwriting; at 65 they get a 6-month window to buy any plan.
- Agent licenses
- Agents must be licensed for health insurance in Rhode Island. Look one up.
Dates to know
- October 15 to December 7
- Open Enrollment: change Medicare Advantage or drug plans for the next year.
- January 1 to March 31
- Medicare Advantage Open Enrollment: one change for people already in a Medicare Advantage plan.
- Turning 65
- A 7-month window around your birthday month. The checklist.
Moving to Pawtucket from another state opens a special enrollment period for Medicare Advantage and drug plans. It doesn't by itself let you buy Medigap without health questions. What to do.
Common questions
How many people in Pawtucket have Medicare?
In Providence County, 133,741 people had Medicare in July 2026, according to CMS. About 64% were in Medicare Advantage or another Medicare health plan; the rest had Original Medicare.
How many Medicare Advantage plans are offered in Pawtucket for 2027?
CMS lists 10 Medicare Advantage plans with drug coverage in Providence County for 2027 (4 with a $0 plan premium; you still pay the Part B premium), 3 without drug coverage, and 9 Special Needs Plans for people who qualify, from 4 companies. Medicare.gov's Plan Finder shows which ones cover your address, doctors and drugs.
Where can I get free Medicare help in Pawtucket?
Rhode Island's free counseling program, Rhode Island State Health Insurance Assistance Program (SHIP) (1-888-884-8721), gives unbiased one-on-one help. You can also call 1-800-MEDICARE (1-800-633-4227) any time.
Will I pay more for a plan if I use an agent?
No. A plan's premium is set by the plan, and you pay the same whether you enroll through an agent, the plan, or Medicare.gov. Agents can't charge a fee to enroll you in a Medicare Advantage or drug plan.
Other cities in Rhode Island
Keep reading
- How to find a good Medicare agent near youWhere to look for a local Medicare agent, how to narrow the list to one or two, and the five-minute checks to do before you share anything.
- Medicare Open Enrollment checklist: what to check before December 7A step-by-step checklist for the October 15 to December 7, 2026 Open Enrollment Period: what to read in your plan's letter, what's changing for 2027, what you can switch, and what happens if you do nothing.
- Medicare Advantage or Medigap? The questions that decide itNeither is better for everyone. How the two common Medicare set-ups differ, the questions that point to one or the other, and why the first choice is the hardest to undo.
Ready to talk to someone local?
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