Your name

Check to make sure it is spelled correctly.

Member ID number

Your doctor and other providers use this number when filing claims for services they provided to you.

Your PCP

Some plans require that you select a primary care provider with us, but no matter which plan you chose, you should have a PCP. They are the center of your care and will provide referrals for tests and specialists as needed.

Don't see a PCP listed on your card?

• If you have a doctor you see regularly, call us at the number on your card and tell us who that is.
• If you don’t have a regular doctor, or PCP, use find a doctor and let us know the doctor you’ve selected.

Pharmacy coverage information

Pharmacies use this information when you fill a prescription.

Prescription drug (or Prescription plan)

An order from your doctor for you to receive and take a specific medication, which you purchase from a pharmacy.

Individual/family deductible

This is the amount you are required to pay for care before we start covering some of the costs. You may have an individual deductible and a family deductible.

Individual/family out-of-pocket

The maximum amount you would pay for covered healthcare services each year, including deductible, copays, and coinsurance. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island.

Primary care visit

Your PCP is the main doctor, nurse practitioner, or physician’s assistant you go to for regular healthcare. It is the first person you should call when you have a health question that is not an emergency.

Specialist visit

This is a doctor who has special training in treating a certain illness or part of the body. For example, a cardiologist treats the heart and an oncologist treats cancer.

Urgent care

These centers treat conditions that are serious but not life-threatening, such as nausea, back pain, animal bites, and burns.

Emergency room

Call 911 or go to the emergency room right away if you feel your health is in serious jeopardy, such as if you have difficulty breathing, persistent chest pain, deep cuts that require stitches, or broken bones.

Copays

These are specific dollar amounts you pay when you receive these services. Example: A doctor might charge $100 for a visit. If you have a $20 copay, you would pay the doctor $20 and your insurance would pay the doctor $80.

Date issued

Please note that this is not the same as the date your coverage begins. If you are uncertain when you're coverage begins, you can call Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI).

Your plan name

This is the plan you chose when you signed up for a BCBSRI plan.

Type of plan

You might see a suitcase icon. This helps doctors and other providers know what type of coverage you have. The letters “PPO” inside the suitcase means you have a preferred provider organization plan.

Dental coverage

If you have dental coverage through us, you will see this toothbrush symbol on your card.