Welcome to your 2024 plan
Let's make sure you understand your benefits that come with it.
myBCBSRI is your link to almost everything BCBSRI offers, and it’s where you can see your benefits and claims. So take a few minutes to register.
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Choose your plan to see your coverage
Your plan name appears in the bottom-left of your BCBSRI member ID card.
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BlueCHiP for Medicare Value (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
$60/quarter for over-the-counter everyday health items and $175/year allowance for dental and hearing copays and covered services.
Help cover the cost of your favorite healthy activities, like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- Some services require referrals. See your Evidence of Coverage.
- Some services require referrals. See your Evidence of Coverage.
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 drug deductible
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in
Dental
- Dental coverage built into the plan
- $0 preventive and comprehensive services
- $1,500 limit on all covered dental services4
- Plus $175/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $175/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3Pay $20 preferred insulin copay (30-day supply) or $50 (90-day) for preferred insulins on Tier 3. Tier 4 formulary insulins will have a $35 (30-day supply) or $105 (90-day) copay. Copays will not increase, even through the coverage gap.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
BlueCHiP for Medicare Value (HMO-POS) with ACCESS
Read full Summary of Benefits
Read full Summary of Benefits
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
$75/month to buy a combination of groceries and over-the-counter everyday health items, along with $175/year for dental and hearing services and copays. This is in addition to your standard benefits.
Help cover the cost of your favorite healthy activities, like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider in the ACCESS network
- $0 online doctor visits 24/72
- Some services require referrals. See your Evidence of Coverage.
- Some services require referrals. See your Evidence of Coverage.
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 for all Part D prescription drug deductibles, copays, and coinsurance
Dental
- Dental coverage built into the plan
- $0 preventive and comprehensive services
- $1,500 limit on all covered dental services4
- Plus $175/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $175/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3Pay $20 preferred insulin copay (30-day supply) or $50 (90-day) for preferred insulins on Tier 3. Tier 4 formulary insulins will have a $35 (30-day supply) or $105 (90-day) copay. Copays will not increase, even through the coverage gap.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
HealthMate for Medicare (PPO)
Read full Summary of Benefits
Read full Summary of Benefits
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
$75/quarter for over-the-counter everyday health items and $250/year allowance for dental and hearing copays and covered services.
Help cover the cost of your favorite healthy activities, like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Nationwide network
- No referrals
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 drug deductible
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in
Dental
- Dental coverage built into the plan
- $0 preventive and comprehensive services
- $2,000 limit on all covered dental services4
- Plus $250/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $250/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $300/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3Pay $20 preferred insulin copay (30-day supply) or $50 (90-day) for preferred insulins on Tier 3. Tier 4 formulary insulins will have a $35 (30-day supply) or $105 (90-day) copay. Copays will not increase, even through the coverage gap.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
BlueCHiP for Medicare Extra (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
$75/quarter for over-the-counter everyday health items and $220/year allowance for dental and hearing copays and covered services.
Help cover the cost of your favorite healthy activities, like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- Some services require referrals. See your Evidence of Coverage.
- Some services require referrals. See your Evidence of Coverage.
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 drug deductible
- Low or no copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- Low or no copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- Low or no copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in
Dental
- Dental coverage built into the plan
- $0 preventive and comprehensive services
- $1,500 limit on all covered dental services4
- Plus $220/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $220/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3Pay $20 preferred insulin copay (30-day supply) or $50 (90-day) for preferred insulins on Tier 3. Tier 4 formulary insulins will have a $35 (30-day supply) or $105 (90-day) copay. Copays will not increase, even through the coverage gap.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
BlueCHiP for Medicare Standard with Drugs (HMO)
Read full Summary of Benefits
Read full Summary of Benefits
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
$90/quarter for over-the-counter everyday health items and $220/year allowance for dental and hearing copays and covered services.
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- Some services require referrals. See your Evidence of Coverage.
- Some services require referrals. See your Evidence of Coverage.
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 drug deductible
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in
Dental
- Dental coverage built into the plan
- $0 preventive services
- $1,500 limit on all covered dental services4
- Plus $220/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $220/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3Pay $20 preferred insulin copay (30-day supply) or $50 (90-day) for preferred insulins on Tier 3. Tier 4 formulary insulins will have a $35 (30-day supply) or $105 (90-day) copay. Copays will not increase, even through the coverage gap.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
BlueCHiP for Medicare Plus (HMO)
Read full Summary of Benefits
Read full Summary of Benefits
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
$100/quarter for over-the-counter everyday health items and $280/year allowance for dental and hearing copays and covered services.
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- Some services require referrals. See your Evidence of Coverage.
- Some services require referrals. See your Evidence of Coverage.
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 drug deductible
- Low copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- Low copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- Low copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in
Dental
- Dental coverage built into the plan
- $0 preventive and comprehensive services
- $1,500 limit on all covered dental services4
- Plus $280/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $280/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3Pay $20 preferred insulin copay (30-day supply) or $50 (90-day) for preferred insulins on Tier 3. Tier 4 formulary insulins will have a $35 (30-day supply) or $105 (90-day) copay. Copays will not increase, even through the coverage gap.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
BlueCHiP for Medicare Preferred (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
$100/quarter for over-the-counter everyday health items and $280/year allowance for dental and hearing copays and covered services.
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- Some services require referrals. See your Evidence of Coverage.
- Some services require referrals. See your Evidence of Coverage.
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 drug deductible
- Low copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- Low copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- Low copays on generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in
Dental
- Dental coverage built into the plan
- $0 preventive and comprehensive services
- $1,500 limit on all covered dental services4
- Plus $280/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries..
- Plus $280/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3Pay $20 preferred insulin copay (30-day supply) or $50 (90-day) for preferred insulins on Tier 3. Tier 4 formulary insulins will have a $35 (30-day supply) or $105 (90-day) copay. Copays will not increase, even through the coverage gap.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
BlueCHiP for Medicare Core (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
$75/quarter for over-the-counter everyday health items and $200/year allowance for dental and hearing covered services and copays.
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- Some services require referrals. See your Evidence of Coverage.
- Some services require referrals. See your Evidence of Coverage.
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Dental
- Dental coverage built into the plan
- $0 preventive services
- $1,500 limit on all covered dental services4
- Plus $200/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $200/year to use for dental and/or hearing with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3The Insulin Savings Program is not available to members who qualify for a low-income subsidy (LIS).
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
BlueRI for Duals (HMO D-SNP)
Read full Summary of Benefits
Read full Summary of Benefits
Read full Summary of Benefits
It’s an important survey that helps us get to know you better. Need help? Your Health Navigator can walk you through it.
This card gives you money to help pay for the products and services you need the most:
- $160/month to buy a combination of groceries1 and everyday health items2
- $1,500/year to spend on a combination of dental and hearing services
Use for activities like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
Get 72 one-way rides to and from places that help support your health—like doctor appointments, senior and community centers, Your Blue StoreSM, and libraries.
Doctors
- Doctors across Rhode Island and even some in Massachusetts
- $0 copay for PCP & specialist visits
- $0 visits with Doctors Online5 available 24/7
- $0 labs and X-rays
If you need to find a doctor, log in to myBCBSRI and use the Find a Doctor tool.
Log in
Pharmacy
- $0 drug deductible
- $0 copay for Part D prescription drugs1
- Prescription drug delivery to your address
Save time and gas money by signing up for mail order. Call us at (401) 277-2958 (TTY: 711).6
Dental
- $0 preventive and comprehensive services
- $3,000 dental benefit including dentures and implants4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0 for up to 2 hearing aids (and batteries)
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $300/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed7 provider
1You must qualify for Extra Help.
2Unused benefits do not roll over to the next benefit period. You cannot exceed your benefit amount. Prices, brands, and items vary from store to store. Purchases made online or by phone using the catalog may be different than what you find in stores.
3Available within our service area. Any trip over 20 miles will count as additional trips and will be subtracted from your 72 trip total.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5In the case of an emergency, you should always call 911. Doctors Online is not intended to replace these services and should not be used in those circumstances. Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
6Pay $0 copay for a 90-day supply of prescriptions and have them delivered to your door.
7EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.