BasicBlue Direct 6350/12700


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BasicBlue Direct 6350/12700 *

Your total estimated
monthly premium
Annual Deductible Out-of-Pocket Maximum Rating

$6,350 $6,350
This is a individual plan

If you're eligible for a Catastrophic plan (BasicBlue Direct):

  • You must apply for coverage by 3/31/14;
  • You can continue to enroll for BasicBlue Direct on-line or complete and mail a paper BCBSRI Health and Dental application for Individuals and Families directly to BCBSRI.
  • You must complete and submit the Hardship Exemption Application to the address on the "Hardship Exemption" application.
  • Once you receive the Exemption Certificate from Centers for Medicare and Medicaid (CMS), you must submit it by:

NOTE: BCBSRI cannot process your application until the Hardship Exemption Form has been received.

Reasons to choose this plan
  • This plan, available to individuals under age 30 (or those who qualify for a hardship exemption), provides coverage for essential health services after the annual in-network, out-of-pocket (OOP) maximum of $6,350 has been met.
  • Three primary care physician or specialist office visits per year with a copay before the out-of-pocket maximum has been met
  • A $50 reward for completing a confidential, online health assessment (HA)
  • Absolutely no out-of-pocket costs for many preventive screenings and exams
  • Programs that help you quit smoking, lose weight, and more with no out-of-pocket costs
  • 100% coverage for certain generic over-the-counter medications with a prescription
  • Access to our national network of more than 665,000 doctors, which includes primary care physicians and specialists
  • Access to 4,400 hospitals in network, including all major hospitals in Rhode Island
Eligibility requirements

Catastrophic plans may only be offered to individuals who:

  1. Are under age 30 before the plan year, OR
  2. Over the age of 30 (as of the requested effective date) with proof of a hardship exemption. 

A family can have a BasicBlue Direct plan, but only if each individual enrolled in the coverage meets the eligibility requirments for enrolling in a BasicBlue Direct plan.