BlueCHiP Direct
2300/4600
This is the lowest-cost plan that Blue Cross offers in the gold tier. Your primary care provider (PCP) directs most of your care and referrals to other doctors. This plan covers office visits and generic drugs before the deductible, and it uses our local RI network, which includes all Rhode Island hospitals.
- Full coverage for many preventive services, like an annual physical, when you use a doctor in the network
- MedsYourWay® prescription savings program—no coupons or discount cards needed—and all covered prescription purchases accumulate toward your deductible (if applicable) and out-of-pocket maximum.*
- No-cost dental exam and cleaning for members under 19
- Earn up to $250 (both subscriber and spouse) in wellness rewards
- Member discounts with Blue 365 on gyms, nutrition services, fitness trackers, and more health and lifestyle brands
- $0 copays for programs on quitting smoking, weight loss, and managing conditions like diabetes
- This plan uses our RI network, which includes all Rhode Island hospitals, 1,600+ primary care doctors, and over 3,800 specialty doctors
- View benefit information on myBCBSRI
O que está coberto
Veja se o seu médico está na rede
Pesquise fornecedores
Cobertura
In-network you pay
Cobertura médica
Preventive services
$0
Primary care provider (PCP) office visit when affiliated with a patient-centered medical home (PCMH)
$15
PCP not affiliated with a PCMH
$35
Doctors Online (designated telemedicine provider)
$35
Retail clinic
$45
Specialist visit
$45
Acupuncture treatment
$45 (12 visits per year)
Serviço de urgência
$75
Serviço de urgência
10% after deductible
Diagnostic laboratory tests
10% after deductible
X-rays
10% after deductible
High-end radiology (MRI, PET, CAT scan, etc.)
10% after deductible
Inpatient hospital
10% after deductible
Pediatric Vision Eyeware (Dependents under 19)
Collection prescription glasses, lenses, and collection contact lenses
10% after deductible
Pediatric Dental (Dependent under 19)
Oral exams, cleanings, X-rays, fluoride treatments, sealants, and space maintainers
$0
All other covered dental services
50% after deductible
Cobertura
In-Network You Pay
Nível 1 (genérico preferido)
$10
Nível 2 (genérico não-preferido)
$25
Nível 3 (marca preferida)
$50 after deductible
Tier 4 (Non-Preferred Brand)
$75 after deductible
Tier 5 (Specialty)
20% after deductible
*MedsYourWay is not insurance. It is a drug discount program administered by Prime Therapeutics, LLC, an independent company contracted by BCBSRI to provide pharmacy benefit management services. Ask your pharmacy if they participate in MedsYourWay before filling your prescription.