Questões? Ligue para a equipa de concierge do Medicare através do número (401) 277-2958 ou 1-800-267-0439 (TTY: 711).
2023 plan benefits

Choose your plan to see your coverage

O nome do seu plano aparece no canto inferior esquerdo do seu cartão de identificação de membro BCBSRI.

BlueCHiP for Medicare Value (HMO-POS)

Read full Summary of Benefits

Read full Summary of Benefits

See how we're enhancing your dental, hearing, and vision benefits in 2024

Silver&Fit® gym membership

Inscreva-se num ginásio local ou a vários ginásios espalhados pelo país por $0. Encomende kits de fitness em casa e vídeos de treinos digitais sem custos. Veja o que está incluído.

Flexible Benefit Card & over-the-counter benefit

$60/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.

$100 de reembolso de bem-estar anual

Ajuda a cobrir o custo das suas atividades saudáveis favoritas, como aulas de exercício, programas de perda de peso, aulas de desporto e equipamento de fitness em casa.

$0 rides to the doctor

Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.

Doctors

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.
Iniciar sessão

Farmácia

Farmácia

  • $0 de franquia de medicamentos
  • $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.
Iniciar sessão

Dentário

Dentário

  • Dental coverage built into the plan
  • $0 preventive services
  • $1,000 limit on all covered dental services4

See benefit details and claims in myBCBSRI.
Iniciar sessão

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 copay per ear in-network. Inclui um aparelho auditivo e avaliação e 3 anos de baterias.

Hearing benefit is administered through NationsHearing.
Visit NationsHearing

Visão

Visão

  • $0 routine visit in-network
  • Subsídio de $1500/ano para serviços dentários, auditivos e oftalmológicos (Cartão de Benefícios Flexíveis)

1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Qualquer viagem acima de 20 milhas contará como viagens adicionais e será subtraída do seu total de 24 viagens.

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.

HealthMate for Medicare (PPO)

Read full Summary of Benefits

Read full Summary of Benefits

See how we're enhancing your dental, hearing, and vision benefits in 2024

Silver&Fit® gym membership

Inscreva-se num ginásio local ou a vários ginásios espalhados pelo país por $0. Encomende kits de fitness em casa e vídeos de treinos digitais sem custos. Veja o que está incluído.

Flexible Benefit Card & over-the-counter benefit

$75/quarter for over-the-counter everyday health items and $300/year allowance for dental, hearing, and vision.

$150 de reembolso de bem-estar anual

Ajuda a cobrir o custo das suas atividades saudáveis favoritas, como aulas de exercício, programas de perda de peso, aulas de desporto e equipamento de fitness em casa.

$0 rides to the doctor

Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.

Doctors

Doctors

  • Nationwide network
  • Sem reencaminhamentos
  • $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.
Iniciar sessão

Farmácia

Farmácia

  • $0 de franquia de medicamentos
  • $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.
Iniciar sessão

Dentário

Dentário

  • Dental coverage built into the plan
  • $0 preventive and comprehensive services
  • $2,000 limit on all covered dental services4

See benefit details and claims in myBCBSRI.
Iniciar sessão

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 copay per ear in-network. Inclui um aparelho auditivo e avaliação e 3 anos de baterias.

Hearing benefit is administered through NationsHearing.
Visit NationsHearing

Visão

Visão

  • $0 routine visit in-network
  • Subsídio de $1500/ano para serviços dentários, auditivos e oftalmológicos (Cartão de Benefícios Flexíveis)

1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Qualquer viagem acima de 20 milhas contará como viagens adicionais e será subtraída do seu total de 24 viagens.

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.

BlueCHiP for Medicare Extra (HMO-POS)

Read full Summary of Benefits

Read full Summary of Benefits

See how we're enhancing your dental, hearing, and vision benefits in 2024

Silver&Fit® gym membership

Inscreva-se num ginásio local ou a vários ginásios espalhados pelo país por $0. Encomende kits de fitness em casa e vídeos de treinos digitais sem custos. Veja o que está incluído.

Flexible Benefit Card & over-the-counter benefit

$75/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.

$100 de reembolso de bem-estar anual

Ajuda a cobrir o custo das suas atividades saudáveis favoritas, como aulas de exercício, programas de perda de peso, aulas de desporto e equipamento de fitness em casa.

$0 rides to the doctor

Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.

Doctors

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.
Iniciar sessão

Farmácia

Farmácia

  • $0 de franquia de medicamentos
  • $0 Tier 1 and $4 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
  • $0 Tier 1 and $4 Tier 2 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.
Iniciar sessão

Dentário

Dentário

  • Dental coverage built into the plan
  • $0 preventive and comprehensive services
  • $1,500 limit on all covered dental services4

See benefit details and claims in myBCBSRI.
Iniciar sessão

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 copay per ear in-network. Inclui um aparelho auditivo e avaliação e 3 anos de baterias.

Hearing benefit is administered through NationsHearing.
Visit NationsHearing

Visão

Visão

  • $0 routine visit in-network
  • Subsídio de $1500/ano para serviços dentários, auditivos e oftalmológicos (Cartão de Benefícios Flexíveis)

1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Qualquer viagem acima de 20 milhas contará como viagens adicionais e será subtraída do seu total de 24 viagens.

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.

BlueCHiP for Medicare Standard with Drugs (HMO)

Read full Summary of Benefits

Read full Summary of Benefits

See how we're enhancing your dental, hearing, and vision benefits in 2024

Silver&Fit® gym membership

Inscreva-se num ginásio local ou a vários ginásios espalhados pelo país por $0. Encomende kits de fitness em casa e vídeos de treinos digitais sem custos. Veja o que está incluído.

Flexible Benefit Card & over-the-counter benefit

$90/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.

$0 rides to the doctor

Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.

Doctors

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.
Iniciar sessão

Farmácia

Farmácia

  • $0 de franquia de medicamentos
  • $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.
Iniciar sessão

Dentário

Dentário

  • Dental coverage built into the plan
  • $0 preventive services
  • $1,500 limit on all covered dental services4

See benefit details and claims in myBCBSRI.
Iniciar sessão

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 copay per ear in-network. Inclui um aparelho auditivo e avaliação e 3 anos de baterias.

Hearing benefit is administered through NationsHearing.
Visit NationsHearing

Visão

Visão

  • $0 routine visit in-network
  • Subsídio de $1500/ano para serviços dentários, auditivos e oftalmológicos (Cartão de Benefícios Flexíveis)

1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Qualquer viagem acima de 20 milhas contará como viagens adicionais e será subtraída do seu total de 24 viagens.

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.

BlueCHiP for Medicare Plus (HMO)

Read full Summary of Benefits

Read full Summary of Benefits

See how we're enhancing your dental, hearing, and vision benefits in 2024

Silver&Fit® gym membership

Inscreva-se num ginásio local ou a vários ginásios espalhados pelo país por $0. Encomende kits de fitness em casa e vídeos de treinos digitais sem custos. Veja o que está incluído.

Flexible Benefit Card & over-the-counter benefit

$100/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.

$0 rides to the doctor

Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.

Doctors

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.
Iniciar sessão

Farmácia

Farmácia

  • $0 de franquia de medicamentos
  • $3 Tier 1 and $6 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
  • $3 Tier 1 and $6 Tier 2 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.
Iniciar sessão

Dentário

Dentário

  • Dental coverage built into the plan
  • $0 preventive and comprehensive services
  • $1,500 limit on all covered dental services4

See benefit details and claims in myBCBSRI.
Iniciar sessão

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 copay per ear in-network. Inclui um aparelho auditivo e avaliação e 3 anos de baterias.

Hearing benefit is administered through NationsHearing.
Visit NationsHearing

Visão

Visão

  • $0 routine visit in-network
  • Subsídio de $1500/ano para serviços dentários, auditivos e oftalmológicos (Cartão de Benefícios Flexíveis)

1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Qualquer viagem acima de 20 milhas contará como viagens adicionais e será subtraída do seu total de 24 viagens.

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.

BlueCHiP for Medicare Preferred (HMO-POS)

Read full Summary of Benefits

Read full Summary of Benefits

See how we're enhancing your dental, hearing, and vision benefits in 2024

Silver&Fit® gym membership

Inscreva-se num ginásio local ou a vários ginásios espalhados pelo país por $0. Encomende kits de fitness em casa e vídeos de treinos digitais sem custos. Veja o que está incluído.

Flexible Benefit Card & over-the-counter benefit

$100/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.

$0 rides to the doctor

Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.

Doctors

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.
Iniciar sessão

Farmácia

Farmácia

  • $0 de franquia de medicamentos
  • $3 Tier 1 and $6 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
  • $3 Tier 1 and $6 Tier 2 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.
Iniciar sessão

Dentário

Dentário

  • Dental coverage built into the plan
  • $0 preventive and comprehensive services
  • $1,500 limit on all covered dental services4

See benefit details and claims in myBCBSRI.
Iniciar sessão

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 copay per ear in-network. Inclui um aparelho auditivo e avaliação e 3 anos de baterias.

Hearing benefit is administered through NationsHearing.
Visit NationsHearing

Visão

Visão

  • $0 routine visit in-network
  • Subsídio de $1500/ano para serviços dentários, auditivos e oftalmológicos (Cartão de Benefícios Flexíveis)

1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Qualquer viagem acima de 20 milhas contará como viagens adicionais e será subtraída do seu total de 24 viagens.

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.

BlueCHiP for Medicare Core (HMO-POS)

Read full Summary of Benefits

Read full Summary of Benefits

See how we're enhancing your dental, hearing, and vision benefits in 2024

Silver&Fit® gym membership

Inscreva-se num ginásio local ou a vários ginásios espalhados pelo país por $0. Encomende kits de fitness em casa e vídeos de treinos digitais sem custos. Veja o que está incluído.

Flexible Benefit Card & over-the-counter benefit

$75/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.

$0 rides to the doctor

Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.

Doctors

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.
Iniciar sessão

Dentário

Dentário

  • Dental coverage built into the plan
  • $0 preventive services
  • $1,500 limit on all covered dental services4

See benefit details and claims in myBCBSRI.
Iniciar sessão

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 copay per ear in-network. Inclui um aparelho auditivo e avaliação e 3 anos de baterias.

Hearing benefit is administered through NationsHearing.
Visit NationsHearing

Visão

Visão

  • $0 routine visit in-network
  • Subsídio de $1500/ano para serviços dentários, auditivos e oftalmológicos (Cartão de Benefícios Flexíveis)

1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Qualquer viagem acima de 20 milhas contará como viagens adicionais e será subtraída do seu total de 24 viagens.

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.

BlueRI for Duals (HMO D-SNP)

Read full Summary of Benefits

Read full Summary of Benefits

Read full Summary of Benefits

Flexible Benefit Card & over-the-counter benefit

Your card has three pools of money:

  • $150/month to buy a combination of groceries1 and over-the-counter (OTC) everyday health items1
  • $1,500/year to pay for dental and hearing services and copays, in addition to your standard benefits
  • $300/year to buy glasses and contacts

$200 de reembolso de bem-estar anual

Use for activities like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.

Serviço de transporte privado

Get up to 72 one-way rides to or from your doctor appointments as well as select places in your community, like senior centers and libraries.

Doctors

Doctors

  • Doctors across RI and even some in Massachusetts
  • $0 de copagamento para consultas de PCP e consultas especializadas
  • $0 online doctor visits 24/7
  • $0 labs and X-rays

If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Iniciar sessão

Farmácia

Farmácia

  • $0 de franquia de medicamentos
  • $0 copay for Part D prescription drugs4

You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Iniciar sessão

Dentário

Dentário

  • $0 preventive and comprehensive services
  • $3,000 dental benefit including dentures and implants5

See benefit details and claims in myBCBSRI.
Iniciar sessão

Hearing

Hearing

  • $0 routine visit in-network
  • $0 per hearing aid (2 hearing aids every 3 years)

Hearing benefit is administered through NationsHearing.
Visit NationsHearing

Visão

Visão

  • $0 routine visit in-network
  • $300/ano de subsídio de equipamento para visão (Cartão de Benefícios Flexíveis)

1Unused benefits do not roll over to the next benefit period. Não pode exceder o valor do seu benefício. Os preços, marcas e artigos variam de loja para loja. Purchases made online or by phone using the catalog may be different than what you find in stores.

2Disponível na nossa área de serviço. Qualquer viagem acima de 20 milhas contará como viagem adicional e será subtraída do seu total de 72 viagens.

3There is a minimum grocery spend required for delivery. 5All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

4You must receive Low-Income Subsidy (LIS) or Extra Help to receive the grocery and over-the-counter (OTC) allowance as well as $0 Part D drug copays.

5All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

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