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Broker's Guide
Health Products - HealthMate Coast-to-Coast

With our PPO product, HealthMate Coast-to-Coast, members are covered in sickness and in health. Unlike most health plans that focus on illness, HealthMate's emphasis on preventive care helps members make informed, healthy lifestyle decisions, which sets the foundation for continued good health.

Our Most Popular Plan
With HealthMate Coast-to-Coast, members are covered wherever they live, work, or travel, with the same benefits and coverage levels as local members. It's no wonder that HealthMate Coast-to-Coast is our most popular health plan. Here are just a few of its many standard features:
  • Total care. Hospital care, office visits, outpatient surgery, prescription drugs, behavioral health - they're all covered with HealthMate Coast-to-Coast. Doctors who participate directly with Blue Cross & Blue Shield of Rhode Island will obtain required pre-authorization for our members.
  • Freedom to choose. Members are free to choose the doctor or specialist of their choice. No referrals are needed. To visit network providers, a member simply calls and schedules an appointment, and pays any applicable copayment. In most cases, when a member visits a non-network provider, he or she is covered at 80% of the allowable amount, after any applicable copayments and deductibles have been met. Accessing care couldn't be easier.
  • Established local network. Our vast network covers members wherever they are. Our local network consists of all hospitals in Rhode Island and some in Massachusetts; approximately 96% of Rhode Island doctors; and all Brooks and CVS pharmacies in Rhode Island, Massachusetts, and Connecticut.
  • Nationwide network. Our BlueCard PPO network links Blue Cross and Blue Shield plans nationwide. This feature gives members access to more than 8,500 hospitals and more than 688,000 providers when traveling or residing outside of Rhode Island.
  • International network. Members are even covered for emergency care while traveling outside the U.S. with our BlueCard Worldwide network. Over 200 hospitals in 34 different countries participate, making it easy to access care while abroad.

With HealthMate Coast-to-Coast, it's easy for members to access care wherever they are, with no paperwork and no upfront payments. HealthMate Coast-to-Coast offers complete healthcare protection, freedom to choose a doctor, and special programs to keep members healthy.

Also available under the HealthMate Coast-to-Coast plan are:

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