Your ID Card
When you became a BCBSRI member, one of the first—and most important—items you received from us was your member ID card, your key to getting healthcare coverage. Simply put, your BCBSRI member ID card shows your doctor and other providers that you're part of the nation's most trusted health plan. Make sure you carry it with you whenever you need care, and take the same precautions with it that you would with a credit card.
Click on each highlighted section to learn what it means.
Check to make sure it is spelled correctly.
Member ID number
Your doctor and other providers use this number when filing claims for services they provided to you.
Some plans require that you select a primary care provider with us, but no matter which plan you chose, you should have a PCP. They are the center of your care and will provide referrals for tests and specialists as needed.
Don't see a PCP listed on your card?
- If you have a doctor you see regularly, call us at the number on your card and tell us who that is.
- If you don’t have a regular doctor, or PCP, use find a doctor and let us know the doctor you’ve selected.
Pharmacy coverage information
Pharmacies use this information when you fill a prescription.
Prescription drug (or Prescription plan)
An order from your doctor for you to receive and take a specific medication, which you purchase from a pharmacy.
This is the amount you are required to pay for care before we start covering some of the costs. You may have an individual deductible and a family deductible.
The maximum amount you would pay for covered healthcare services each year, including deductible, copays, and coinsurance. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island.
Primary care visit
Your PCP is the main doctor, nurse practitioner, or physician’s assistant you go to for regular healthcare. It is the first person you should call when you have a health question that is not an emergency.
This is a doctor who has special training in treating a certain illness or part of the body. For example, a cardiologist treats the heart and an oncologist treats cancer.
These centers treat conditions that are serious but not life-threatening, such as nausea, back pain, animal bites, and burns.
Call 911 or go to the emergency room right away if you feel your health is in serious jeopardy, such as if you have difficulty breathing, persistent chest pain, deep cuts that require stitches, or broken bones.
These are specific dollar amounts you pay when you receive these services. Example: A doctor might charge $100 for a visit. If you have a $20 copay, you would pay the doctor $20 and your insurance would pay the doctor $80.
Please note that this is not the same as the date your coverage begins. If you are uncertain when you're coverage begins, you can call Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI).
Your plan name
This is the plan you chose when you signed up for a BCBSRI plan.
Type of plan
You might see a suitcase icon. This helps doctors and other providers know what type of coverage you have. The letters “PPO” inside the suitcase means you have a preferred provider organization plan.
If you have dental coverage through us, you will see this toothbrush symbol on your card.
PCP Phone: 401-555-1212
Primary Care Visit
BCBSRI Plan Name
Frequently asked questions
When will I receive a new member ID card?
New members will receive their member ID cards in the mail prior to their new plan year. All family members/dependents on the plan will receive their own ID card.
Will I receive a new member ID card every year?
You will only receive a new member ID card if you switch plans or if your plan’s benefits change significantly (for example, prescription copays, which are printed on your card, change from time to time), or if you add new coverage, such as dental.
When do I need to show my member ID card?
You should be prepared to show your current member ID card when receiving any healthcare services, such as a doctor’s appointment or getting prescriptions at the pharmacy. This is always a good practice and helps to prevent disruption of service and can help protect you from liability.
What should I do if my member ID card is lost or stolen?
You can request a new member ID card online. When you request a new ID card, you can also print a temporary ID card to use until you receive your new card in the mail. You also can call Customer Service at the number on the back of your card or (401) 459-5000 or 1-800-639-2227 (outside RI).
If you think your member ID card has been stolen, you should:
- Contact the BCBSRI Anti-Fraud Hotline at 1-800-830-1444
- Email SIU@bcbsri.org
- Report it online and enter access ID "BCRI"
Your member ID card and fraud: How to protect your medical information
Your BCBSRI member ID card is intended for your use and only your use. Use of an ID card by anyone other than the member named on the card (or dependents) to receive healthcare services is considered fraud and punishable by law. Always be especially careful about giving out your card or health insurance information and ask or verify if it is really needed.