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Looking for plan info?
You’ll find the plan name at the bottom of your member ID card.
Access Blue New England
Access Blue New England is a high-deductible health plan with New England regional coverage. With this plan, you can open a health savings account (HSA) that allows you to save pre-tax dollars for qualified medical expenses now or in the future.
A few highlights of your plan:
- Doctors, hospitals, and labs in Rhode Island, Connecticut, Maine, Massachusetts, and New Hampshire
- Tax advantages when you open a health savings account (HSA)
- 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.* Just show your BCBSRI member ID card if you have pharmacy benefits through BCBSRI
- $0 for many preventive services, such as your annual physical, when you see a network provider
- Full coverage for programs to stop smoking, lose weight, and manage conditions like asthma and diabetes
- Preventive drug benefit reduces out-of-pocket costs for certain preventive drugs
*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.
Save money with your HSA
Think of an HSA like a retirement account for medical expenses. You can add money to your account and spend it now. Or you can keep saving and use it later in life. Either way, you get a triple tax advantage.
BlueCHiP Flex
BlueCHiP relies on a primary care provider (PCP) to coordinate all of your health services. PCPs guide you through the healthcare system and provide referrals to specialists as needed, to help ensure the appropriate level of care. You and your PCP work together to identify health needs and to help prevent minor illnesses from becoming serious problems.
A few highlights of your plan:
- A primary care provider (PCP) who is your “regular” doctor and provides referrals for specialists, tests, and some other services as needed
- $0 copays for visits to your PCP if they belong to a patient-centered medical home, or PCMH
- A Rhode Island network that includes 14 RI hospitals, more than 1,400 PCPs and pediatricians, and 3,600 specialists
- 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.* Just show your BCBSRI member ID card if you have pharmacy benefits through BCBSRI
*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.
Do you need a referral?
Your healthcare in this plan is based on referrals from your PCP, but some types of care, like emergency and mental health services, don’t require a referral.
Blue Choice New England
Blue Choice New England offers low premiums and the convenience of coordinated care using a primary care provider (PCP). You also have the added flexibility to choose out-of-network providers. While you have the lowest out-of-pocket costs when care goes through a PCP, you can make the choice to seek self-directed care and pay more.
A few highlights of your plan:
- A primary care provider (PCP) who is your “regular doctor” and provides referrals for specialists, tests, and some other services as needed
- Doctors, hospitals, and labs in Rhode Island, Connecticut, Maine, Massachusetts, and New Hampshire
- Lower costs for seeing in-network providers
- 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.* Just show your BCBSRI member ID card if you have pharmacy benefits through BCBSRI
- $0 for many preventive services, such as your annual physical, when you see a network provider
*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.
Do you need a referral?
Your healthcare in this plan is based on referrals from your PCP, but some types of care, like emergency and mental health services, don’t require a referral.
BlueHPN
The Blue High Performance NetworkSM (BlueHPN) emphasizes quality care at lower cost. So it offers a network that consists of high-performing providers selected for their quality and cost effectiveness. They have committed to provide care to help improve your health both today—and in the future. And that can lower your overall healthcare costs.
A few highlights of your plan:
- A local network of providers chosen for their high levels of quality and cost efficiency
- Networks of providers in major cities throughout the U.S.
- Access to emergency care across the country
- No referrals required
- Predictable copays for office visits with the traditional plan
- Ability to open a health savings account with the high-deductible health plan
- 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.* Just show your BCBSRI member ID card if you have pharmacy benefits through BCBSRI
*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.
Your plan's network
BlueHPN offers a national reach with coverage in 55 of the largest metropolitan areas in the country. Each BlueHPN market, including Rhode Island and the Boston metro area, has a local network that consists of high-performing providers selected for their quality and cost effectiveness, as well as their integration with other providers, which can mean better outcomes and reduced costs.
Save money with your HSA
Think of an HSA like a retirement account for medical expenses. You can add money to your account and spend it now. Or you can keep saving and use it later in life. Either way, you get a triple tax advantage.
BlueSolutions
BlueSolutions is a high-deductible health plan that helps keep premiums manageable while still offering comprehensive benefits. And with this plan you can open a tax-advantaged health savings account (HSA) to pay for qualified medical expenses with tax-exempt dollars.
A few highlights of your plan:
- You receive tax advantages when you open a health savings account (HSA)
- $0 for many preventive services, such as your annual physical, when you see a network provider
- Full coverage for programs to stop smoking, lose weight, and manage conditions like asthma and diabetes
- Preventive drug benefit reduces out-of-pocket costs for certain preventive drugs, if your employer selected this benefit
- 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.* Just show your BCBSRI member ID card if you have pharmacy benefits through BCBSRI
*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.
Save money with your HSA
Think of an HSA like a retirement account for medical expenses. You can add money to your account and spend it now. Or you can keep saving and use it later in life. Either way, you get a triple tax advantage.
HealthMate Coast-to-Coast
HealthMate Coast-to-Coast offers you coverage for many services with fixed-dollar copays or coinsurance. With your member ID card, you have access to thousands of providers across the country.
A few highlights of your plan:
- $0 for many preventive services, such as your annual physical, when you see a network provider
- Predictable copays for many services
- Lower costs for seeing in-network providers
- Access to an extensive national 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.* Just show your BCBSRI member ID card if you have pharmacy benefits through BCBSRI
*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.
$0 for prevention
You can make a big difference in your health by getting the preventive care you need. Annual physicals, routine tests, and many more services may cost you nothing out-of-pocket when you receive the services in-network.
Network Blue New England
Network Blue New England relies on a primary care provider (PCP) to coordinate all of your health services. PCPs guide you through the healthcare system and provide referrals to specialists as needed, to help ensure the appropriate level of care. PCPs and members work together to identify health needs and to help prevent minor illnesses from becoming serious problems.
A few highlights of your plan:
- A primary care provider (PCP) who is your “regular doctor” and provides referrals for specialists, tests, and some other services as needed
- Doctors, hospitals, and labs in Rhode Island, Connecticut, Maine, Massachusetts, and New Hampshire
- 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.* Just show your BCBSRI member ID card if you have pharmacy benefits through BCBSRI
- $0 for many preventive services, such as your annual physical, when you see a network provider
*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.
Do you need a referral?
Your healthcare in this plan is based on referrals from your PCP, but some types of care, like emergency and mental health services, don’t require a referral.
VantageBlue
VantageBlue provides traditional benefits with incentives that promote healthy living and encourage members to take an active role in their healthcare.
A few highlights of your plan:
- $0 copay for your first sick visit with your primary care provider (PCP)
- $2 copay for certain generic maintenance drugs to treat diabetes, asthma, and COPD
- 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.* Just show your BCBSRI member ID card if you have pharmacy benefits through BCBSRI
- Coverage for up to 20 chiropractic visits per member per year
- Full coverage for programs to stop smoking, lose weight, and manage conditions like asthma and diabetes
- Coverage for up to 30 physical therapy/occupational therapy and speech therapy visits per member per year
*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.
$0 for prevention
You can make a big difference in your health by getting the preventive care you need. Annual physicals, routine tests, and many more services may cost you nothing out-of-pocket when you receive the services in-network.
Know the basics
Check out the member section of our website for “how to” tips, forms, and information about the perks of your plan. Then bookmark it for future reference. In the meantime, here’s how to:
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Ask for help
You don’t have to be an expert. We’re here to help you when you need it—even on weekends. Send us a message through myBCBSRI. Or call us with the number on the back of your card. Or visit a Your Blue Store near you for in-person assistance.
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