What you get with your plan

Along with the healthcare that our plans cover, you get many other advantages.

Save money, stay healthy, be informed

We work with doctors and other healthcare providers to ensure you receive high-quality care at lower costs than you'd pay without your BCBSRI plan. When you receive a "Healthcare Services Summary" from us in the mail, it'll show how much you saved.

MedsYourWay® helps you find the lowest available price of applicable discount cards for your eligible medications—no coupons or other cards needed. And all covered prescription purchases count toward your deductible (if applicable) and out-of-pocket maximum—that doesn’t happen with other discount drug card programs.* Just show your member ID card.

And save time and money with up to a 90-day supply of medicine delivered right to your door.

*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.

Higher costs don’t always mean higher quality. You could save hundreds or even thousands of dollars depending on where you receive care. Compare costs before your next visit or procedure. It's one of the many tools available at myBCBSRI.

Our wellness program, powered by the Virgin Pulse® app, makes fitness contagious. Earn points and get motivated with healthy team challenges, customized nutrition tools, and trackers for activity, weight, sleep, and mood.

Blue365® offers discounts for all BCBSRI members. Browse dozens of wellness and lifestyle deals and save money on your favorite products.

At Your Blue Store, you can take fitness classes such as yoga and Core N More. Check the schedules.

If you have a chronic health condition like asthma, diabetes, or hypertension, the BCBSRI Care Management team can help. Our clinical team will work together to get you the care you need, when you need it. There’s no added cost for these services and no referrals are needed.

Whether you need help with your coverage or with staying healthy, stop by one of our convenient Your Blue StoreSM locations and let’s chat. Find a store near you.

Questions can pop up anytime. That’s why we offer customer service 7 days a week. We’re happy to talk with you Monday through Friday, 8:00 a.m. to 8:00 p.m., and Saturday and Sunday, 8:00 a.m. to noon.

Doctors Online is perfect for when your personal doctor is unavailable or when going into the office is not an option. See a doctor—365 days a year, 7 days a week—on your phone. Doctors are board-certified professionals, and the online experience—via mobile, tablet, or desktop—is designed to be private and secure. You also can schedule appointments with licensed therapists. Learn more

Livongo® can help you manage your diabetes and/or hypertension. Livongo does not replace physician-directed medical care and you must meet certain health criteria to participatte.* You get:

  • Unlimited diabetes testing supplies
  • Blood glucose meter, blood pressure monitor, and/or smart scale, if appropriate, all at no added cost
  • Expert coaching support
  • Digital behavioral health support

*Livongo is an independent company that has contracted directly with BCBSRI to provide chronic condition management and other health benefit programs.

Receive convenient messages about your health and health plan on your phone, including benefit updates, money-saving tips, and reminders about tests.

With myBCBSRI, you get easy access to your digital ID card, electronic documents (go paperless!), claim status, and benefit information. You can even manage your health savings account (HSA)—all in one place.

SmartShopper® helps you save money and earn rewards by “shopping around” for the most cost-effective, quality providers of many common medical services. Rewards allow you to share in the savings—and there’s no paperwork and no hassle. SmartShopper is included with your health plan,* so you can use it to find the quality care you need in minutes—and get rewarded for your cost-conscious choices.

What’s covered by a health plan?

Our plans come with many services that allow you to get the care you need and to keep you healthy. Here are some of the basic services our plans cover:

  • Preventive services (annual exam, screenings, immunizations) – covered 100% within the BCBSRI network*
  • Primary care visits for injury or illness
  • Specialist visits
  • Doctors Online (Designated telemedicine provider) services
  • Retail health clinic services
  • Diagnostic tests (for example, X-rays, blood work)
  • Imaging/radiology services
  • Prescription drugs
  • Outpatient/inpatient surgery
  • Emergency/urgent care
  • Hospital stays
  • Pregnancy services
  • Home healthcare
  • Rehabilitation services
  • Skilled nursing care
  • Durable medical equipment
  • Hospice services
  • Pediatric medical, dental, and vision care

Coverage and cost sharing varies depending on the plan. To see a plan’s specific coverage and costs, select the plan from our plans page and review the Summary of Benefits and Coverage and/or Subscriber Agreement.

*For preventive services to be covered without cost-sharing, members must receive services from a network provider, and certain age, sex, and risk profile requirements may apply.

Virgin Pulse is an independent wellness company, contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide wellness services.

Doctors Online is a telemedicine service provided by American Well, an independent company that administers Doctors Online on behalf of Blue Cross & Blue Shield of Rhode Island.

© 2000- Blue Cross and Blue Shield Association -- All Rights Reserved. The Blue365 program is made available by BCBSRI in conjunction with the Blue Cross and Blue Shield Association. The Blue Cross and Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield plans.