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.

*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 more than 45 wellness and lifestyle deals and save money on your favorite products. Get members-only pricing on Gympass, giving you access to 11,000+ gyms and studios and online classes.

Through Your Blue Store, you can take in-person or virtual fitness classes such as yoga and Core N More. Check the schedules.

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

Whether you need help with your coverage or with staying healthy, stop by one of our convenient Your Blue Store 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

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.

*Coverage of preventive services at 100% is based on your age and other health factors.

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.

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Call (401) 459-5000 to speak with a customer service representative.