Understand your medical benefits

A quick look at your benefits

A Summary of Benefits shows the key benefits of your plan. The links below will take you directly to the Summary of Benefits for your plan.

Purchased your plan directly through BCBSRI

2022

  • BasicBlue Direct 2500/5000
  • BasicBlue Direct 5500/11000
  • BlueCHiP Direct 2300/4600
  • BlueCHiP Direct 4800/9600
  • BlueSolutions for HSA Direct 1700/3400
  • BlueSolutions for HSA Direct 4100/8200
  • BlueSolutions for HSA Direct 6300/12600
  • VantageBlue Direct 750/1500
  • VantageBlue Direct 1500/3000
  • VantageBlue Direct 3250/6500
  • VantageBlue Direct 5700/11400

Purchased your BCBSRI plan through HSRI

  • BasicBlue Direct 2500/5000
  • BasicBlue Direct 5500/11000
  • BlueCHiP Direct 2300/4600
  • BlueCHiP Direct 4800/9600
  • BlueCHiP Direct Advance 2300/4600
  • BlueCHiP Direct Advance 4650/9300
  • BlueSolutions for HSA Direct 1700/3400
  • BlueSolutions for HSA Direct 4100/8200
  • BlueSolutions for HSA Direct 6300/12600
  • BlueSolutions for HSA Direct 6300/12600 Modified
  • VantageBlue Direct 750/1500
  • VantageBlue Direct 750/1500 Modified
  • VantageBlue Direct 1500/3000
  • VantageBlue Direct 5700/11400

2021

  • BasicBlue Direct 2500/5000
  • BasicBlue Direct 5500/11000
  • BlueCHiP Direct 2300/4600
  • BlueCHiP Direct 4800/9600
  • BlueSolutions for HSA Direct 1700/3400
  • BlueSolutions for HSA Direct 4100/8200
  • BlueSolutions for HSA Direct 6300/12600
  • VantageBlue Direct 750/1500
  • VantageBlue Direct 1500/3000
  • VantageBlue Direct 3250/6500
  • VantageBlue Direct 5700/11400

Purchased your BCBSRI plan through HSRI

  • BasicBlue Direct 2500/5000
  • BasicBlue Direct 5500/11000
  • BlueCHiP Direct 2300/4600
  • BlueCHiP Direct 4800/9600
  • BlueCHiP Direct Advance 2300/4600
  • BlueCHiP Direct Advance 4650/9300
  • BlueSolutions for HSA Direct 1700/3400
  • BlueSolutions for HSA Direct 4100/8200
  • BlueSolutions for HSA Direct 6300/12600
  • BlueSolutions for HSA Direct 6300/12600 Modified
  • VantageBlue Direct 750/1500
  • VantageBlue Direct 750/1500 Modified
  • VantageBlue Direct 1500/3000
  • VantageBlue Direct 5700/11400

Full description of your benefits

A Subscriber Agreement gives you a detailed explanation of all of the benefits of your BCBSRI plan.

Purchased your plan directly through BCBSRI

2022

  • BasicBlue Direct 2500/5000
  • BasicBlue Direct 5500/11000
  • BlueCHiP Direct 2300/4600
  • BlueCHiP Direct 4800/9600
  • BlueSolutions for HSA Direct 1700/3400
  • BlueSolutions for HSA Direct 4100/8200
  • BlueSolutions for HSA Direct 6300/12600
  • VantageBlue Direct 750/1500
  • VantageBlue Direct 1500/3000
  • VantageBlue Direct 3250/6500
  • VantageBlue Direct 5700/11400

Purchased your BCBSRI plan through HSRI

  • BasicBlue Direct 2500/5000
  • BasicBlue Direct 5500/11000
  • BlueCHiP Direct 2300/4600
  • BlueCHiP Direct 4800/9600
  • BlueCHiP Direct Advance 2300/4600
  • BlueCHiP Direct Advance 4650/9300
  • BlueSolutions for HSA Direct 1700/3400
  • BlueSolutions for HSA Direct 4100/8200
  • BlueSolutions for HSA Direct 6300/12600
  • BlueSolutions for HSA Direct 6300/12600 Modified
  • VantageBlue Direct 750/1500
  • VantageBlue Direct 750/1500 Modified
  • VantageBlue Direct 1500/3000
  • VantageBlue Direct 5700/11400

2021

  • BasicBlue Direct 2500/5000
  • BasicBlue Direct 5500/11000
  • BlueCHiP Direct 2300/4600
  • BlueCHiP Direct 4800/9600
  • BlueSolutions for HSA Direct 1700/3400
  • BlueSolutions for HSA Direct 4100/8200
  • BlueSolutions for HSA Direct 6300/12600
  • VantageBlue Direct 750/1500
  • VantageBlue Direct 1500/3000
  • VantageBlue Direct 3250/6500
  • VantageBlue Direct 5700/11400

Purchased your BCBSRI plan through HSRI

  • BasicBlue Direct 2500/5000
  • BasicBlue Direct 5500/11000
  • BlueCHiP Direct 2300/4600
  • BlueCHiP Direct 4800/9600
  • BlueCHiP Direct Advance 2300/4600
  • BlueCHiP Direct Advance 4650/9300
  • BlueSolutions for HSA Direct 1700/3400
  • BlueSolutions for HSA Direct 4100/8200
  • BlueSolutions for HSA Direct 6300/12600
  • BlueSolutions for HSA Direct 6300/12600 Modified
  • VantageBlue Direct 750/1500
  • VantageBlue Direct 750/1500 Modified
  • VantageBlue Direct 1500/3000
  • VantageBlue Direct 5700/11400

Do you have other coverage too?

It is important that you let us know if you have any other health insurance in addition to BCBSRI. We need this information in order to determine which insurance is responsible for paying your claims first. All BCBSRI members periodically receive a survey in the mail about other health insurance they may have. Please call Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI).

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