Monthly premium

382.64
BasicBlue Direct 2300/4600
medical
2019
Gold
https://www.bcbsri.com/individual/shop/medical/2019/basicblue-direct-23004600-directonly

Who will be covered

Selecting this plan will add coverage for :

Gold

BasicBlue Direct

2300/4600

A plan that covers office visits and generic drugs before the deductible while also providing comprehensive coverage after you meet the deductible. You have access to our national network of doctors, labs, and hospitals, with no referral required.

  • Provides coverage for most office visits and generic drugs before deductible
  • Access to 90 percent of doctors and hospitals across 50 states
  • Certain over-the-counter preventive medications are FREE when purchased at a participating pharmacy with a prescription
  • Earn up to $250 (both subscriber and covered spouse) in wellness rewards and receive a 20% discount on CVS branded health items
  • Free dental exam, cleaning and annual exam for members under 19
  • View benefit information on Your Blue Touch RI mobile app
  • Full coverage for many preventive services, like an annual physical
  • $0 copayments for programs on quitting smoking, weight loss, and managing conditions like diabetes

What's covered

See if your doctor is in the network
Search providers

Medical & Hospital Benefits

Coverage

In-Network You Pay

Medical Coverage

Preventive Services

$0

Primary Care Provider (PCP) Office Visit when affiliated with a Patient Centered Medical Home (PCMH)

$15

PCP not affiliated with a PCMH

$25

Telemedicine

$25

Retail Clinic

$30

Specialist Visit

$30

Acupuncture Treatment

$45 after deductible (12 visits per year)

Urgent Care Center

$75 after deductible

Emergency Room

10% after deductible

Diagnostic Laboratory Tests

10% after deductible

X-rays

10% after deductible

High End Radiology (i.e., MRI, PET, and CAT scans etc.)

10% after deductible

Inpatient Hospital

10% after deductible

Pediatric Vision Eyeware (Dependents under 19)

Collection prescription glasses, lenses, and collection contact lenses

10% after deductible

Pediatric Dental (Dependent under 19)

Oral exams, cleanings, x-rays, fluoride treatments, sealants and space maintainers

$0

All other covered dental services 

50% after deductible

Prescription Drug Benefits

Coverage

In-Network You Pay

Tier 1 (Preferred Generic)

$10

Tier 2 (Non-preferred Generic)

$30

Tier 3 (Preferred Brand)

$50 after deductible

Tier 4 (Non-Preferred Brand)

$75 after deductible

Tier 5 (Specialty)

$125 after deductible

You want the right plan. We can help you choose.

Call (401) 459-5550 or just come by:
Warwick location
Warwick
Cowesett Corners
300 Quaker Lane
East Providence location
East Providence
Highland Commons
71 Highland Avenue
Lincoln location
Lincoln
Lincoln Mall Shopping Center
622 George Washington Hwy
Visit Your Blue Store
Or send our sales team a message

Thank you for sending us your information.

We will be in touch soon to help you choose a plan that's right for you.

BCBSRI Logo - Feedback Survey

Tell us what you really think

It only takes a moment and your feedback can help us provide better service to you in the future.

Feedback