Start with our frequently asked questions

Questions about Medicare are common and expected. Before you get on the phone or schedule a meeting, see if your question has already been answered by our trusted Medicare advisors. 

This is a stage of Medicare Part D prescription drug coverage known as the coverage gap, when medications have limited coverage. Some Medicare Advantage plans, such as HealthMate for Medicare (PPO), provide additional coverage through the gap.

You can learn more in this video

Have a look at the list of prescription drugs that are covered by your plan. It’s called a formulary. These are often divided into levels, or tiers. Drugs listed in the lower tiers cost you less.

Find the 2021 formulary here

All BCBSRI Medicare Advantage plans cover routine vision office visit at $0. Benefits for vision hardware range from $100 to $200.

Compare all the plans

You can find in-network doctors, dentists, and pharmacies on our Find a Doctor page. (Tip: Choose the plan you are considering from the list on that page.) You also can get help by calling one of our Medicare advisors.

We have collected all the plan materials on one page here. If you have a specific question, such as whether a certain doctor is in-network, you can call one of our Medicare advisors for the most up-to-date information.

A patient-centered medical home (PCMH) is a type of doctor’s office with a team of people committed to improving your health and helping you live a healthier lifestyle. Your PCMH team can help you achieve your health goals. For example, they might help you quit smoking, control your diabetes or asthma, lose weight, or manage your stress.

Most BCBSRI Medicare Advantage plans offer $0 office visits at PCMHs.

Yes, you will be able to set up recurring payments in the Billing Center on myBCBSRI.

The HealthMate for Medicare (PPO) plan does not require referrals. BlueCHiP for Medicare plans do require referrals. Some services, however, don’t need them. Learn more here. You can get more specific answers by calling one of our Medicare advisors.

You can view the most common copays across each of our Medicare Advantage plans here.

All of our Medicare Advantage plans include dental coverage, except BlueCHiP for Medicare Advance (HMO) and BlueCHiP for Medicare Core (HMO). You can add dental coverage to those two plans.

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BCBSRI Medicare members

Call the Medicare Concierge team at (401) 277-2958 or 1-800-267-0439 (TTY: 711). Hours: Monday through Friday, 8:00 a.m. to 8:00 p.m.; Saturday, 8:00 a.m. to noon. (Open seven days a week, 8:00 a.m. to 8:00 p.m., October 1 - March 31.) You can use our automated answering system outside of these hours.


Contact the Medicare Sales team at 1-800-505-BLUE (2583) (TTY: 711). Hours: Monday through Friday, 8:00 a.m. to 8:00 p.m. (Open seven days a week, 8:00 a.m. to 8:00 p.m., October 1 – March 31.) You can use our automated answering system outside of these hours.

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