Questions? Call the Medicare Concierge team at (401) 277-2958 or 1-800-267-0439 (TTY: 711).
Medicare members

Welcome to your 2026 plan

Let's make sure you understand your benefits that come with it.

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2026 plan benefits

Choose your plan to see your coverage

Read full Summary of Benefits

Read full Summary of Benefits

Fitness benefit

Your plan includes membership to one fitness center per month within the Silver&Fit network. There are $0 options available across the state (other facilities may have a monthly fee).

Doctors

Doctors

  • Wide network with 12,000 providers and ALL Rhode Island hospitals
  • $160 medical deductible
  • $0 copays (after deductible) for primary care provider (PCP) visits
  • $0 preventive services like well visits, screenings, and vaccinations
  • Point of service (POS) benefit for out-of-state flexibility
  • Some services require referrals. See your Evidence of Coverage.
  • Some services require referrals. See your Evidence of Coverage.

If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in

Pharmacy

Pharmacy

  • $615 drug deductible (Tiers 3-5)
  • 96% of Rhode Island pharmacies in-network; 60,000 nationwide
  • $0 generics Tier 1
  • $2 generics Tier 2
  • 25% (preferred brand) Tier 3
  • 30% (non-preferred) Tier 4
  • 25% (specialty) Tier 5
  • $0 Tier 1 and $0 Tier 2 generics with a 100-day supply via mail order delivery—call (401) 277-2958 (TTY: 711) to sign up!

You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in

New for 2025: The Medicare Prescription Payment Plan gives you the option of paying out-of-pocket drug costs in capped monthly payments instead of all at once at the pharmacy. If this is a good fit for you based on your drug needs, you’ll receive more information on how to use this program.
Dental

Dental

  • Dental coverage built into the plan
  • $0 preventive and comprehensive services
  • National dental network with more than 55,000 providers—including 9 out of 10 in Rhode Island
  • $500 annual benefit max on all covered dental services1
  • $0 X-rays

See benefit details and claims in myBCBSRI.
Log in

Hearing

Hearing

  • $0 routine visit in-network
  • Your plan includes hearing providers located throughout Rhode Island
  • Taking care of your hearing can help you stay safe by avoiding dizziness and falls. It can also help you follow conversations more closely.
Vision

Vision

  • $0 routine visit in-network
  • $100/year allowance for glasses and contacts
  • Get additional savings when you buy from an EyeMed2 provider

1All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

2EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.

Read full Summary of Benefits

Read full Summary of Benefits

Fitness benefit

Your plan includes membership to one fitness center per month within the Silver&Fit network. There are $0 options available across the state (other facilities may have a monthly fee).

Over-the-counter (OTC) and grocery1 benefit

$50/month is loaded on to your Flexible Benefit Card. Use it to buy everyday health items and groceries1—what you choose is up to you!2

$0 rides to places that help support your health

Get 12 one-way trips to or from your doctors, senior centers, libraries, and Your Blue StoreSM.

Doctors

Doctors

  • Wide network with 12,000 providers and ALL Rhode Island hospitals
  • $0 copays for primary care provider (PCP) visits
  • $0 preventive services like well visits, screenings, and vaccinations
  • Point of service (POS) benefit for out-of-state flexibility
  • Some services require referrals. See your Evidence of Coverage.
  • Some services require referrals. See your Evidence of Coverage.

If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in

Pharmacy

Pharmacy

  • If you qualify for Extra Help, enjoy a $0 Part D deductible and low copays on prescription drugs.4

Skip the line at the pharmacy by signing up for prescription delivery. Call us at (401) 277-2958 (TTY: 711).

Dental

Dental

  • Dental coverage built into the plan
  • $0 preventive and comprehensive services
  • National dental network with more than 55,000 providers—including 9 out of 10 in Rhode Island
  • $1,500 limit on all covered dental services5

See benefit details and claims in myBCBSRI.
Log in

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 hearing aid copay per ear in-network. Includes fitting and evaluation.

Hearing benefit is administered through NationsBenefits.
Visit NationsBenefits

Vision

Vision

  • $0 routine visit in-network
  • $200/year allowance for glasses and contacts
  • Get additional savings when you buy from an EyeMed6 provider

1You may be eligible for the monthly grocery benefit, which is part of Special Supplemental Benefits (SSBCI) if you are living with one or more qualifying chronic condition(s), as defined by CMS, including but not limited to chronic heart failure, chronic lung diseases, dementia, diabetes mellitus, and frailty & fall risk, and receive a Low-Income Subsidy (also called Extra Help). Receiving this benefit is not solely determined by your condition(s); all relevant eligibility criteria must be satisfied before benefit is available for use. Please see your Evidence of Coverage for full details.

2Unused benefits do not roll over to the next benefit period. You cannot exceed your benefit amount. Prices, brands, and items vary from store to store. Purchases made online or by phone using the catalog may be different than what you find in stores.

3Available within our service area. Any trip over 20 miles will count as additional trips and will be subtracted from your plan's trip total.

4You must qualify for Extra Help to receive assistance with prescription drug costs. Your cost share depends on your Extra Help level: Level 2 - $0 for all prescriptions; Level 3 - $1.60 for generics, $4.90 for brand-name drugs; Level 4 - $5.10 for generics, $12.65 for brand-name drugs. All Extra Help members pay no pharmacy deductibles.

5All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

6EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.

Read full Summary of Benefits

Read full Summary of Benefits

Fitness benefit

Your plan includes one $0 membership per month to any fitness center within the Silver&Fit network.

Over-the-counter (OTC) benefit

$40/quarter is loaded on to your Flexible Benefit Card. Use it to buy the everyday health items you need—what you choose is up to you!1

Doctors

Doctors

  • Wide network with 12,000 providers and ALL Rhode Island hospitals
  • $0 copays for primary care provider (PCP) visits
  • $0 preventive services like well visits, screenings, and vaccinations
  • Point of service (POS) benefit for out-of-state flexibility
  • Some services require referrals. See your Evidence of Coverage.
  • Some services require referrals. See your Evidence of Coverage.

If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in

Pharmacy

Pharmacy

  • $350 drug deductible (Tiers 3-5)
  • 96% of Rhode Island pharmacies in-network; 60,000 nationwide
  • $0 generics Tiers 1-2
  • $47 (preferred brand) Tier 3
  • 30% (non-preferred) Tier 4
  • 29% (specialty) Tier 5
  • $0 Tier 1 and $0 Tier 2 generics with a 100-day supply via mail order delivery—call (401) 277-2958 (TTY: 711) to sign up!

You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in

New for 2025: The Medicare Prescription Payment Plan gives you the option of paying out-of-pocket drug costs in capped monthly payments instead of all at once at the pharmacy. If this is a good fit for you based on your drug needs, you’ll receive more information on how to use this program.
Dental

Dental

  • Dental coverage built into the plan
  • $0 preventive and comprehensive services
  • National dental network with more than 55,000 providers—including 9 out of 10 in Rhode Island
  • $2,500 annual benefit max on all covered dental services2
  • $0 X-rays, fillings, root canals, and periodontal services
  • $0 crowns and onlays

See benefit details and claims in myBCBSRI.
Log in

Hearing

Hearing

  • $0 routine visit in-network
  • $200-$1,675 hearing aid copay per ear in-network. Includes fitting and evaluation.

Hearing benefit is administered through NationsBenefits.
Visit NationsBenefits

Vision

Vision

  • $0 routine visit in-network
  • $300/year allowance for glasses and contacts
  • Get additional savings when you buy from an EyeMed3 provider

1Unused benefits do not roll over to the next benefit period. You cannot exceed your benefit amount. Prices, brands, and items vary from store to store. Purchases made online or by phone using the catalog may be different than what you find in stores.

2All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

3EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.

Read full Summary of Benefits

Read full Summary of Benefits

Fitness benefit

Your plan includes membership to one fitness center per month within the Silver&Fit network. There are $0 options available across the state (other facilities may have a monthly fee).

Over-the-counter (OTC) benefit

$25/quarter is loaded on to your Flexible Benefit Card. Use it to buy the everyday health items you need—what you choose is up to you!1

Doctors

Doctors

  • Wide network with 12,000 providers and ALL Rhode Island hospitals
  • $0 copays for primary care provider (PCP) visits
  • $0 preventive services like well visits, screenings, and vaccinations
  • Point of service (POS) benefit for out-of-state flexibility
  • Some services require referrals. See your Evidence of Coverage.
  • Some services require referrals. See your Evidence of Coverage.

If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in

Pharmacy

Pharmacy

  • $500 drug deductible (Tiers 3-5)
  • 96% of Rhode Island pharmacies in-network; 60,000 nationwide
  • $0 generics Tiers 1-2
  • 25% (preferred brand) Tier 3
  • 30% (non-preferred) Tier 4
  • 27% (specialty) Tier 5
  • $0 Tier 1 and $0 Tier 2 generics with a 100-day supply via mail order delivery—call (401) 277-2958 (TTY: 711) to sign up!

You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in

New for 2025: The Medicare Prescription Payment Plan gives you the option of paying out-of-pocket drug costs in capped monthly payments instead of all at once at the pharmacy. If this is a good fit for you based on your drug needs, you’ll receive more information on how to use this program.
Dental

Dental

  • Dental coverage built into the plan
  • $0 preventive services
  • National dental network with more than 55,000 providers—including 9 out of 10 in Rhode Island
  • $2,000 annual benefit max on all covered dental services2
  • $0 X-rays, fillings, root canals, and periodontal services

See benefit details and claims in myBCBSRI.
Log in

Hearing

Hearing

  • $0 routine visit in-network
  • $300-$1,775 hearing aid copay per ear in-network. Includes fitting and evaluation.

Hearing benefit is administered through NationsBenefits.
Visit NationsBenefits

Vision

Vision

  • $0 routine visit in-network
  • $200/year allowance for glasses and contacts
  • Get additional savings when you buy from an EyeMed3 provider

1Unused benefits do not roll over to the next benefit period. You cannot exceed your benefit amount. Prices, brands, and items vary from store to store. Purchases made online or by phone using the catalog may be different than what you find in stores.

2All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

3EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.

Read full Summary of Benefits

Read full Summary of Benefits

Fitness benefit

Your plan includes membership to one fitness center per month within the Silver&Fit network. There are $0 options available across the state (other facilities may have a monthly fee).

Over-the-counter (OTC) benefit

$50/quarter is loaded on to your Flexible Benefit Card. Use it to buy the everyday health items you need—what you choose is up to you!1

Doctors

Doctors

  • Wide network with 12,000 providers and ALL Rhode Island hospitals
  • $0 copays for primary care provider (PCP) visits
  • $0 preventive services like well visits, screenings, and vaccinations
  • Some services require referrals. See your Evidence of Coverage.
  • Some services require referrals. See your Evidence of Coverage.

If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in

Dental

Dental

  • Dental coverage built into the plan
  • $0 preventive services
  • National dental network with more than 55,000 providers—including 9 out of 10 in Rhode Island
  • $1,500 limit on all covered dental services2

See benefit details and claims in myBCBSRI.
Log in

Hearing

Hearing

  • $0 routine visit in-network
  • $300-$1,775 hearing aid copay per ear in-network. Includes fitting and evaluation.

Hearing benefit is administered through NationsBenefits.
Visit NationsBenefits

Vision

Vision

  • $0 routine visit in-network
  • $150/year allowance for glasses and contacts
  • Get additional savings when you buy from an EyeMed3 provider

1Unused benefits do not roll over to the next benefit period. You cannot exceed your benefit amount. Prices, brands, and items vary from store to store. Purchases made online or by phone using the catalog may be different than what you find in stores.

2All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

3EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.

Read full Summary of Benefits

Read full Summary of Benefits

Read full Summary of Benefits

Did you fill out your Health Risk Assessment?

It’s an important survey that helps us get to know you better. Need help? Your Health Navigator can walk you through it. If you would like to connect with a Health Navigator, please call 401-459-1187.

Over-the-counter (OTC) and grocery1 benefit

$151/month is loaded on to your Flexible Benefit Card. Use it to buy everyday health items and groceries1—what you choose is up to you!2

$0 rides

Get 60 one-way rides to and from places that help support your health—like doctor appointments, senior and community centers, Your Blue StoreSM, and libraries.

Fitness benefit

Your plan includes membership to one fitness center per month within the Silver&Fit network. There are $0 options available across the state (other facilities may have a monthly fee).

Doctors

Doctors

  • Wide network with 12,000 providers (including some in Massachusetts) and ALL Rhode Island hospitals
  • $0 copay for PCP & specialist visits
  • $0 labs and X-rays

If you need to find a doctor, log in to myBCBSRI and use the Find a Doctor tool.
Log in

Pharmacy

Pharmacy

  • $0 Part D deductible if you qualify for Extra Help
  • $0 copay for generic drugs in Tiers 1 and 24

Members who qualify for Extra Help can use our Preferred Mail Order Pharmacy to pay $0 for a 100-day supply of generic drugs in Tiers 1 and 2—and take advantage of no-cost delivery! Call us at (401) 277-2958 (TTY: 711).

Dental

Dental

  • $0 preventive and comprehensive services
  • National dental network with more than 55,000 providers—including 9 out of 10 in Rhode Island
  • $2,500 dental benefit including dentures and implants5

See benefit details and claims in myBCBSRI.
Log in

Hearing

Hearing

  • $0 routine visit in-network
  • Get up to 2 hearing aids each year for as low as $0

Hearing benefit is administered through NationsBenefits.
Visit NationsBenefits

Vision

Vision

  • $0 routine visit in-network
  • $200/year allowance for glasses and contacts
  • Get additional savings when you buy from an EyeMed6 provider

1You may be eligible for the monthly grocery benefit, which is part of Special Supplemental Benefits (SSBCI) if you are living with one or more qualifying chronic condition(s), as defined by CMS, including but not limited to chronic heart failure, chronic lung diseases, dementia, diabetes mellitus, and frailty & fall risk. Please see your Evidence of Coverage for full details.

2Unused benefits do not roll over to the next benefit period. You cannot exceed your benefit amount. Prices, brands, and items vary from store to store. Purchases made online or by phone using the catalog may be different than what you find in stores.

3Available within our service area. Any trip over 20 miles will count as additional trips and will be subtracted from your plan's trip total.

4You must qualify for Extra Help to receive assistance with prescription drug costs. Your cost share depends on your Extra Help level: Level 2 - $0 for all prescriptions; Level 3 - $1.60 for generics, $4.90 for brand-name drugs; Level 4 - $5.10 for generics, $12.65 for brand-name drugs. All Extra Help members pay no pharmacy deductibles.

5All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.

6EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.