Welcome to your 2025 plan
Let's make sure you understand your benefits that come with it.
Choose your plan to see your coverage
Your plan name appears in the bottom-left of your BCBSRI member ID card.
Choose your plan to see your coverage
Select your plan
BlueCHiP for Medicare Value (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Learn how to activate your fitness center membership, choose a home fitness kit, and stream on-demand workout videos — all for $0.
$75/quarter for over-the-counter everyday health items and $200/year allowance for dental and hearing copays and covered services.
Doctors
- Wide network with more than 12,000 providers
- $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
- $0 drug deductible
- 96% of Rhode Island pharmacies in-network; 60,000 nationwide
- $0 Tier 1 and $5 Tier 2 generic drugs at retail pharmacies
- $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
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
- $2,000 annual benefit max on all covered dental services1
- Plus $200/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $200/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $250/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.
BlueCHiP for Medicare Access (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Learn how to activate your fitness center membership, choose a home fitness kit, and stream on-demand workout videos — all for $0.
$75/month to buy a combination of groceries1 and over-the-counter everyday health items, along with $175/year for dental and hearing services and copays. This is in addition to your standard benefits.
Get 12 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Doctors
- $0 copays for primary care provider (PCP) visits
- $0 preventive services like well visits, screenings, and vaccinations
- $0 specialist visits if you have a High-Value Provider3 for your primary care
- 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
- $0 for all Part D prescription drug deductibles, copays, and coinsurance1
Save time and gas money by signing up for a 100-day supply through mail order delivery. Call us at (401) 277-2958 (TTY: 711).
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 services4
- Plus $175/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $175/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1You must qualify for Extra Help. Medicare approved Blue Cross & Blue Shield of Rhode Island to provide these benefits and lower copayments as part of the Value-Based Insurance Design program. This program lets Medicare try new ways to improve Medicare Advantage plans.
2Available within our service area. Any trip over 20 miles will count as additional trips and will be subtracted from your plan's trip total.
3High-Value Provider (HVP) network includes Care New England, Oak Street Health, and Prospect CharterCARE primary care provider (PCP) groups. This list is current as of December 1, 2024, and is subject to change. Visit bcbsri.com/finddoctor for the most up-to-date provider listing. HVPs are PCP groups with patient-centered and innovative care models that coordinate interdisciplinary care. HVPs offer programs that focus on improving member health outcomes and have offices in historically underserved areas.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.
BlueCHiP for Medicare Extra (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Learn how to activate your fitness center membership, choose a home fitness kit, and stream on-demand workout videos — all for $0.
$100/quarter for over-the-counter everyday health items and $300/year allowance for dental and hearing copays and covered services.
Doctors
- Wide network with more than 12,000 providers
- $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
- $0 drug deductible
- 96% of Rhode Island pharmacies in-network; 60,000 nationwide
- $0 for all generic drugs and flat copays on brands at retail pharmacies
- $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
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 services1
- Plus $300/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $300/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $400/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.
BlueCHiP for Medicare Enhanced (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Learn how to activate your fitness center membership, choose a home fitness kit, and stream on-demand workout videos — all for $0.
$85/quarter for over-the-counter everyday health items and $250/year allowance for dental and hearing copays and covered services.
Doctors
- Wide network with more than 12,000 providers
- $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
- $0 drug deductible
- 96% of Rhode Island pharmacies in-network; 60,000 nationwide
- $0 Tier 1 and $3 Tier 2 generic drugs at retail pharmacies
- $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
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
- $2,250 annual benefit max on all covered dental services1
- Plus $250/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $250/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $300/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.
BlueCHiP for Medicare Plus (HMO)
Read full Summary of Benefits
Read full Summary of Benefits
Learn how to activate your fitness center membership, choose a home fitness kit, and stream on-demand workout videos — all for $0.
$100/quarter for over-the-counter everyday health items and $280/year allowance for dental and hearing copays and covered services.
Doctors
- Wide network with more than 12,000 providers
- $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
Pharmacy
- $0 drug deductible
- 96% of Rhode Island pharmacies in-network; 60,000 nationwide
- $3 Tier 1 and $6 Tier 2 generic drugs at retail pharmacies
- $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
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 services1
- Plus $280/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $280/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/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.
BlueCHiP for Medicare Preferred (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Learn how to activate your fitness center membership, choose a home fitness kit, and stream on-demand workout videos — all for $0.
$100/quarter for over-the-counter everyday health items and $280/year allowance for dental and hearing copays and covered services.
Doctors
- Wide network with more than 12,000 providers
- $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
- $0 drug deductible
- 96% of Rhode Island pharmacies in-network; 60,000 nationwide
- $3 Tier 1 and $6 Tier 2 generic drugs at retail pharmacies
- $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
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 annual benefit max on all covered dental services1
- Plus $280/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0-$1,475 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries..
- Plus $280/year to use for hearing and/or dental with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/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.
BlueCHiP for Medicare Core (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Learn how to activate your fitness center membership, choose a home fitness kit, and stream on-demand workout videos — all for $0.
$75/quarter for over-the-counter everyday health items and $200/year allowance for dental and hearing covered services and copays.
Doctors
- Wide network with more than 12,000 providers
- $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 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 services1
- Plus $200/year to use for dental and/or hearing with the Flexible Benefit Card
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 hearing aid copay per ear in-network. Includes fitting, evaluation, and 3 years of batteries.
- Plus $200/year to use for dental and/or hearing with the Flexible Benefit Card
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/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.
BlueRI for Duals (HMO D-SNP)
Read full Summary of Benefits
Read full Summary of Benefits
Read full Summary of Benefits
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.
This card gives you money to help pay for the products and services you need the most:
- $165/month to buy a combination of groceries1 and everyday health items2
- $1,500/year to spend on a combination of dental and hearing services
Get 72 one-way rides to and from places that help support your health—like doctor appointments, senior and community centers, Your Blue StoreSM, and libraries.
Doctors
- Doctors across Rhode Island and even some in Massachusetts
- $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
- $0 drug deductible
- $0 copay for Part D prescription drugs1
Save time and gas money by signing up for a 100-day supply through mail order delivery. Call us at (401) 277-2958 (TTY: 711).
Dental
- $0 preventive and comprehensive services
- National dental network with more than 55,000 providers—including 9 out of 10 in Rhode Island
- $3,000 dental benefit including dentures and implants4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0 for up to 2 hearing aids (and batteries)
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $300/year allowance for glasses and contacts
- Get additional savings when you buy from an EyeMed5 provider
1You must qualify for Extra Help. Medicare approved Blue Cross & Blue Shield of Rhode Island to provide these benefits and lower copayments as part of the Value-Based Insurance Design program. This program lets Medicare try new ways to improve Medicare Advantage plans.
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 72 trip total.
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
5EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services.