Choose your plan to see your coverage
Your plan name appears in the bottom-left of your BCBSRI member ID card.
BlueCHiP for Medicare Value (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Silver&Fit® gym membership
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
Flexible Benefit Card & over-the-counter benefit
$60/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.
$100 annual wellness reimbursement
Help cover the cost of your favorite healthy activities, like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
$0 rides to the doctor
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- 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
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
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
- $1,000 limit on all covered dental services4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 copay per ear in-network. Includes a hearing aid fitting and evaluation and 3 years of batteries.
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for dental, hearing, and vision (Flexible Benefit Card)
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3The Insulin Savings Program is not available to members who qualify for a low-income subsidy (LIS).
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
HealthMate for Medicare (PPO)
Read full Summary of Benefits
Read full Summary of Benefits
Silver&Fit® gym membership
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
Flexible Benefit Card & over-the-counter benefit
$75/quarter for over-the-counter everyday health items and $300/year allowance for dental, hearing, and vision.
$150 annual wellness reimbursement
Help cover the cost of your favorite healthy activities, like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
$0 rides to the doctor
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Nationwide network
- No referrals
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 drug deductible
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
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
- $2,000 limit on all covered dental services4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 copay per ear in-network. Includes a hearing aid fitting and evaluation and 3 years of batteries.
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $300/year allowance for dental, hearing, and vision (Flexible Benefit Card)
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3The Insulin Savings Program is not available to members who qualify for a low-income subsidy (LIS).
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
BlueCHiP for Medicare Extra (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Silver&Fit® gym membership
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
Flexible Benefit Card & over-the-counter benefit
$75/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.
$100 annual wellness reimbursement
Help cover the cost of your favorite healthy activities, like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
$0 rides to the doctor
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- 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
- $0 Tier 1 and $4 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
- $0 Tier 1 and $4 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
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
- $1,500 limit on all covered dental services4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 copay per ear in-network. Includes a hearing aid fitting and evaluation and 3 years of batteries.
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for dental, hearing, and vision (Flexible Benefit Card)
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3The Insulin Savings Program is not available to members who qualify for a low-income subsidy (LIS).
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
BlueCHiP for Medicare Standard with Drugs (HMO)
Read full Summary of Benefits
Read full Summary of Benefits
Silver&Fit® gym membership
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
Flexible Benefit Card & over-the-counter benefit
$90/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.
$0 rides to the doctor
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- 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
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 generic drugs at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
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
- $1,500 limit on all covered dental services4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 copay per ear in-network. Includes a hearing aid fitting and evaluation and 3 years of batteries.
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for dental, hearing, and vision (Flexible Benefit Card)
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3The Insulin Savings Program is not available to members who qualify for a low-income subsidy (LIS).
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
BlueCHiP for Medicare Plus (HMO)
Read full Summary of Benefits
Read full Summary of Benefits
Silver&Fit® gym membership
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
Flexible Benefit Card & over-the-counter benefit
$100/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.
$0 rides to the doctor
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- 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
- $3 Tier 1 and $6 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
- $3 Tier 1 and $6 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
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
- $1,500 limit on all covered dental services4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 copay per ear in-network. Includes a hearing aid fitting and evaluation and 3 years of batteries.
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for dental, hearing, and vision (Flexible Benefit Card)
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3The Insulin Savings Program is not available to members who qualify for a low-income subsidy (LIS).
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
BlueCHiP for Medicare Preferred (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Silver&Fit® gym membership
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
Flexible Benefit Card & over-the-counter benefit
$100/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.
$0 rides to the doctor
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- 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
- $3 Tier 1 and $6 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
- $3 Tier 1 and $6 Tier 2 at preferred pharmacies. Find a preferred pharmacy near you.
- $0 mail order drugs
- $20 insulin copay (30-day supply) or $50 (90-day). Copays remain consistent through the coverage gap.3
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
- $1,500 limit on all covered dental services4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 copay per ear in-network. Includes a hearing aid fitting and evaluation and 3 years of batteries.
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for dental, hearing, and vision (Flexible Benefit Card)
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3The Insulin Savings Program is not available to members who qualify for a low-income subsidy (LIS).
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
BlueCHiP for Medicare Core (HMO-POS)
Read full Summary of Benefits
Read full Summary of Benefits
Silver&Fit® gym membership
Join a local gym or multiple gyms across the country for $0. Order home fitness kits and digital workout videos at no cost. See what's included.
Flexible Benefit Card & over-the-counter benefit
$75/quarter for over-the-counter everyday health items and $200/year allowance for dental, hearing, and vision.
$0 rides to the doctor
Get 24 one-way trips to or from your doctors, senior centers, libraries, and Your Blue Store.
Call Kaizen Health at 1-833-972-2774.1
Doctors
- Rhode Island's largest Medicare Advantage network
- $0 preventive care in-network
- $0 visits to your primary care provider at a PCMH
- $0 online doctor visits 24/72
- 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
- $1,500 limit on all covered dental services4
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $200-$1,675 copay per ear in-network. Includes a hearing aid fitting and evaluation and 3 years of batteries.
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $200/year allowance for dental, hearing, and vision (Flexible Benefit Card)
1Available within our service area for HMO & HMO-POS plans only/PPO plan has out-of-service benefit of 50% coinsurance/trip. Any trip over 20 miles will count as additional trips and will be subtracted from your 24 trip total.
2Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of BCBSRI.
3The Insulin Savings Program is not available to members who qualify for a low-income subsidy (LIS).
4All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
BlueRI for Duals (HMO D-SNP)
Read full Summary of Benefits
Read full Summary of Benefits
Read full Summary of Benefits
Flexible Benefit Card & over-the-counter benefit
Your card has three pools of money:
- $150/month to buy a combination of groceries1 and over-the-counter (OTC) everyday health items1
- $1,500/year to pay for dental and hearing services and copays, in addition to your standard benefits
- $300/year to buy glasses and contacts
$200 annual wellness reimbursement
Use for activities like exercise classes, weight-loss programs, sports lessons, and in-home fitness equipment.
Private ride service
Get up to 72 one-way rides to or from your doctor appointments as well as select places in your community, like senior centers and libraries.
Doctors
- Doctors across RI and even some in Massachusetts
- $0 copay for PCP & specialist visits
- $0 online doctor visits 24/7
- $0 labs and X-rays
If you want to find a new doctor, you can use the Self-Service options in myBCBSRI.
Log in
Pharmacy
- $0 drug deductible
- $0 copay for Part D prescription drugs4
You can see estimated prices for prescription drugs through Pharmacy tools in myBCBSRI.
Log in
Dental
- $0 preventive and comprehensive services
- $3,000 dental benefit including dentures and implants5
See benefit details and claims in myBCBSRI.
Log in
Hearing
- $0 routine visit in-network
- $0 per hearing aid (2 hearing aids every 3 years)
Hearing benefit is administered through NationsHearing.
Visit NationsHearing
Vision
- $0 routine visit in-network
- $300/year vision hardware allowance (Flexible Benefit Card)
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.
2Available within our service area. Any trip over 20 miles will count as additional trips and will be subtracted from your 72 trip total.
3There is a minimum grocery spend required for delivery. 5All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.
4You must receive Low-Income Subsidy (LIS) or Extra Help to receive the grocery and over-the-counter (OTC) allowance as well as $0 Part D drug copays.
5All preventive and comprehensive services must be provided by an in-network plan-contracted dentist.