BlueCHiP for Medicare

Core

With a $0 monthly premium, this is a sensible option for those who want a comprehensive plan without prescription drug coverage and low predictable out-of-pocket costs.

  • $0 monthly premium
  • $0 copay for PCMH PCP visits
  • $0 for routine hearing and vision screenings
  • $0 fitness benefit
  • $0 rides
  • $0 virtual doctors' visits 24/7
  • $0 labs/X-rays
  • $0 peer recovery services
  • $25 specialist visits
  • $50/quarter over-the-counter (OTC) benefit
  • $150/year vision hardware allowance
  • $150 outpatient surgery copay
  • Hearing aids for $200-$1,675 copay per ear in-network
  • Optional dental rider available for an additional cost

Monthly premium

$0.00


Customize this plan with Dental coverage for $19.60 per month.
Learn more

Enroll now
Submit Plan Change

Come back at the start of the Annual Election Period (October 15) to select and enroll in a plan.

Already a member and want to make a change?
Continue here


What's covered

See if your doctor is in the network
Search providers

Medical & Hospital Benefits

Coverage

Copays & Details

Outpatient Care and Services1,2

Ambulance

$150/trip

Dental Services

Medicare-covered: 20% of the cost

Diabetes Supplies and Services

$0
You must use OneTouch plan designated monitors and test strips.

Diagnostic Tests, Lab and Radiology Services, and X-Rays

$0 for lab services
$0 for diagnostic tests and X-rays
$150 for high-tech radiology services (for example, MRIs)

Emergency Care

$90 copay per visit
If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for emergency care.

Hearing Services

Routine hearing: $0
Non-routine hearing: $25 copay per visit
Hearing aids:
$200-$1,675 copay per hearing aid (2 aids every 3 years)

Outpatient Hospital/Surgery

Up to $150 copay per visit

Primary Care Physician Visit

$0 PCMH or $5 non-PCMH copay per visit

Specialist Visit

$25 copay per visit
Referral is required for specialist visits.

Vision Visit

Routine vision: $0
Non-routine vision: $25 copay per visit
Vision hardware:
Our plan pays up to $150 every year for eyewear

Preventive Care

$0

Inpatient Care1,2

Inpatient Hospital Care

$180 copay per day for days 1-5, $0 Days 6+
Our plan covers an unlimited number of days for an inpatient hospital stay.

Skilled Nursing Facility

$0 copay per day for days 1-20
$130 copay per day for days 21-45
$0 copay per day for days 46-100
Our plan covers up to 100 days in a SNF.

1 The out-of-pocket maximum includes only Medicare-covered services. This is the most a member would pay for these services during a calendar year. You must receive all routine care from plan providers unless you select the BlueCHiP for Medicare Value (HMO-POS), BlueCHiP for Medicare Extra, BlueCHiP for Medicare Preferred (HMO-POS), or the HealthMate for Medicare (PPO) plan. If you select the BlueCHiP for Medicare Value, BlueCHiP for Medicare Extra, BlueCHiP for Medicare Preferred, or the HealthMate for Medicare plan, with the exception of emergency or urgent care, ambulance, or dialysis services, it may cost more to get care from out-of-network providers.

2 A preauthorization may be required. Review may include but is not limited to pre-authorization and/or continued treatment by the plan and/or plan designee. Contact Plan for details.

2021
Core
BlueCHiP for Medicare
BlueCHiP for Medicare Core
HMO
1

Let’s talk

BCBSRI is committed to giving you safe and secure options to get the answers you need.

BCBSRI Members

Learn more at an in-person or virtual event

Get more from your plan at a member benefit meeting

Ask questions about your plan

Send us an email

Call us

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.

New to Medicare

Learn more at an in-person or virtual event

Understand the basics at an Age-in information session

Speak with us one-on-one

Send us an email and we'll call you

Call us

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.

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