Understanding Your BCBSRI Plan

Thank you for choosing BCBSRI for your Medicare needs! All of our plans work differently with Medicare, and it’s important to know how your own plan works so you can use your benefits correctly. Here’s a summary of how all of our plans work with Medicare:
 
 
With this plan, your healthcare services are paid by BlueCHiP for Medicare instead of Medicare.
  • Bring your BlueCHiP for Medicare card to medical appointments and network pharmacies. Because you have all of your medical coverage in one plan, you have the convenience of only one card to bring.
  • Your healthcare providers will file claims and be paid by BlueCHiP for Medicare.
  • Keep your Original Medicare card in a safe place, but do not bring it to medical appointments.

Learn more about 2014 BlueCHiP for Medicare

 
Medicare Secondary Payer: It is important that you let us know if you have any other health insurance in addition to BlueCHiP for Medicare. We need this information in order to determine which insurance is responsible for paying your claims first. When Medicare is not responsible for paying claims first, this is called “Medicare Secondary Payer.” When you first enroll in BlueCHiP for Medicare, we will ask you to fill out a survey about your medical coverage. You can learn more about Medicare Secondary Payer on the Centers for Medicare & Medicaid (CMS) website.
 
 
This plan is a supplement to Original Medicare. Original Medicare pays its share first, then Plan 65 pays some or all of the remaining costs depending on the plan you choose.
  • Bring your Original Medicare card and your Plan 65 card for medical services. You may need a separate card for Part D outpatient drugs. Your doctors will file claims that go to Medicare first, then to Blue Cross, which pays your Medicare cost-sharing according to your Plan 65 benefits.
 
 
Blue MedicareRxSM (PDP) *
 
This plan only covers Medicare Part D prescription drugs. Your Medicare plan (along with any supplemental insurance, if applicable) will pay for your medical services.
  • Use your Blue MedicareRx card when you have prescriptions filled at network pharmacies or through the Blue MedicareRx mail order pharmacy service.

Learn more about 2014 Blue MedicareRx

 

Last updated: 12/31/2013

H4152_2014website697 Approved

Blue Cross & Blue Shield of Rhode Island is an HMO plan with a Medicare contract. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal.

* Blue MedicareRx (PDP) is a Prescription Drug Plan with a Medicare Contract.

Anthem Insurance Companies, Inc., Blue Cross and Blue Shield of Massachusetts, Inc., Blue Cross & Blue Shield of Rhode Island, and Blue Cross and Blue Shield of Vermont are the legal entities which have contracted as a joint enterprise with the Centers for Medicare & Medicaid Services (CMS) and are the risk-bearing entities for Blue MedicareRx (PDP) plans. The joint enterprise is a Medicare-approved Part D Sponsor. Enrollment in Blue MedicareRx (PDP) depends on contract renewal.

S2893_13141R1 Approved