Blue Cross and Blue Shield of RI

(401) 459-5550, or 1-855-690-2583 (my0blue)

Monday - Friday, from 8:00 a.m. - 5:00 p.m.

Blue Cross and Blue Shield of RI

Medical Plan

Getting coverage is fast and easy. Add a medical plan today!

First, let’s make sure you’re in the right place.

Please read the four statements below. If any of them cover your situation, click “yes” and we’ll send you to the enrollment form. If none of them apply to you, click “no” and you can continue with the plan change form.

  • I want to add medical or dental coverage to my existing plan.
  • I need to add or remove dependents from my current plan.
  • I enrolled through HealthSource RI.
  • I am a dependent on someone else's plan, but now I need my own.

Who will be covered

Monthly Premium


Dental Plan

Getting coverage is fast and easy. Add a dental plan today!

Who will be covered

Monthly Premium


Effective Date

01/01/2018

Monthly Premium

New to Blue? Just changing your current plan? Enter some basic information so we can provide you with a quote.

I would like coverage for . I am . interested in plans. want to (edit)

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Find Plans for Me

2017

Gold

2017 BlueCHiP Direct 1800/3600

This is the lowest cost plan that Blue Cross offers in the gold tier. Your primary care physician directs most of your care and referrals to other doctors. This plan covers office visits and generic drugs before the deductible, and uses our local RI network, which includes all Rhode Island hospitals.

  • Full coverage for many preventive services, like an annual physical
  • Free dental exam, cleaning and annual exam for members under 19
  • 24/7 phone access to care through the Nurse Care Line
  • Earn up to $250 (both subscriber and spouse) in wellness rewards and receive a 20% discount on thousands of CVS branded health items
  • $0 copayments for programs on quitting smoking, weight loss, and managing conditions like diabetes
  • This plan uses our local RI network, which includes all Rhode Island Hospitals, 2,110 primary care doctors, 8,235 specialty doctors

Who will be covered

Selecting this plan will add coverage for .


BlueCHiP Direct 1800/3600

Monthly Premium

Get Quote

281.74
BlueCHiP Direct 1800/3600
medical
2017
3
shop-for-plan/2017/bluechip-direct-18003600

Individual

Deductible

$1,800

Max Out-of-Pocket

$3,600

Family

Deductible

$3,600

Max Out-of-Pocket

$7,200




Deductibles

In-network

Individual

$1,800

Family

$3,600

Out-of-Pocket Limits

In-network

Individual

$3,600

Family

$7,200


What is covered?

COVERAGE TYPE
In-Network You Pay

Medical and Hospital Benefits

Medical Coverage


Preventive Services

$0

Primary Care Provider (PCP) Office Visit when affiliated with a Patient Centered Medical Home (PCMH)

$15

PCP not affiliated with a PCMH

$25

Telemedicine

$25

Retail Clinic

$40

Specialist Visit

$40

Urgent Care Center

$75

Emergency Room

10% after deductible

Diagnostic Laboratory Tests

10% after deductible

X-rays

10% after deductible

High End Radiology (i.e., MRI, PET, and CAT scans etc.)

10% after deductible

Inpatient Hospital

10% after deductible

Pediatric Vision Eyeware (Dependents under 19)


Collection prescription glasses, lenses, and collection contact lenses

10% after deductible

Pediatric Dental (Dependent under 19)


Oral exams, cleanings, x-rays, fluoride treatments, sealants and space maintainers

$0

All other covered dental services

50% after deductible

Prescription Drug Benefits

Tier 1 (Preferred Generic)

$10

Tier 2 (Non-preferred Generic)

$25

Tier 3 (Preferred Brand)

$50 after deductible

Tier 4 (Non-Preferred Brand)

$75 after deductible

Tier 5 (Specialty)

$125 after deductible

I would like coverage for .
My household income is per year and there is/are person/people in my household.

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Based on your responses, it appears you may qualify for a tax subsidy.

Assistance is available if you need help with the calculator.

Based on your responses, it appears you don’t qualify for a tax subsidy.