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)

Already started an enrollment form? Continue here.

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Answer a few questions and we'll make a few recommendations.

Need help picking a plan?

Answer a few questions and we'll make a few recommendations.

Find Plans for Me

2017

Gold

2017 VantageBlue Direct 1000/2000

This plan gives you the highest levels of coverage and flexibility to choose what doctors you see. You will have access to our national network of doctors (across all 50 states), labs, and hospitals, with no referral required.

  • Provides coverage for most office visits before deductible
  • Full coverage for many preventive services, like an annual physical
  • Includes dental and vision coverage for dependents under the age of 19
  • $2 copayments for certain prescription drugs used to treat diabetes, asthma and chronic obstructive pulmonary disorders (COPD)
  • $0 copayments for an annual foot and eye exam for members with diabetes
  • $0 copayments for programs on quitting smoking, and managing conditions like asthma and diabetes
  • Earn up to $250 (both subscriber and covered spouse) in wellness rewards and receive a 20% discount on thousands of CVS branded health items
  • 24/7 phone access to care through the Nurse Care Line
  • View benefit information on Your Blue Touch RI mobile app

Who will be covered

Selecting this plan will add coverage for .


VantageBlue Direct 1000/2000

Monthly Premium

Get Quote

337.25
VantageBlue Direct 1000/2000
medical
2017
3
shop-for-plan/2017/vantageblue-direct-plan-10002000

Individual

Deductible

$1,000

Max Out-of-Pocket

$4,000

Family

Deductible

$2,000

Max Out-of-Pocket

$8,000




Deductibles

In-network

Individual

$1,000

Family

$2,000

Out-of-Pocket Limits

In-network

Individual

$4,000

Family

$8,000


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 (First sick visit is free)

PCP not affiliated with a PCMH

$25 (First sick visit is free)

Telemedicine

$25

Retail Clinic

$40

Specialist Visit

$40

Annual foot and eye exam for members with diabetes

$0

Urgent Care Center

$75

Emergency Room

$200

Diagnostic Laboratory Tests

20% after deductible

X-rays

20% after deductible

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

20% after deductible

Inpatient Hospital

20% after deductible

Pediatric Vision Eyeware (Dependents under 19)


Collection prescription glasses, lenses, and collection contact lenses

$0

Pediatric Dental (Dependent under 19)


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

$0

All other covered dental services

50%

Prescription Drug Benefits

Tier 1 (Preferred Generic)

$10

Tier 2 (Non-preferred Generic)

$25

Tier 3 (Preferred Brand)

$50

Tier 4 (Non-Preferred Brand)

$75

Tier 5 (Specialty)

$125

Certain maintenance prescriptions for diabetes, asthma, and chronic obstructive pulmonary disease (COPD)

$2

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

No thanks, I prefer not to answer these tax questions.

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.