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? Considering changes to your current plan?

Enter some basic information so we can provide you with a quote.

Already started an enrollment form? Continue here.

2018

Bronze

2018 BasicBlue Direct 6850/13700

A plan that covers office visits and generic drugs before the deductible while also providing comprehensive coverage after you meet the deductible. You have access to our national network of doctors, labs, and hospitals, with no referral required.

  • Provides coverage for most office visits and generic drugs before deductible
  • Access to 90 percent of doctors and hospitals across 50 states
  • Certain over-the-counter preventive medications are FREE when purchased at a participating pharmacy with a prescription
  • Earn up to $250 (both subscriber and covered spouse) in wellness rewards and receive a 20% discount on CVS branded health items
  • Free dental exam, cleaning and annual exam for members under 19
  • View benefit information on Your Blue Touch RI mobile app
  • Full coverage for many preventive services, like an annual physical
  • $0 copayments for programs on quitting smoking, weight loss, and managing conditions like diabetes

Who will be covered

Selecting this plan will add coverage for .


BasicBlue Direct 6850/13700

Monthly Premium

Get Quote

248.15
BasicBlue Direct 6850/13700
medical
2018
1
shop-for-plan/2018/basicblue-direct-685013700

Individual

Deductible

$6,850

Max Out-of-Pocket

$6,850

Family

Deductible

$13,700

Max Out-of-Pocket

$13,700




Deductibles

In-network

Individual

$6,850

Family

$13,700

Out-of-Pocket Limits

In-network

Individual

$6,850

Family

$13,700


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)

$30

PCP not affiliated with a PCMH

$50
 

Telemedicine

$40

Retail Clinic

$50

Specialist Visit

$60

Urgent Care Center

$0 after deductible

Emergency Room

$0 after deductible

Diagnostic Laboratory Tests

$0 after deductible

X-rays

$0 after deductible

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

$0 after deductible

Inpatient Hospital

$0 after deductible

Pediatric Vision Eyeware (Dependents under 19)


Collection prescription glasses, lenses, and collection contact lenses

$0 after deductible

Pediatric Dental (Dependent under 19)


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

$0

All other covered dental services

0% after deductible

Prescription Drug Benefits

Tier 1 (Preferred Generic)

$10

Tier 2 (Non-preferred Generic)

$50

Tier 3 (Preferred Brand)

$0 after deductible

Tier 4 (Non-Preferred Brand)

$0 after deductible

Tier 5 (Specialty)

$0 after deductible

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.