Bcbsri provider benefits rhode island Self-led instruction on bcbsri. Check status of all claims submitted with your National Provider Identifier (NPI). Dec 1, 2022 · Medicare’s Annual Enrollment Period is now in effect and runs until December 7, for coverage effective January 1, 2023. Nov 1, 2024 · Primary care providers (PCPs) accept responsibility for arranging and coordinating the overall healthcare of BCBSRI members. Out-of-state: 1-800-676-2583. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. com) 20. Don’t need nationwide healthcare coverage? A regional plan could be the perfect fit. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Self-guided Study: Complete the 2025 Provider Attestation form CMS Annual Requirement for ALL providers, cannot be delegated. Flexible Benefit Card, Providers. Dec 9, 2024 · Effective January 1, 2025, State of Rhode Island employees who have a plan with a prefix of ‘R2I’ will no longer require a PCP referral. This will be considered a non-covered benefit. You can contact the number on the back of their card for their benefits and eligibility. Nov 1, 2019 · Effective January 1, 2020, BCBSRI will become the insurer for all state of Rhode Island employees. , a subsidiary of American Specialty Health Incorporated (ASH). You may also use our automated referral form at BCBSRI. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Flexible Benefit Card, Providers. Note: Lowest estimated monthly premium, assumes you are 65 and do not use tobacco. A PCP is a physician (MD or DO) who is board-certified or trained in internal medicine, pediatrics, or family medicine. ; Extra Help Plans Medicare + Medicaid and the new Access plans. org Personalized Trainings: ProviderRelations@bcbsri. Using secure messaging, you can ask questions about: Eligibility/prior authorization/benefits – For Rhode Island members only Jan 1, 2023 · New: The benefit limit is $1,500 per hearing aid per occurrence. D-SNP Training | Blue Cross & Blue Shield of Rhode Island (bcbsri. Providence, Rhode Island 02903. 8 Retailers current as of July 1, 2023. Dec 1, 2024 · Read Provider Update. Kids’ Link RI™ This 24/7 hotline is for kids in emotional crisis—1-855-543-5465. Flexible Benefit Card, BCBSRI use of Provider Performance Data for Healthcare Operations Blue Cross & Blue Shield of Rhode Island is an independent licensee Flexible Benefit Card, Prosthetics Providers. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. com by following these easy steps: 1. We encourage you to submit any questions you would like addressed during the call to ProviderRelationsSeminars@bcbsri. Dec 1, 2024 · The Medicare Prescription Payment Plan is a new payment option in the prescription drug law that works with Medicare Part D beneficiaries’ current drug coverage to help them manage their out-of-pocket Medicare Part D drug costs by spreading them across the calendar year (January-December). for a conference call with the Provider Relations team, who will provide important updates and reminders. New: The benefit limit is $1,500 per hearing aid per occurrence. 3. This update will change the Methadone Maintenance benefit to the following: Value Based Benefit (VBB) Incented Copay Drug List; 2024. org prior to the meeting (401) 274-4848 WWW. Your actual monthly premium will be determined when you apply. Find a doctor or other health care provider who accepts your plan. Coverage of Medicaid benefits will be managed by Rhode Island Medicaid. 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 3 (401) 274-4848 WWW. Blue Cross & Blue Shield of Rhode Island is an independent licensee After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. D-SNP FAQ; BCBSRI 2025 DSNP Training; Training Attestation Flexible Benefit Card, Providers. Training is available via three modes: a. An independent licensee of the Blue Cross and Blue Shield Association. Please refer to your policy for specific benefits. Please note that as a participating provider, it is your responsibility to notify members about non-covered services prior to rendering them. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Dec 10, 2024 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. While the overall Nov 1, 2024 · BCBSRI invites our participating providers to join us on Tuesday, November 12 from 10-11 am. Dec 1, 2024 · Effective January 1, 2025, BCBSRI will remove the non-skilled benefit for all Medicare Advantage plans except BlueRI for Duals (D-SNP). Nov 14, 2023 · All lines will be muted Blue Cross & Blue Shield of Rhode Island 2023 Updates November 14, 2023 Presented by: Stef Vito Director, Provider Relations Mar 1, 2021 · As a result, effective April 1, 2021, the drugs listed below will move from the specialty pharmacy benefit to the medical benefit. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and 5 days ago · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. com) This is the right place for plans that give you more Protect your health with preventive care Every BCBSRI plan includes 100% in-network coverage for your annual physical, flu shot, and recommended tests and screenings. The radiation therapy benefit is moving to a 20% coinsurance. BHLink Rhode Island adults experiencing mental health and substance use crises can call (401) 414-LINK (5465). If a member is presented with this card, this Blues plan is a valid Blue Cross plan. 2024. Brokers Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. To get started, download the Personify Health app from the Apple App Store or Google Play. Blue Cross & Blue Shield of Rhode Island (BCBSRI) administers this plan to FEP employees in Rhode Island through the FEP contract with the Blue Cross and Blue Shield Association. Call BCBSRI Customer Service at 1-800-639-2227 for help. Or Dec 1, 2024 · BCBSRI invites providers to join us on Tuesday, December 10, 2024 from 10-11 a. A primary care provider (PCP) who is your "regular" doctor and provides referrals for specialists, tests, and some other services; A limited network that includes 500+ PCPs, 1,800+ specialists, and Brown University Health hospitals: Rhode Island Hospital, Hasbro Children’s, The Miriam Hospital, Bradley Hospital, and Newport Hospital All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. These claims should be filed to the primary carrier. This update will change the methadone maintenance benefit to the following: Effective January 1, 2023, upon a plan’s renewal, BCBSRI will adjust the existing methadone maintenance benefit to a $0 copay or 0% post-deductible, both in-network and out-of-network. com. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association Value Based Benefit (VBB) Incented Copay Drug List. 11, 2024) – The RI Life Index, an annual statewide survey created by Blue Cross & Blue Shield of Rhode Island (BCBSRI) and the Brown University School of Public Health, finds that a broad range of Rhode Islanders continue to be highly challenged by affordable housing, food security and cost-of-living. 1/21 BCD-500587 Service Plan Pays Description Basic Dental Oral Surgery* 100% Surgical extractions and other eligible oral surgery procedures, including general anesthesia for covered surgical services Non-surgical Periodontal Services Flexible Benefit Card, Providers. Blue Cross & Blue Shield of Rhode Island is an HMO and PPO plan with a Medicare contract. Flexible Benefit Card, 2024 Participating Dental Provider Administrative Manual Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Flexible Benefit Card, Providers. Dec 10, 2024 · All lines will be muted until the Q&A Session Blue Cross & Blue Shield of Rhode Island December 2024 Provider Monthly Conference Call December 10, 2024 Contact Us. Local. It does not describe all the parts of the plan or guarantee payment, reimbursement or eligibility of coverage. Note: Individuals eligible for Medicare by disability are not eligible for Plan 65 Plan G. Overview; Policies and coverage. In the following instances, claims should not be submitted to BCBSRI: When there is another medical insurance carrier that is primary over BCBSRI. We made changes to our telemedicine/telephone services policy in March of this year to expand coverage and waive members’ cost share for telemedicine services, to help them get the care they needed from home during the COVID-19 pandemic. Click on Forms. org. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. Nov 1, 2024 · To refer a patient to the BCBSRI BH Case Management program, please call 1-800-274-2958 or email triage_group@bcbsri. BCBSRI is committed to improving access to high quality, affordable and equitable care for all Rhode Islanders and promoting a stable healthcare system in Rhode Island. Dental Direct Basic; Dental Direct Standard; Dental Direct Plus; Dental Direct Elite 5 days ago · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Acupuncture benefits vary across all Medicare plans. Medicare approved Blue Cross & Blue Shield of Rhode Island to provide these benefits and lower co-payments as part of the Value-Based Insurance Design program. Services obtained outside the local participating provider network; Skilled nursing facility admissions; To obtain preauthorization, log in to your Provider portal account and use the online tool there. COM PUBLISHED Provider Update, February 2025 By submitting this form, I understand that I will be contacted by Blue Cross & Blue Shield of Rhode Island about Medicare Advantage products available for my needs. Information may be provided by phone, mail, or email by Blue Cross & Blue Shield of Rhode Island licensed, authorized representatives. Flexible Benefit Card, gym Director or their designee to speak to the provider directly. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Dec 11, 2024 · PROVIDENCE, RI (Dec. Some of these drugs will continue to require prior authorization (PA) under the BCBSRI Medical Drug Review (MDR) program administered by Prime Therapeutics, LLC, our pharmacy benefits manager. Services such as dental 5 days ago · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Vision coverage | Blue Cross Blue Shield of Rhode Island Our website uses cookies to enhance functionality and improve your browsing experience. Nov 1, 2024 · Radiation therapy benefit change. Referral An order from your primary care provider (PCP) for you to receive care from another doctor, specialist, or medical facility. If you have any questions regarding this training, please contact providerrelations@bcbsri. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Nov 12, 2024 · All lines will be muted until the Q&A Session Blue Cross & Blue Shield of Rhode Island November 2024 Provider Monthly Conference Call November 12, 2024 The information in My Health Toolkit® can help you understand your health plan benefits. org If the training is still outstanding after the 10-day period, the deficiency will be referred to the BCBSRI Medical Director for additional follow-up and assistance. Log on to the provider portal of BCBSRI. effective date: 01|01|2018 policy last updated: Blue Cross & Blue Shield of Rhode Island: BlueSolutions HDHP Coverage for: See below Plan Type: HDHP . com) b. General Documents: Pharmacy Management Procedures and Formulary Development; ACA Prevention CoPay Waiver Fax Oct 1, 2024 · The vision hardware allowance is available as part of the overall Medicare Advantage plan and the BCBSRI identification card serves as identification of the vision hardware allowance. Each tier has a corresponding copay, depending on your health plan: Tier 1 – Lowest cost generic drugs; Tier 2 – Low-cost generic drugs Do you or anyone else covered by your Blue Cross health plan have another health plan? If so, we can help you make the most of your benefits—and possibly save you money! Simply complete this form and mail to: Attn: OCL Department (A) - 00119 Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903-2699 Nov 1, 2022 · Medicare’s Annual Enrollment Period is now in effect and runs until December 7, for coverage effective January 1, 2023. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy Oct 1, 2021 · Flexible Benefit Card, Find a provider. BCBSRI. Start here. If your primary care provider is part of a patient-centered medical home (PCMH), a BCBSRI Care Manager will refer you to the Care Manager at your PCMH. Check claims status and patient eligibility, view remittances, and review the Provider Administrative Manual. As part of our overall efforts to support primary care in Rhode Island, BCBSRI realized we needed to do something to address this situation. MHM03015_PHSA_C BlueSolutions HDHP C-1795_01_V . United Way 211 Blue Cross & Blue Shield of Rhode Island: HMC2C Coinsurance PPO Coverage for: See below Plan Type: PPO . bcbsri. Flexible Benefit Card, Search for providers. BlueLine (401) 272-1590 or 1-800-327-6712 Routine membership, eligibility, benefit information, and claims status for all Blue Cross & Blue Shield of Rhode Island members Oct 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. This monthly newsletter delivers updates on policies, changes to benefits, and other news you need to know. You also can view a quick summary of benefits below: 2025. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and The Federal Employee Plan (FEP) is a health benefit plan offered to all federal employees. Mail: Blue Cross & Blue Shield of Rhode Island. For drug specific prior authorization details, please refer to the drug criteria in the provider administered medication criteria section: Prior Authorization (myprime. 1 of 8. Oct 11, 2019 · Flexible Benefit Card, Providers. These employees will be on a plan referred to as the “Anchor Plan. If your employer has already made dental coverage available to you with your BCBSRI health plan, you can find everything you need to know about what’s covered by going through the Dental Benefits section of your online account. Dec 1, 2024 · For additional information or to find a Headway provider, please visit: Headway | Find Therapists Covered by Your Insurance or contact BCBSRI Behavioral Health Care Management by phone at 1-800-274-2958 or triage_group@bcbsri. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and 5 days ago · Flexible Benefit Card, Providers. Attention: Medical Policy, CPT review Please note that as a participating provider, it is Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Navigation. Blue Cross & Blue Shield of Rhode Island’s (BCBSRI’s) Medicare Advantage plans are the highest rated in Rhode Island as annual enrollment period begins – we recently received the Centers for Medicare & Medicaid Services’ (CMS’) highest Star rating possible – 5 members. BCBSRI's privacy policies do not apply to non-BCBSRI websites. Mar 11, 2024 · Rhode Island Energy's member ID cards have been updated with Anthem Blue Cross. See how close you are to meeting your deductible or out-of-pocket limit. If you’re seeking care close to home, consider a plan with Rhode Island-only Oct 22, 2024 · As part of our ongoing efforts to make high-quality and affordable healthcare available to our members, Blue Cross & Blue Shield of Rhode Island (BCBSRI) regularly reviews the list of prescription drugs we cover under our medical benefit. Y0146_2024FlexBenCardMA_M You’ve worked hard to develop a comprehensive benefits package. com: PowerPoint Presentation (bcbsri. Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903 Local: (401) 459-1000 Outside Rhode Island: 1-800-637-3718 What information are you looking for? Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. As a reminder, it is important for all acupuncture providers to check member eligibility and benefits when the new year approaches as some members may change their plans. Note: Rates shown go into effect on 7/1/2024 and are effective through 6/30/2025. You must receive all routine care from plan providers unless you select the BlueCHiP for Medicare Value (HMO-POS), BlueCHiP for Medicare Enhanced (HMO-POS), BlueCHiP for Medicare Extra (HMO-POS), BlueCHiP for Medicare Preferred (HMO-POS), or the Nov 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Click on Case Management Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. 6. If you have questions about the member’s vision hardware benefit, please call our Provider Service Center at (401) 274-4848, or 1-800-230-9050. Medicare Advantage See all your options, compare plans, and enroll. Blue Cross & Blue Shield of Rhode Island’s (BCBSRI’s) Medicare Advantage plans are the highest rated in Rhode Island as annual enrollment period begins – we recently received the Centers for Medicare & Medicaid Services’ (CMS’) highest Star rating possible – 5 All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. COM EFFECTIVE DATE: 01|03|2024 POLICY LAST REVIEWED: 01|03|2024 OVERVIEW This policy documents the prior authorization request process for certain medical procedures, using the Blue Cross & Blue Shield of Rhode Island (BCBSRI) online prior authorization tool. Need care but don’t have a doctor? Locate a provider in the BCBSRI network. If you have questions, please contact the Utilization Management Department: (401) 272-5670 1-800-635-2477 (outside of Rhode Island only) If you already have dental coverage with BCBSRI, you can find everything you need to know about your plan, including covered services and claims, through the Dental Benefits section of your online account. 2 Not available with all plans. X. • Eligibility o How do I know if a member is eligible? Our team of Medicaid Specialists can help you determine if your patient is eligible for BlueRI for Duals. Oct 1, 2024 · BCBSRI’s ongoing investments in Rhode Island’s provider community. Printed Materials and Plan Specifics: ProviderRelations@bcbsri. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and 500 exchange street, providence, ri 02903-2699 medical coverage policy | 1 (401) 274-4848 www. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Cross & Blue Shield of Rhode Island (BCBSRI) has designated two pharmacies within our network to provide specialty drugs to our members who need them, at the most reasonable cost possible: Caremark Specialty Pharmacy Services: 1-866-278-6634; Village Fertility Pharmacy (fertility drugs only): 1-877-334-1610; Important Links Dec 1, 2024 · Existing and new prior authorization reviews will continue to be handled by our pharmacy benefits manager, Prime Therapeutics. 3 Choose Blue Cross & Blue Shield of Rhode Island as your sponsor, then connect your Fitbit ® or other wearable device to track and sync steps with the app. What training/education is required and/or available? MOC provider training (with attestation) is a CMS annual requirement. **This does not include RIPTA employees, just the State of Rhode Island** Oct 1, 2024 · All lines will be muted Blue Cross & Blue Shield of Rhode Island October 2024 Provider Monthly Conference Call October 1, 2024 Presented by: Stef Vito Please contact Blue Cross & Blue Shield of Rhode Island (BCBSRI) or access their suite of helpful resources if you have questions regarding your medical coverage or your health savings account (HSA): Call the State of Rhode Island Employee CARE Center: (401) 429-2104 or 1-866-987-3705 Mar 1, 2024 · There is certainly room for improvement across Rhode Island’s primary care landscape, and BCBSRI has made significant investments over the last decade to bolster and support it. Care Management at your PCMH is offered at no additional cost through your BCBSRI plan. for a conference call with the Provider Relations team, who will provide updates and reminders on important topics and changes for 2025. Understand your dental coverage. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Oct 1, 2022 · Current: The benefit limit is $1,500 per hearing aid for a member under 19; the benefit limit is $700 per hearing aid for a member over 19. Become a participating provider Use this form to add a new Flexible Benefit Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue 7 EyeMed Vision Care is an independent company, contracted by Blue Cross & Blue Shield of Rhode Island to provide vision hardware benefit management services. Make sure you’re getting the word out with timely, relevant messages your employees can’t miss. Covered acupuncture . Boost your employee benefits strategy. Blue Cross & Blue Shield of Rhode Island is an HMO and PPO Nov 1, 2024 · To refer a patient to the BCBSRI BH Case Management Program, please call 1-800-274-2958 or email triage_group@bcbsri. Dec 1, 2024 · Medicare Advantage See all your options, compare plans, and enroll. Your employees will have access to a high-quality provider network at the Rhode Island and New England level, and you could see real savings over a national network option. ; Medicare Supplement Help cover costs with a Plan 65 option. Nov 18, 2024 · Flexible Benefit Card, Blue Cross & Blue Shield of Rhode Island. 1 See what's covered by your health plan. 2024 Medicare Part A deductible = $1,632 per benefit period. The information in My Health Toolkit® can help you understand your health plan benefits. ” Below is a quick overview of the Anchor Plan: Employees enrolled in the Anchor Plan will require a PCP referral to see most specialists. Apr 17, 2020 · Flexible Benefit Card, Providers. . Click on Tools and Resources. Exceptions. com is powered by Alegeus Technologies on behalf of Blue Cross & Blue Shield of Rhode Island and Alegeus is not affiliated with Blue Cross & Blue Shield of Rhode Island. And more! Providers and doctors call these Blue Cross & Blue Shield Rhode Island phone numbers for eligibility and other questions. Services requiring claims submission A claim must be submitted for all services not included in a capitation compensation arrangement. Nov 1, 2024 · Effective January 1, 2025, BCBSRI will be removing the non-skilled benefit for all Medicare Advantage plans except BlueRI for Duals (D-SNP). Already a BCBSRI Medicare Advantage member? Dec 1, 2024 · Email: Medical. Pay your monthly premium, if you have an individual plan. Check patient eligibility to verify effective dates of coverage, copays, deductibles, and other information. In an emergency, go directly to the nearest hospital. Blue Cross & Blue Shield of Rhode Island PO Box 1057 Providence, RI 02901 Do you or anyone else covered by your Blue Cross health plan have another health plan? If so, we can help you make the most of your benefits—and possibly save you money! Simply complete this form and mail to: Attn: OCL Department (A) - 00119 Blue Cross & Blue Shield of Rhode Island 500 Exchange Street Providence, RI 02903-2699 Jul 1, 2023 · As a reminder, there is a functionality on the BCBSRI Provider Portal that allows providers to send inquiries via secure messaging. Always carry your current ID card for easy reference and access to service. Primary care visit Your PCP is the main doctor, nurse practitioner, or physician’s assistant you go to for regular healthcare. These investments are intended to benefit providers as well as our members/your patients. Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Let us know what you think. Oct 1, 2021 · Looking for a Medicare Advantage plan? Talk to our Medicare Sales team 1-800-505-BLUE (2583) (TTY: 711) Or request a sales call. Rhode Island-based network; Lower premiums and out-of-pocket expenses when you work with your primary care provider (PCP) to coordinate your care; All Rhode Island hospitals; 1,400+ PCPs; 4,000+ specialists 5 days ago · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. You can file claims electronically or on paper for Blue Cross & Blue Shield of Rhode Island plan members and out-of-state Blue Cross & Blue Shield plan members. Secure messaging is located on the left-hand tool bar once you log in to bcbsri. Access provider publications including: Participating Provider Administrative Manual; BCBSRI Practice Guidelines; Orientation visits BCBSRI vision plans offer: Access – a nationwide network of more than 115,000 eye care providers and top eyewear retailers, including LensCrafters®, Pearle Vision®, and Target Optical® Affordability – competitive rates for individual and family plans; Convenience – no need to submit receipts for in-network services Oct 1, 2021 · All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and 5 days ago · 1 The out-of-pocket maximum includes only Medicare-covered services. mywealthcareonline. Making it easy. Dec 1, 2020 · As you know, BCBSRI’s temporary payment policy for telemedicine/telephone services is in effect until the end of this year. Attention: Medical Policy, CPT Review. 9 The Silver&Fit program is provided by American Specialty Health Fitness, Inc. View our list of drugs Value Based Benefit (VBB) Incented Copay Drug List. Mar 6, 2024 · Flexible Benefit Card, Providers. Doctors Online is a telemedicine service provided by American Well®, an Flexible Benefit Card, Providers. The Rhode Island Medicaid Anchor card (secondary insurance) allows pharmacists to process state approved OTC prescriptions at $0. m. Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Discover how we support your employees’ health, deliver the lowest total cost of care, and streamline your administration. 2024 Medicare Part B deductible = $240 per calendar year. View your formulary; Value Based Benefit (VBB) Incented Copay Drug List; Is your pharmacy in the network? Search pharmacies in the network and even compare costs: Find a pharmacy. 1 of 7. Methadone Maintenance. MHM03016_PHMC2C_C Plan C -1796_01_V . 500 Exchange Street. The BCBSRI formulary is divided into five tiers. The Blue Cross & Blue Shield of Rhode Island (BCBSRI) Employer Toolkit can help. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In it, you’ll find ready-to-use Jan 1, 2019 · Medicare Advantage See all your options, compare plans, and enroll. 4. Blue Cross & Blue Shield of Rhode Island ATTN: Claims Department 500 Exchange Street Providence, Rhode Island 02903-2699. When you're a Blue Cross and Blue Shield of Rhode Island plan member, you take your health care benefits with you — across the country and around the world — through the BlueCard program. Despite those benefits, it has been identified nationally as a cause of unnecessary delays in getting care, being inefficient, and causing frustration for providers as well as patients. 5 days ago · *Premium and benefits displayed are for members who qualify for Extra Help, also known as Low-Income Subsidy. For information call the BCBSRI Provider Call Center, at (401) 274-4848. *By clicking this link, you will leave the BCBSRI website. Policy@bcbsri. Click on Case Management BlueRI for Duals (primary insurance) provides its members with a flexible spending card preloaded with $150 per month to spend on OTC items. Methadone maintenance. 2. Easily access your information online. Dec 10, 2018 · Flexible Benefit Card, Providers. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy blue cross & blue shield of rhode island benefit booklet table of contents summary of medical benefits . Overview; Policies and coverage Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and 1 Teladoc Health is an independent company that has contracted directly with Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide diabetes management, weight management and other health benefit programs for eligible BCBSRI members. This is the most a member would pay for these services during a calendar year. okswxzvrsonofugqzoajehtroqjwvzmodnmlrbbgobbu