Bcbsri provider benefits rhode island eligibility. 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. Enrollments need to be completed by December 31 in order to have coverage effective January 1. 2 Shading indicates the approved factor differs from the . Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Sep 6, 2024 · Yes, your Blue Cross Blue Shield of Rhode Island (BCBSRI) plan may fully or partially cover your drug and alcohol treatment, depending on your plan. com for the most up-to -date information. Preferred provider organization (PPO) A type of health plan with a preferred network of doctors and other healthcare providers. m. 2 million in 2021. Call 866-304-2138 (TTY:711) and speak with a dedicated Member Experience Advisor, 8 a. That’s why we’re expanding initiatives around prescription drugs to lower costs, using new technology to better help members, and bringing new payment models to providers. PLEASE NOTE: Points reset at the start of every quarter! Call the State of Rhode Island Employee CARE Center at (401) 429-2104 or 1-866-987-3705 and select option 2 to reach a Beacon Wellbeing representative. Please visit www. Blue Cross & Blue Shield of Rhode Island 5-Tier Direct Prescription Drug List . December 2023 . 40 per month. These plans come with various advantages, such as medical benefits, telehealth capability, wellness incentives and rewards, and access to a vast network Apr 2, 2024 · Dental Safety Net List from the Rhode Island Department of Health ; Find Dental Care, Free or Low Cost Dental Clinics; To find a Dentist or Dental Specialist in private practice see Provider Search. Aug 18, 2024 · Most insurers provide coverage for video visits at the same cost as in-person visits. MyPrime. financials 2021 Results. com or download the Virgin Pulse app from the Apple App Store or Google Play. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. * No Poverty. Beacon Wellbeing Employee Assistance Program (EAP) Nov 9, 2023 · The State of Rhode Island offers eligible active employees three medical plans – Anchor, Anchor Plus, and Anchor Choice with HSA, all administered by Blue Cross Blue Shield of Rhode Island. vsp. 04/16 VSN-48968 Oct 18, 2023 · Employee Benefits website or see individual provider pages at the virtual benefits fair. Premium: $143. 4 This makes BCBSRI one of only 14 PPO plans in the country to have received a score of 4. After that, you pay only the dollar amount or percentage shown. Navigation. Review the Delta Dental FAQ, watch the following video, and click on the tabs below to learn more about your dental coverage options. HealthMate for Medicare (PPO) is a Medicare Advantage (Part C) Plan by Blue Cross & Blue Shield of Rhode Island. BCBSRI: Blue Cross & Blue Shield of Rhode Island NHPRI: Neighborhood Health Plan of Rhode Island The SHADED area is subject to the deductible. 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 If you have other questions or need further assistance regarding your HSA, please contact BCBSRI: Call the State of Rhode Island Employee CARE Center: (401) 429-2104 or 1-866-987-3705 (also available on the back of your BCBSRI medical ID card) CARE Center hours are Monday–Friday, 8am–8pm and Saturday, 8am–12pm. You can stop by any Your Blue Store SM location or register for a local Medicare workshop. 7 (Note that the enrollment dates are potentially subject to change in future years. – 8 p. What We Do ConcertoCare's CarePartners program offers a full array of personalized in-home medical care and other supports designed to keep you healthy and live life on your terms. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy Find medical, dental, and behavioral health resources at Blue Cross and Blue Shield of Rhode Island. Both plan options offer benefits in- and out-of-network. Sometimes it’s easier to talk with someone face-to-face. As a Blue Cross and Blue Shield of Rhode Island member, you have two options for hearing aid discounts: Beltone and TruHearing. Discover more perks. Help is available for mental health and substance use concerns, such as: • Mood disorders • Anxiety disorders • Attention deficit disorders • Bipolar disorder • Depression • Eating disorders In 2022, we launched an exciting arrangement with Prospect Health Services of Rhode Island, compensating them for taking holistic care of their nearly 10,000 BCBSRI Medicare Advantage patients, rather than for specific services provided. with temporary The information in My Health Toolkit® can help you understand your health plan benefits. The information in My Health Toolkit® can help you understand your health plan benefits. Then connect your Fitbit ® or other wearable device to track and sync steps with the app. Hearing aids can make a real difference. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. VirginPulse. 4. The program addresses health professional shortages that lead to disparities in health. Before accessing Workterra, gather the following information: Family member social security numbers and supporting documentation - If you plan to enroll any family members on your plans, you will need to enter their social security numbers and upload supporting documentation proving their relationship to you. 6 Mental health resources How to find a provider Log in to your myBCBSRI account and search Find a Provider or call the State of Rhode Island Employee CARE Center at (401) 429-2104 or 1-866-987-3705. Blue Cross & Blue Shield of Rhode Island gyns and maternal care providers throughout Rhode Island to maximize the effectiveness of the program. Stop in. VSP does not issue ID cards, but you may print one out after registering/logging into your account on www. INSURANCE COMPANY BCBSRI BCBSRI BCBSRI NHPRI PLAN NAME VantageBlue Direct Plan 750/1500 1500/3000 for HSA Direct 1700/3400 *Neighborhood ESSENTIAL Blue Cross & Blue Shield of Rhode Island does not recommend or endorse specific tests, procedures, advice, or other information provided on this site. Plan Benefits. A Patient-Centered Medical Home (PCMH) is a team of healthcare providers that work together to coordinate your care. These results reflect a continued trend of lower-than-anticipated medical costs seen during the COVID-19 pandemic, allowing the company to reinvest in serving members and the community, addressing critical needs in areas including COVID-19 relief, food security The following table depicts the requested and approved CPAIR and the key assumptions in their development for the individual (IND) market filed by Blue Cross Blue Shield of Rhode Island (BCBSRI) and Neighborhood Health Plan of Rhode Island (NHPRI), as part of OHIC’s review of 2024 rates. However, the State encourages you to visit a VSP participating provider to receive the greatest coverage. The Blue Cross & Blue Shield of Rhode Island 5Tier Direct Prescription Drug List is updated quarterly. ) 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. 2 The cost of healthcare is one of the most pressing issues in Rhode Island and across the country. Your activity level (2/3/4) will determine your quarterly incentive. 5 or above in NCQA’s commercial Health Plan Ratings for 2023 and places us in the top 4% BCBSRI Out-of-Network Claims: Medical: No form required—please submit an itemized statement and a receipt instead to BCBSRI. Contents Select "Blue Cross & Blue Shield of Rhode Island" as your sponsor. Select "Dentist" under the "Type of Service" category, then click "Find Provider" to get a list of Dentists and Dental Specialists. 500 Exchange Street • Providence, RI 02903-2699 Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Select how many miles away the provider may be from the above zip code: Within zip code 5 10 15 25 30 Languages : Specialty : SEARCH TIP If you are unsure of the The information in My Health Toolkit® can help you understand your health plan benefits. In an emergency, go directly to the nearest hospital. The State of Rhode Island offers eligible active employees three options for dental coverage—Anchor Dental, Anchor Dental Plus and Anchor Dental Platinum. We’re here in your community making Medicare a little easier—it’s just one reason Blue Cross & Blue Shield of Rhode Island is among the highest rated Medicare plans in the country again in 2024. com for the most up-to-date The information in My Health Toolkit® can help you understand your health plan benefits. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy per member per benefit year* toward the purchase of prescription eyeglasses (lenses and/or frames) and contact lenses. bcbsri. Your ID number is The information in My Health Toolkit® can help you understand your health plan benefits. We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex, including sexual orientation, gender identity BCBSRI funding makes it possible for the Rhode Island Health Professionals Loan Repayment Program to improve access to care and retain providers who deliver healthcare services to Rhode Islanders who need it most. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy 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 Access the Blue Cross & Blue Shield of Rhode Island portal for secure login and authentication. Your support ID is: <12330715876245890510>. The maximum yearly incentive is $400. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. Blue Cross & Blue Shield of Rhode Island (BCBSRI) and our network of providers can help you feel better so you can live your best life. com or Prime Therapeutics at www. Blue Cross & Blue Shield of Rhode Island realized an after-tax net gain of almost $13. 3 Choose Blue Cross & Blue Shield of Rhode Island as your sponsor. 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. For the ninth year, BCBSRI has earned a 4. May 22, 2024 · A 65-year-old in Rhode Island will find the cheapest Plan N policies from Blue Cross Blue Shield of Rhode Island and UnitedHealthcare at $109. 80 and $109. Feb 12, 2024 · Managers and HR administrators should call the BCBSRI State of Rhode Island Employee CARE Center at (866) 987-3705 or (401) 429-2104 and select option 2 to reach a Carelon EAP representative. Please consult with your administrator. Contact us to see if you qualify: 1-877-255-3259 (TTY: 711). See how your plan works. Trading Partners can access eligibility, claim status, file exchange and other Interactive Web Services, using their Trading Partner ID as their User ID. To find a provider near you, visit www. Their actions inspired all of us at Blue Cross & Blue Shield of Rhode Island (BCBSRI) to play a lead role in helping businesses, members, healthcare providers, and other not-for-profit organizations navigate unprecedented times. 00 Enroll Now This page features plan details for 2024 HealthMate for Medicare (PPO) H3557 – 001 – 0 available in State of Rhode Island. Earning high quality rating from NCQA. 5 out of 5 rating on our preferred provider organization (PPO) products from the National Committee for Quality Assurance (NCQA). 1. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy The open enrollment period for health insurance in Rhode Island runs from November 1 through January 31. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy The information in My Health Toolkit® can help you understand your health plan benefits. Nov 3, 2023 · Providence County Kent County Washington County; Number of residents enrolled in a plan* 78,804 24,930 17,427: Number of plan contracts available* 204 health provider. The RI Life Index, a partnership between BCBSRI and the Brown University School of Public Health, measures Rhode Islander’s perceived and actual experiences regarding their economic situation, food security, access to housing, cost of living, job opportunities, and other social drivers of health and well-being. com. Please refer to your policy for specific benefits. It does not describe all the parts of the plan or guarantee payment, reimbursement or eligibility of coverage. 60, respectively. Identify as a manager/HR administrator and indicate you are looking to coordinate a manager consultation, referral or a critical incident response. How do I change my assigned PCP (or that of a dependent)? If you want to change your or a dependent’s current PCP assignment, just call the BCBSRI State of Rhode Island Employee CARE Center at 401-429-2104 or 866-987-3705. 1 of 8. Always carry your current ID card for easy reference and access to service. Blue Cross & Blue Shield of Rhode Island: HMC2C Coinsurance PPO Coverage for: See below Plan Type: PPO . mywealthcareonline. Find BCBS announcements and company advancements. Visiting a PCMH provider may cost less in certain plans. The WHITE area is not subject to the The Blue Cross & Blue Shield of Rhode Island 5-Tier Generic Prescription Drug List is updated in April and October. You can search on Zocdoc specifically for Doctors who accept Blue Cross Blue Shield of Rhode Island for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. The SBC shows you how you and the plan would share the cost for covered health care services. Hearing loss is common, especially as we age. local time, who will schedule your hearing test with no out-of-pocket cost with a local hearing provider. CARE Center hours are 2020. MHM03016_PHMC2C_C Plan C -1796_01_V . Get industry opinion on health insurance news. The requested URL was rejected. All plans are administered by Delta Dental of Rhode Island. Save money on hearing aids. Log into Virgin Pulse, explore and complete activities to earn points and increase your activity level. Please - visit www. See the "Claims" tab on the Medical page for submission instructions: BCBSRI: CVS Caremark Mail Order: Prescription: Fill a 90-day maintenance prescription under the Maintenance Choice program: CVS Caremark: CVS We currently do not offer our direct In-Home Primary Care services in Rhode Island; to be notified about updates, please visit our Contact Us page. BCBSRI to eliminate nearly 65% of prior authorization requirements for primary care providers PROVIDENCE – As part of its continuing commitment to support healthcare practitioners and streamline pa-tient access to care, Blue Cross & Blue Shield of Rhode Island (BCBSRI) will eliminate nearly 65% of prior Apr 16, 2024 · Read about the latest Blue Cross Blue Shield Association news. Find documents you might need. Within the United States. The Blue Cross & Blue Shield of Rhode Island (BCBSRI) Employer Toolkit can help. Health. Help is available for mental health and substance use concerns such as: • Mood disorders • Anxiety disorders • Attention deficit disorders • Bipolar disorder • Depression • Eating disorders Details drug coverage for Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Value (HMO-POS) in Rhode Island. Apr 4, 2002 · Healthcare providers and Billing Agents can enroll as a Trading Partner with RI Medicaid. You pay the full cost of a visit or healthcare service until you reach your deductible amount. If you have multiple chronic conditions and are enrolled in a Medicare Advantage plan with Blue Cross & Blue Shield of Rhode Island, you may be eligible for HouseCall by Blue. In a year of pandemic and social turmoil, Rhode Islanders pulled together to care for and support each other. Your guide to better health at Blue Cross Blue Shield of Rhode Island. This is almost $16 cheaper than the most expensive option, Aetna, with plans costing $125. The Affordable Care Act (ACA) requires that health insurance carriers cover behavioral and mental health care services, including substance use disorder (SUD) treatment. Here’s what you can do with myBCBSRI • Use one login for website and app • Use Face or Touch ID • View your BCBSRI medical, dental, and pharmacy benefits • Check your copays if you have them • View claims • Find doctors and labs in your health network • Compare costs for tests and proced… To get started, sign up at join. Availability of benefits and plans varies by carrier and location. In it, you’ll find ready-to-use communications to help you promote health plan benefits as well as manage key events like open enrollment. rljmfztgdiqosntkwstnlfgtqrnkrcntwqnijurtfm