Bcbsri provider benefits rhode island eligibility. com or Prime Therapeutics at www. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Hearing loss is common, especially as we age. BCBSRI: Blue Cross & Blue Shield of Rhode Island NHPRI: Neighborhood Health Plan of Rhode Island The SHADED area is subject to the deductible. 1. 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. Both plan options offer benefits in- and out-of-network. In an emergency, go directly to the nearest hospital. Discover more perks. The maximum yearly incentive is $400. 1 of 8. Your ID number is The information in My Health Toolkit® can help you understand your health plan benefits. 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. Get industry opinion on health insurance news. Contents Select "Blue Cross & Blue Shield of Rhode Island" as your sponsor. A Patient-Centered Medical Home (PCMH) is a team of healthcare providers that work together to coordinate your care. After that, you pay only the dollar amount or percentage shown. The requested URL was rejected. 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. You pay the full cost of a visit or healthcare service until you reach your deductible amount. Review the Delta Dental FAQ, watch the following video, and click on the tabs below to learn more about your dental coverage options. local time, who will schedule your hearing test with no out-of-pocket cost with a local hearing provider. com for the most up-to -date information. vsp. Log into Virgin Pulse, explore and complete activities to earn points and increase your activity level. 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. 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. Navigation. Trading Partners can access eligibility, claim status, file exchange and other Interactive Web Services, using their Trading Partner ID as their User ID. 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. Earning high quality rating from NCQA. 3 Choose Blue Cross & Blue Shield of Rhode Island as your sponsor. 80 and $109. 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. 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. The Affordable Care Act (ACA) requires that health insurance carriers cover behavioral and mental health care services, including substance use disorder (SUD) treatment. 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. 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. 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. Within the United States. financials 2021 Results. Find documents you might need. Select "Dentist" under the "Type of Service" category, then click "Find Provider" to get a list of Dentists and Dental Specialists. Blue Cross & Blue Shield of Rhode Island 5-Tier Direct Prescription Drug List . Your activity level (2/3/4) will determine your quarterly incentive. com for the most up-to-date The information in My Health Toolkit® can help you understand your health plan benefits. m. 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. Call 866-304-2138 (TTY:711) and speak with a dedicated Member Experience Advisor, 8 a. – 8 p. Enrollments need to be completed by December 31 in order to have coverage effective January 1. All plans are administered by Delta Dental of Rhode Island. 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. Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. For the ninth year, BCBSRI has earned a 4. Visiting a PCMH provider may cost less in certain plans. Please - visit www. 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. 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. 4. ) 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. The information in My Health Toolkit® can help you understand your health plan benefits. 4 This makes BCBSRI one of only 14 PPO plans in the country to have received a score of 4. HealthMate for Medicare (PPO) is a Medicare Advantage (Part C) Plan by Blue Cross & Blue Shield of Rhode Island. Health. Save money on hearing aids. 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. Please visit www. 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. Blue Cross & Blue Shield of Rhode Island: HMC2C Coinsurance PPO Coverage for: See below Plan Type: PPO . 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. 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. The State of Rhode Island offers eligible active employees three options for dental coverage—Anchor Dental, Anchor Dental Plus and Anchor Dental Platinum. You can stop by any Your Blue Store SM location or register for a local Medicare workshop. Preferred provider organization (PPO) A type of health plan with a preferred network of doctors and other healthcare providers. VSP does not issue ID cards, but you may print one out after registering/logging into your account on www. Contact us to see if you qualify: 1-877-255-3259 (TTY: 711). * No Poverty. See how your plan works. Plan Benefits. 2 million in 2021. 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. 60, respectively. 7 (Note that the enrollment dates are potentially subject to change in future years. Always carry your current ID card for easy reference and access to service. com. VirginPulse. Aug 18, 2024 · Most insurers provide coverage for video visits at the same cost as in-person visits. 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. 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. Identify as a manager/HR administrator and indicate you are looking to coordinate a manager consultation, referral or a critical incident response. 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. 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. 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. 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. 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. 2 The cost of healthcare is one of the most pressing issues in Rhode Island and across the country. 04/16 VSN-48968 Oct 18, 2023 · Employee Benefits website or see individual provider pages at the virtual benefits fair. 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. The program addresses health professional shortages that lead to disparities in health. Please refer to your policy for specific benefits. Stop in. 5 out of 5 rating on our preferred provider organization (PPO) products from the National Committee for Quality Assurance (NCQA). com or download the Virgin Pulse app from the Apple App Store or Google Play. MHM03016_PHMC2C_C Plan C -1796_01_V . Blue Cross & Blue Shield of Rhode Island gyns and maternal care providers throughout Rhode Island to maximize the effectiveness of the program. The Blue Cross & Blue Shield of Rhode Island (BCBSRI) Employer Toolkit can help. 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. CARE Center hours are 2020. This is almost $16 cheaper than the most expensive option, Aetna, with plans costing $125. 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. Your guide to better health at Blue Cross Blue Shield of Rhode Island. It does not describe all the parts of the plan or guarantee payment, reimbursement or eligibility of coverage. 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. bcbsri. 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. Availability of benefits and plans varies by carrier and location. The SBC shows you how you and the plan would share the cost for covered health care services. 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. 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. To find a provider near you, visit www. Premium: $143. 40 per month. Apr 4, 2002 · Healthcare providers and Billing Agents can enroll as a Trading Partner with RI Medicaid. Your support ID is: <12330715876245890510>. 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. Blue Cross & Blue Shield of Rhode Island realized an after-tax net gain of almost $13. December 2023 . MyPrime. 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. Please consult with your administrator. 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. Then connect your Fitbit ® or other wearable device to track and sync steps with the app. However, the State encourages you to visit a VSP participating provider to receive the greatest coverage. 2 Shading indicates the approved factor differs from the . 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. As a Blue Cross and Blue Shield of Rhode Island member, you have two options for hearing aid discounts: Beltone and TruHearing. 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. The Blue Cross & Blue Shield of Rhode Island 5Tier Direct Prescription Drug List is updated quarterly. Find BCBS announcements and company advancements. 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. mywealthcareonline. 00 Enroll Now This page features plan details for 2024 HealthMate for Medicare (PPO) H3557 – 001 – 0 available in State of Rhode Island. 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. In a year of pandemic and social turmoil, Rhode Islanders pulled together to care for and support each other. 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. with temporary The information in My Health Toolkit® can help you understand your health plan benefits. Sometimes it’s easier to talk with someone face-to-face. Hearing aids can make a real difference. wxntiljxginqfjfsbowfdxqkwikxarhbhngcusfkpicocqmdlgeyn