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BIBlue Cross Blue Shield of Rhode Island logo

Blue Cross Blue Shield of Rhode Island

Unclaimed
Health Insurancewww.bcbsri.comUpdated

A health insurer offering coverage options for individuals, families, employers, and government programs.

Overview

Blue Cross Blue Shield of Rhode Island (BCBSRI) is a health insurance organization offering coverage options for individuals, families, employers, and government programs. It provides guidance through plan selection, enrollment, and benefits administration, along with resources such as care management, wellness programs, provider networks, and tools for managing benefits, claims, and communications. The organization focuses on improving access to quality care, affordability, and outcomes for its members, employers, and partner organizations.

Mission statement

BCBSRI's mission is to improve the health and financial well-being of its customers by providing accessible, affordable, and high-quality health coverage, supporting members, employers, and providers, and promoting wellness, care coordination, and customer service.

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What we offer

Medicare Advantage Plans

Compare and enroll in Medicare Advantage plans that meet your healthcare needs.

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Medical Plans For Individuals & Families

Comprehensive medical plans tailored for individuals and families, offering easy shopping and enrollment.

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Employer Medical Plans

Comprehensive health coverage options tailored for employers’ unique needs.

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BlueCare Connect

Enhances member engagement and service through an intuitive online platform.

Care Management

Service

Provides personalized care management to enhance health outcomes for members.

Market segments

Member digital engagement and self-service

Online account portals and digital channels that enable members to manage enrollment, benefits, claims, communications, and access 24/7 support.

Products: BlueCare Connect

Care management and chronic condition coordination

Condition-specific care coordination and care planning programs that manage cancer, diabetes, kidney disease, mental health, substance use, and women's health to improve outcomes and reduce utilization.

Products: Care Management

Employer group medical plans

Group health plans and network configurations for employers, including HSA-compatible options, integrated pharmacy/dental/vision coverage, and programs to improve employee engagement and member experience.

Products: Employer Medical Plans

Individual and family medical plans

Individual and family health insurance offerings that support plan comparison and enrollment, pharmacy coverage, wellness programs, travel coverage, and flexible benefit card use.

Products: Medical Plans For Individuals & Families

Medicare Advantage and dual-eligible managed care

Managed Medicare offerings including Medicare Advantage, Medicare supplement options, and integrated Medicare–Medicaid plans with prescription assistance, provider access flexibility, and enrollment support.

Products: Medicare Advantage Plans

More information about our offering

Medicare Advantage Plans

BCBSRI offers Medicare Advantage plans designed for Medicare beneficiaries, providing managed care options and enrollment opportunities. This includes Medicare Extra Help plans that assist individuals qualifying for both Medicare and Medicaid, along with Medicare Supplement options to cover additional healthcare costs not included in Medicare.

  • Compare Plans And Enroll
    Access a user-friendly platform to review all available options, compare key features and costs, and enroll online for your selected Medicare Advantage plan.
  • Streamlines Coverage
    This integration simplifies the insurance process by offering a cohesive plan that incorporates the benefits of both Medicare and Medicaid.
  • Covers Out-Of-Pocket Expenses
    Allows members to manage their healthcare expenses more effectively by covering costs that Medicare leaves unpaid.
  • Reduces Out-of-Pocket Costs
    This assistance makes essential medications more affordable, improving health outcomes for beneficiaries.
  • Broadens Coverage Options
    These plans provide enhanced access to necessary services and benefits, ensuring a comprehensive safety net for members.
  • Utilize Informative Resources
    Comprehensive guides and FAQs available to help clarify Medicare nuances and assist members in making informed decisions.
  • Choose Any Medicare-Approved Provider
    Enjoy the freedom to access a wide network of healthcare providers, enhancing the member's ability to receive timely care.
  • Protection Against Policy Cancellation
    Provides peace of mind by ensuring consistent coverage without the risk of losing a policy due to age or health changes.

Medical Plans For Individuals & Families

Medical plan offerings for individuals and families, featuring diverse plans for various health needs. Members can explore options, compare benefits, and enroll with ease. The plans are designed to cover essential health services, ensuring accessibility and support throughout the enrollment process.

  • Discover And Enroll Easily
    Easily browse a range of medical plans that suit individual and family healthcare needs, with online enrollment simplifying the process.
  • Manage Prescription Costs
    Benefit from included pharmacy coverage ensuring members have access to necessary medications at reduced costs.
  • Encourage Healthy Living
    Participate in various wellness initiatives designed to enhance overall health and minimize future healthcare costs through preventive measures.
  • Utilize Flexible Spending
    A benefit card allows members to spend on eligible health-related services, making healthcare expenses more manageable.
  • Stay Covered While Traveling
    Ensure reliable healthcare coverage while traveling, providing peace of mind away from home.

Employer Medical Plans

Group medical plans for employers, with plan types and network options designed for organizations.

  • Select Network Options
    Employers can choose from various plan types including national, regional, and local networks, ensuring they can offer coverage that suits their workforce’s needs.
  • Provide Tax Advantages
    Health Savings Accounts (HSAs) associated with certain plans allow employees to save money tax-free for medical expenses.
  • Comprehensive Benefits
    Employers have the flexibility to integrate pharmacy, dental, and vision benefits into their medical plans.
  • Boost Employee Morale
    Through wellness programs and supportive services, this feature enhances the overall health experience, motivating employees and optimizing workplace productivity.

BlueCare Connect

A digital platform to boost member service through an online account experience (BlueCare Connect).

  • Receive 24/7 Support
    Members can access resources and support any time, ensuring convenience and timely assistance.
  • Access Online Account
    Instantly access personal health information, manage benefits, and view claims through a secure online account.
  • Utilize Flexible Benefit Card
    Streamline the purchasing of over-the-counter products and manage wellness benefits effectively.

Care Management

Care management program offering condition-specific support and coordination for members.

  • Coordinates Cancer Treatment
    Ensures members receive comprehensive support for cancer treatment, including personalized care plans and resources.
  • Facilitates Diabetes Support
    Offers tailored strategies and resources to manage diabetes effectively, enhancing member health and well-being.
  • Optimizes Kidney Care Coordination
    Provides ongoing support for members managing kidney conditions, with a focus on personalized treatment plans.
  • Enhances Mental Health Support
    Delivers integrated resources and coaching for mental health and substance use, aiming for better member outcomes.
  • Focuses on Women's Health Needs
    Addresses unique challenges women face in healthcare, providing personalized support and resources.
  • Supports Chronic Condition Management
    A team dedicated to understanding and managing chronic conditions, improving care continuity for members.

Sources

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