Blue Cross Blue Shield of Rhode Island Unclaimed
A health insurer offering coverage options for individuals, families, employers, and government programs.
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.
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.
What we offer
Medicare Advantage Plans
Compare and enroll in Medicare Advantage plans that meet your healthcare needs.
www.bcbsri.com/medicare/shopMedical Plans For Individuals & Families
Comprehensive medical plans tailored for individuals and families, offering easy shopping and enrollment.
www.bcbsri.com/individual/shopEmployer Medical Plans
Comprehensive health coverage options tailored for employers’ unique needs.
www.bcbsri.com/employers/plans/typesBlueCare Connect
Enhances member engagement and service through an intuitive online platform.
Care Management
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.
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.
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.
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.
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.
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 EnrollAccess a user-friendly platform to review all available options, compare key features and costs, and enroll online for your selected Medicare Advantage plan.
- Streamlines CoverageThis integration simplifies the insurance process by offering a cohesive plan that incorporates the benefits of both Medicare and Medicaid.
- Covers Out-Of-Pocket ExpensesAllows members to manage their healthcare expenses more effectively by covering costs that Medicare leaves unpaid.
- Reduces Out-of-Pocket CostsThis assistance makes essential medications more affordable, improving health outcomes for beneficiaries.
- Broadens Coverage OptionsThese plans provide enhanced access to necessary services and benefits, ensuring a comprehensive safety net for members.
- Utilize Informative ResourcesComprehensive guides and FAQs available to help clarify Medicare nuances and assist members in making informed decisions.
- Choose Any Medicare-Approved ProviderEnjoy the freedom to access a wide network of healthcare providers, enhancing the member's ability to receive timely care.
- Protection Against Policy CancellationProvides 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 EasilyEasily browse a range of medical plans that suit individual and family healthcare needs, with online enrollment simplifying the process.
- Manage Prescription CostsBenefit from included pharmacy coverage ensuring members have access to necessary medications at reduced costs.
- Encourage Healthy LivingParticipate in various wellness initiatives designed to enhance overall health and minimize future healthcare costs through preventive measures.
- Utilize Flexible SpendingA benefit card allows members to spend on eligible health-related services, making healthcare expenses more manageable.
- Stay Covered While TravelingEnsure 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 OptionsEmployers 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 AdvantagesHealth Savings Accounts (HSAs) associated with certain plans allow employees to save money tax-free for medical expenses.
- Comprehensive BenefitsEmployers have the flexibility to integrate pharmacy, dental, and vision benefits into their medical plans.
- Boost Employee MoraleThrough 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 SupportMembers can access resources and support any time, ensuring convenience and timely assistance.
- Access Online AccountInstantly access personal health information, manage benefits, and view claims through a secure online account.
- Utilize Flexible Benefit CardStreamline 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 TreatmentEnsures members receive comprehensive support for cancer treatment, including personalized care plans and resources.
- Facilitates Diabetes SupportOffers tailored strategies and resources to manage diabetes effectively, enhancing member health and well-being.
- Optimizes Kidney Care CoordinationProvides ongoing support for members managing kidney conditions, with a focus on personalized treatment plans.
- Enhances Mental Health SupportDelivers integrated resources and coaching for mental health and substance use, aiming for better member outcomes.
- Focuses on Women's Health NeedsAddresses unique challenges women face in healthcare, providing personalized support and resources.
- Supports Chronic Condition ManagementA team dedicated to understanding and managing chronic conditions, improving care continuity for members.