Bcbsri provider benefits form rhode island

Bcbsri provider benefits form rhode island. 1 of 8. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy Details drug coverage for Blue Cross & Blue Shield of Rhode Island BlueCHiP for Medicare Value (HMO-POS) in Rhode Island. Our Health Equity Report includes data from our Rhode Island adult members, and it confirms racial and ethnic disparities in several areas of patient care. Those parties are solely responsible for the contents and privacy policies of their sites. Our local team understands every aspect of your medical plan and can help you: How to get started with the State of Rhode Island Employee CARE Center • a deductible, a copayment, or a benefit limit applies to the service (see Summary of Medical Benefits for details); • the healthcare provider is from a network provider or non-network provider; • you received a referral from your PCP to see a network specialist; • you reached your plan year maximum out-of-pocket expense; In 2022, Blue Cross & Blue Shield of Rhode Island (BCBSRI) expanded our commitment to providing access to high-quality, affordable, and equitable care. Our mission is to provide employees and retirees with the resources and information needed to sign up for and best utilize their State employee/retiree benefits. 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. org. The requested URL was rejected. The State of Rhode Island offers eligible active employees three medical plans – Anchor, Anchor Plus and Anchor Choice with HSA. 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. All plans are administered by Delta Dental of Rhode Island. BCBSRI—and our members—did it again. The maximum yearly incentive is $400. Blue Cross & Blue Shield of Rhode Island does not recommend or endorse specific tests, procedures, advice, or other information provided on this site. 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. Your HSA is managed by Blue Cross & Blue Shield of Rhode Island (BCBSRI). ) • Mail your receipt and a copy of this form to the following address: Blue Cross & Blue Shield of Rhode Island Claims Department 500 Exchange Street Providence, RI 02903-2699 • Please retain a copy of this form and receipt for your records. mywealthcareonline. Have a talk with ALEX (the State's online decision support software), watch the introductory video, read the HSA FAQ and BCBSRI’s HSA overview flyer, and review the details below to learn more about how an HSA works with the Anchor Choice Plan. A Patient-Centered Medical Home (PCMH) is a team of healthcare providers that work together to coordinate your care. Always carry your current ID card for easy reference and access to service. Preferred provider organization (PPO) A type of health plan with a preferred network of doctors and other healthcare providers. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy Your guide to better health at Blue Cross Blue Shield of Rhode Island. PLEASE NOTE: Points reset at the start of every quarter! 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 Learn more about your plan options. You can also emulate the web account. VirginPulse. Hearing loss is common, especially as we age. Feb 8, 2024 · Substantiation is simply documentation that provides an itemized description of each service or supply, date of service (regardless when paid), patient name, provider name and dollar amount. to noon. INSURANCE COMPANY BCBSRI BCBSRI BCBSRI NHPRI PLAN NAME VantageBlue Direct Plan 750/1500 1500/3000 for HSA Direct 1700/3400 *Neighborhood ESSENTIAL All trademarks unless otherwise noted are the property of Blue Cross & Blue Shield of Rhode Island or the Blue Cross and Blue Shield Association. Medicare Broker Support. USING YOUR BCBSRI ONLINE MEMBER ACCOUNT See next page > Welcome to the Customer Service Home Page. To find a provider near you, visit www. The plan pays benefits based on allowances for services; Blue Cross network dentists agree to accept the allowances at 100% coverage for basic and preventive care. Trading Partners can access eligibility, claim status, file exchange and other Interactive Web Services, using their Trading Partner ID as their User ID. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island. When you emulate the account, you will see the same menus and selection options as if you are logged in as the account. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. • Your provider’s name, address, and telephone number (Verify that they appear on the receipt. ; Saturday 8:00 a. and the last four digits of your SSN are 1234, your user name would be “jobrienjohnson1234” 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 Blue Cross & Blue Shield of Rhode Island: HMC2C Coinsurance PPO Coverage for: See below Plan Type: PPO . 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. Hearing aids can make a real difference. Rhode Island Help Center: Important contact information for Blue Cross & Blue Shield of Rhode Island. 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. Complete a new registration on myBCBSRI. Mar 6, 2024 · The Office of Employee Benefits (OEB) administers the State of Rhode Island's voluntary employee benefit programs for active employees and health coverage for retired employees. Find documents you might need. Plan documents. 3 Choose Blue Cross & Blue Shield of Rhode Island as your sponsor. health provider. You can review the benefits of any plans that your employer offers. Your ID number is The requested URL was rejected. Discover more perks. Other Forms Claim Appeal Form Designation to Authorize Rep to Appeal Form HIPAA Authorization Form Request Continuation of Care From a Non-Network Provider If you are looking to file a health or dental claim, you can do so by logging into My Health Toolkit. MHM03016_PHMC2C_C Plan C -1796_01_V . Visiting a PCMH provider may cost less in certain plans. VSP does not issue ID cards, but you may print one out after registering/logging into your account on www. Some links on this page lead to third-party websites. MEDICARE BROKERS . Benefit Inquiries; Application Status (Please Allow 7-10 days) Support and resources for: BCBS of Rhode Island Medicare Members Services: 1-844-859-6152 | TTY/TDD 711 / 401-459-2200 (TTY: 711) OTCHS Website or Online Account Customer Service Phone Number:. It does not describe all the parts of the plan or guarantee payment, reimbursement or eligibility of coverage. All plans are administered by Blue Cross & Blue Shield of Rhode Island (BCBSRI). As a member of Blue Cross & Blue Shield of Rhode Island (BCBSRI), you have easy 24/7 access to health plan information through your online member account at bcbsri. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy To get started, sign up at join. BCBSRI introduced another tool to help reduce costs throughout the healthcare system and benefit our members at the same time. 4. In an emergency, go directly to the nearest hospital. Review the Delta Dental FAQ, watch the following video, and click on the tabs below to learn more about your dental coverage options. Getting dental care is easy and affordable with Blue Cross Dental. Phone hours: Monday through Friday, 8:00 a. Blue Cross & Blue Shield of Rhode Island is an HMO and PPO plan with a Medicare contract. Information may be provided by phone, mail, or email by Blue Cross & Blue Shield of Rhode Island licensed, authorized representatives. Navigation. Key limits for 2024: Call 866-304-2138 (TTY:711) and speak with a dedicated Member Experience Advisor, 8 a. Health. Please consult with your administrator. Log into Virgin Pulse, explore and complete activities to earn points and increase your activity level. State of Rhode Island Employee CARE Center If you have a question about your medical coverage or an available program or service, you can call the State of Rhode Island Employee CARE Center. This is the foundation of everything we do to help Rhode Islanders live their healthiest lives. Ask your employer about which plans apply to you. Health Equity Report. Your activity level (2/3/4) will determine your quarterly incentive. See how your plan works. com, Virgin Pulse or Doctors Online during 2023 and you’ll earn $25 in co-share credit for each. The SBC shows you how you and the plan would share the cost for covered health care services. * Both plan options offer benefits in- and out-of-network. As a result of member feedback, all of our 2023 Medicare Advantage plans earned the highest rating from the Centers for Medicare and Medicaid Services (CMS)—5-out-of-5 Stars—for the second consecutive year. The information in My Health Toolkit® can help you understand your health plan benefits. 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. 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 Medicare plans rated 5-Stars two years in a row. m. Information is essential in our effort to ensure that all BCBSRI members have access to quality and equitable care. to 8:00 p. You can stop by any Your Blue Store SM location or register for a local Medicare workshop. View plan highlights. Healthcare providers and Billing Agents can enroll as a Trading Partner with RI Medicaid. BlueCard — Wherever You Go, Your Health Care Coverage Goes With You. 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. This can be in the form of an itemized statement from the provider that lists each service/supply provided, or an insurance plan Explanation of Benefits (EOB). and the last four digits of your SSN are 1234, your user name would be “jobrienjohnson1234” How the Plan Works. Manage Your Plan; Prescription Drugs; Find Care; See Plan Perks; Live Healthy Please refer to your policy for specific benefits. Enrollment in Blue Cross & Blue Shield of Rhode Island depends on contract renewal. 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 Jan 31, 2024 · As part of the Rewards for Wellness program, you have access to the Blue Cross & Blue Shield of Rhode Island (BCBSRI) wellness platform powered by Virgin Pulse. Our local team understands every aspect of your medical plan and can help you: How to get started with the State of Rhode Island Employee CARE Center Blue Cross & Blue Shield of Rhode Island (BCBSRI) is providing these templates as a courtesy to our valued employers, as a way to better communicate with your employees about important information regarding their health plan. With SmartShopper®, members can compare quality, in-network providers and find the most cost-effective location of their choice—and earn up to $500 in cash rewards as a share of the savings. Within the United States. com or download the Virgin Pulse app from the Apple App Store or Google Play. Then connect your Fitbit ® or other wearable device to track and sync steps with the app. 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. An independent licensee of the Blue Cross and Blue Shield Association. As a Blue Cross and Blue Shield of Rhode Island member, you have two options for hearing aid discounts: Beltone and TruHearing. The State of Rhode Island offers eligible active employees three options for dental coverage—Anchor Dental, Anchor Dental Plus and Anchor Dental Platinum. Phone: (401) 459-5545 Email: MedicareBrokerSupport@bcbsri. ‎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… Blue Cross & Blue Shield of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. 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. – 8 p. Please refer to your policy for specific benefits. Virgin Pulse provides a wealth of tips, fun activities, and challenges to help you build healthy habits. 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. Example: if your name is John O’Brien-Johnson, Jr. However, the State encourages you to visit a VSP participating provider to receive the greatest coverage. User Name: First initial of your first name, your full last name (no hyphens, apostrophes, spaces or titles), last four digits of your SSN . com. The information in My Health Toolkit® can help you understand your health plan benefits. The communications provided here are not ERISA-required employee communications. Access the Blue Cross & Blue Shield of Rhode Island portal for secure login and authentication. 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 Stop in. Your support ID is: 12330715876288367083> Blue Cross & Blue Shield of Rhode Island does not recommend or endorse specific tests, procedures, advice, or other information provided on this site. * Save money on hearing aids. 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 Blue Cross & Blue Shield of Rhode Island (BCBSRI) Employer Toolkit can help. OneTouch is an independent organization that provides discounted products to members of Blue Cross and Blue Shield of Rhode Island. 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. Select "Blue Cross & Blue Shield of Rhode Island" as your sponsor. Whether you want to check your deductible, find a doctor, or order a new ID card, you can do it all from here. We’ll explain everything you need to know about the $0 benefits that come with our BlueCHiP for Medicare Value (HMO-POS) plan, the national coverage you get with our HealthMate for Medicare (PPO) plan, and the extra benefits you could get with BlueRI for Duals (HMO D-SNP) if you qualify for Medicare + Medicaid. Availability of benefits and plans varies by carrier and location. Please note that these $25 co-share credit incentives are only available to new registrations - if you previously registered on any of the platforms using your State of RI BCBSRI coverage before the beginning of 2023, you are not eligible to receive these Form Category Description Submit To; BCBSRI Out-of-Network Claims: Medical: No form required—please submit an itemized statement and a receipt instead to BCBSRI. Value-based care with Prospect. Your support ID is: <12330715876232610660>. 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 The information in My Health Toolkit® can help you understand your health plan benefits. Using the links on the left, you can view the details of member, employer, and provider web accounts. Identify as a manager/HR administrator and indicate you are looking to coordinate a manager consultation, referral or a critical incident response. local time, who will schedule your hearing test with no out-of-pocket cost with a local hearing provider. Aug 18, 2024 · Most insurers provide coverage for video visits at the same cost as in-person visits. Non-Discrimination Statement and Foreign Language Access BlueCross BlueShield of South Carolina is an independent licensee of the Blue Cross Blue Shield Association. Sometimes it’s easier to talk with someone face-to-face. vsp. lee vctmx xxc peas luipi rto famqvmy dhx ggbo rscxlz