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1. YOU’VE HOOKED UP
WITH THE
RIGHT HEALTH
PLAN
Start taking advantage of
your benefits today.
Register on BCBSRI.com.
BlueValue Direct 2500
2. MAX OUT
YOUR HEALTH PLAN
Follow these simple steps to get the most out of your
health plan.
Step One: Go to BCBSRI.com and log on. You’ll need your
member ID card and a valid email address.
Step Two: Choose a doctor. Our Find a Doctor search tool
on BCBSRI.com makes it easy.
Step Three: Schedule your annual well visit. This doesn’t
cost you anything. Take advantage of it.
S
tep Four: Schedule a checkup with your dentist. Your
plan provides full coverage for one cleaning and one set of
bitewing X-rays per calendar year.
S
tep Five: Join a gym. We’ll give you $100 toward your
membership fee and guarantee that you get the lowest
membership rate available at more than 75 gyms in Rhode
Island. The actual exercising part, that’s up to you.
F
ind more information about the gym membership
reimbursement and discount program on BCBSRI.com.
Extra Care When You Need it.
At a patient-centered medical home (PCMH), you’ll have a team
of providers caring for you—including a nurse case manager
dedicated to Blue Cross members. These healthcare professionals
will help you create a personalized care plan that keeps you
focused on your health goals and out of the hospital, enjoying
a healthier, higher quality of life. You’ll also benefit from:
• Extended office hours and less wait time
• ospital discharge support and appointment and
H
medication reminders
Use our Find a Doctor search tool on BCBSRI.com to find a
provider affiliated with a PCMH.
2
3. New! Diminishing Deductible
REWARD YOURSELF FOR
BEING HEALTHY.
Your health plan features our new Diminishing Deductible Program. Here’s how it works: You get a 20
percent deductible reduction following the first year you don’t meet your individual or family deductible
and a 40 percent reduction in the second year. If you don’t meet your deductible for three years in a row,
your deductible amount is cut in half—50 percent—in year four and stays at that level until you reach
your deductible.*
YEARLY SAVINGS WHEN YOUR
DEDUCTIBLE IS NOT MET.
20%
40%
50%
SAVINGS
1st Year
Deductible
SAVINGS
SAVINGS
2nd Year
Deductible
3rd Year
Deductible
4th Year
Deductible
* o be eligible you must have paid your Blue Cross Blue Shield
T
of Rhode Island Direct Pay premium for six consecutive months of
coverage. If you reach your deductible in any year, your deductible
will automatically reset to your original deductible amount
January 1st of the following year. You can work toward reducing your
deductible again for the next year.
Need a Doctor? Take Your Pick.
As a Blue Cross member you have access to our BlueCard PPO Network, which includes 96 percent of
providers in Rhode Island and more than 665,000 nationwide. Use our Find a Doctor tool on BCBSRI.com
to search by specialty, locate a specific doctor, and learn if a doctor is accepting new patients. You can also
pull up a map to the doctor’s office. And if you have an IPhone or IPad, you can download the BlueFinder
mobile app. It’s free at the iTunes® App Store.
3
4. ACTIVATE
YOUR MEMBERSHIP
TODAY!
Go to BCBSRI.com and log on. Once there, you’ll find:
• Benefit details, claims history, and deductible information
• harmacy benefit information, our Find a Doctor search
P
tool, and secure, private messaging
• inks to our fitness discount program, the Health
L
Center, and other resources that will help you save money
and take better care of yourself.
We’re here to help.
If you have questions about your plan, our Care Coordination
program, or need help finding a doctor, call Customer Service
Monday through Friday, 8:00 a.m. – 8:00 p.m., at:
(401) 459-5000 or 1-800-639-2227. TTY users should call
1-888-252-5051.
You can also contact us 24 hours a day by sending a secure
message from BCBSRI.com.
This brochure is not a contract or a complete listing of benefits. Please refer
to your subscriber agreement for more detailed information.
Need Dental Coverage?
We offer three comprehensive dental plans. Go to
BCBSRI.com/dentaldirect or call us at (401) 351-BLUE (2583)
to learn more.
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.
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