Bcbsri customer service. Habla …
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Bcbsri customer service Dental Direct Basic; Dental Direct Standard; Dental Direct Plus; Dental Direct Elite Medicare can be confusing. 5 This service is available at no extra cost through their BCBSRI plan. Designated Pharmacy BCBSRI may limit the selection of a pharmacy to one (1) pharmacy, referred to as a Pharmacy Home Assignment. COM provided by a tattoo artist need to complete the special handling form below, attach a copy of the invoice for the tattoo services, and mail the completed form to the address on the bottom on the form. With a single log-in or phone call, you can access health and wellness apps, plan information, care management, and customer service—and get personalized health support from Care Call your employer/union benefits administrator or BCBSRI Customer Service to find out whether the benefits will change or be terminated if you or your spouse enroll in a plan with Medicare Part D drug coverage. We also offer TDD for the hearing impaired. com 4 Your Primary Care Physician: The Doctor Who Knows You Best 5 Patient-Centered Medical Homes: Extra Care When You Need It 7 BCBSRI created the Lifespan Employee CARE Center to support people covered under the Lifespan Health Plan. In-person customer service at Your Blue StoreSM Free fitness classes and nutrition counseling Coordinated care network Prescription drug coverage (Part D*) Virgin Pulse® is an independent wellness company, contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide wellness services. Additionally, in providing a space for employer information, BCBSRI is not authorizing any changes to text, pictures, or any other formatting, unless copy of the most current formulary listing, visit our Web site at BCBSRI. As you can see With Blue Cross & Blue Shield of Rhode Island (BCBSRI), you have access to an extensive network of healthcare professionals. Please refer to the appropriate Benefit Booklet, Evidence of the allowance of another service, or BCBSRI has determined that even if the service listed below is the only service filed, we will not reimburse them separately. S. disability, dial 711 for TTY relay services. ; Medicare Supplement Help cover costs with a Plan 65 option. Commercial Member Health Plan Satisfaction Study—for the second year in a row. Please contact our Customer Service Department at 401-459-5000, so we can help you. Schedule video visits with doctors and therapists. Customer Service Rep at BCBSRI · Experience: BCBSRI · Location: Providence. I understand that a revocation will not apply to information that was already released while this designation was in effect. Or, you may call our Customer Service Department at (401) 459-5000 or 1-800-639-2227. If you have a question about this, please call our Medicare Concierge team at 1-800-267-0439 TTY: 711 Let us know what you think. Use the Find a Doctor tool available through their myBCBSRI account. Self-service or a voicemail available 24/7. Tips for partnering with your PCP Your PCP needs to get to know your medical history and individual needs. 1 BCBSRI Protecting Your Information OED: January 2014 REV: November 2015 They can get a copy of the form by contacting BCBSRI Customer Service. please call your provider or BCBSRI Customer Service. Unique to Blue Cross & Blue Shield of Rhode Island (BCBSRI), our five retail locations are warm and welcoming spaces that offer one-on-one customer service, engaging health and wellness programming, caring clinical support, and so much more. If you are with your loved one at Your Blue Store, you don’t need to be an official personal representative to talk about their plan with the BCBSRI associate. – 9:00 p. Your employees can get answers to health plan questions, speak with a registered nurse or dietitian, and enjoy no-cost fitness classes and cooking demos in a warm, service all benefits on a single call. What should I do if I have a problem with a service I need? You can call our Customer Service team. COM. Phone. Habla Let us know what you think. Filter by location, language, services, availability, etc. Confirm eligibility with BCBSRI Customer Service, MA Concierge at (401) 277-2958 or 1-800-267-0439. to 5 p. com/yourbluestore for the latest information. Refer to your Subscriber Agreement or myBCBSRI account to see if it If you cannot find an in-network doula where you live, call Customer Service and learn how to access the in-network level of benefits. First name: * Last name: * With a single log-in or phone call, you’ll have access to health and wellness apps, plan information, care management, and customer service—and find personalized health support from Care Guides, nurses, and coaches. com Web site, view our Frequently Asked Questions (FAQs). BCBSRI members have coverage for clinically appropriate video and phone visits from primary care providers Por favor, llámenos a uno de los siguientes números telefónicos durante las horas indicadas. Once information has been 500 exchange street, providence, ri 02903-2699 payment policy | 1 (401) 274-4848 www. TTY/TDD users should call 711. Or call (401) 459-5000 or 1-800-639-2227 (TTY/TDD: 711). Get rewarded with wellness You can use our wellness program online or on your phone to help you feel better, have fun, You will receive a written response regarding the outcome of the appeal. for Health Maintenance Organization) with a Point-of-Service (POS) option approved by Medicare and run by a private company. For employers/brokers. Classic Blue, planes HealthMate, planes Plan 65, planes Direct Blue y planes Blue Cross Dental Please know that if you have received an e-mail and do not attend a required training, your BCBSRI. You can also work with a BCBSRI Care This BCBSRI "how-to" guide can help make it easier to find the care your child needs. We schedule routine trips Monday through Friday from 8 a. Access claims, review benefits, and connect directly with BCBSRI customer service—with one easy log-in. The focus on developing exceptional customer service begins with the Customer Service Department, yet impacts every member of the (401) 274-4848 WWW. Visit the main BCBSRI site. You can get information such as board certification status, languages spoken by the doctor, and whether the office is wheelchair accessible. 2. Not all health plans include Doctors Online. See what BlueCare Connect can do BCBSRI HEALTH PLAN COMPANION GUIDE July 2012 005010 1. To get started, call 1-844-779-8820. com (401 Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of Blue Cross & Blue Shield of Rhode Island. The first step is to gain a better understanding of the healthcare needs of our A duplicate student recertification form may be obtained by calling the Customer Service Department at the telephone number indicated on the back of your member ID card. How: Talk to your provider about whether you need to schedule a visit. The CARE Center combines both your local customer service team and a dedicated clinical team. CHAPTER 4 Personal messaging service – Sign up for convenient messages about your plan and your health sent right to your phone or mobile device. 800. com . Your employees can access all their health plan benefits—and get the extra help they need—in one convenient place. An automated answering system is available outside of these hours. How can I see if my healthcare provider is participating with BCBSRI? The Lifespan Preferred Network, along with the BCBSRI & National BlueCard PPO Or you can contact Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI). Please call the Customer Service telephone number on the back of your Member ID card. You will find a broad range of topics in this document, such as key contacts and an overview of the dental provider services BCBSRI or BCBSMA, contact the customer service number located on the back of the member’s ID card. First name 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 5 (401) 274-4848 WWW. Lifespan employees and their families with a local BCBSRI customer service and clinical team dedicated to their needs. Point-of-Service means you can use providers outside the plan’s network for an additional cost. You can also find our telephone numbers and hours of operation on the Contact Us page. We offer customer service seven days a week, because questions can come up anytime. EFFECTIVE DATE: 06|01|2013. Information on this site is Confirm eligibility with BCBSRI Customer Service, MA Concierge at (401) 277-2958 or 1-800-267-0439. For questions about your coverage, please contact BCBSRI Customer Service. • Point of service (POS) benefit for out-of-state flexibility Next: Staying healthy, saving money Based on member feedback, our plans have earned Medicare’s highest rating in these categories for 2025*: Rating of the Health Plan and Health Plan Customer Service *In a Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Your BCBSRI member ID card shows your doctor and other providers that you’re part of the nation’s most trusted health plan. The BCBSRI customer service team dedicated to helping Medicare members anytime you need help with your plan or benefits. The conversion letter will offer your child membership in a BCBSRI individual policy, or you may BlueCare Connect is BCBSRI’s enhanced member service and support model. , and Saturday and Sunday, 8:00 a. Your Member ID Card 3 10 Reasons to Visit BCBSRI. Marketplace. 0 2 Disclosure Statement . Blue Cross & Blue Shield of Rhode Island (BCBSRI) 2022 Mission Report. Island (BCBSRI), we’ll show you the basic concepts you need to get started, and dispel some common myths about Medicare. BCBSRI Website : www. NationsOTC allows qualifying members to purchase health and wellness products via retail, phone, online, or catalog mail order with shipping at no additional cost. 00 p. to 8:00 p. View the OTC catalog. Download BCBSRI's Doctors Online from the Apple App Store or Google Play, or by visiting drs-online. speak with your employer or call BCBSRI customer (401) 274-4848 WWW. ; February 15 - September 30, Monday through Friday, 8:00 a. Rhode Island General Law 27-20-29. COM EFFECTIVE DATE: 09/01/2004 POLICY LAST UPDATED: 06/05/2013 OVERVIEW If additional assistance is required, the member should contact BCBSRI Customer Service. You’ll get a week’s worth of meals delivered to your door—up to www. Commercial Products please visit our website or call our Customer Service Department which is indicated at the end of section A in this document. You can call Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI) to verify your benefits and for additional assistance, or you can call 1-800-810 BCBSRI | Health Solutions | CVS OTCHS | Nations OTC Login | Register | Enrollment 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: 1-888-628-2770 BCBSRI member “Kate” visits her specialist for an office visit. Visit a Your Blue Store SM location together. health and wellness programs, health savings account, care management services, and customer support. BCBSRI Customer Service Department: 401. BCBSRI Pharmacy Benefit Manager (PBM): questions about your benefits or anything in this handbook, we’re happy to help. Medicare Part A. It combines a personalized digital experience (online or on the app) with one-on-one support from Care Guides, registered nurses, and health coaches. If you have pharmacy benefits with BCBSRI, you can review Rx information once you have logged in to BlueCare Connect, and you can go Confirm eligibility with BCBSRI Customer Service, MA Concierge at (401) 277-2958 or 1-800-267-0439. BCBSRI and TPA will provide standard customer service offerings for the applicable Consumer Spending Account and Plan, including access to customer service professionals by telephone, online, in person, and by mail, in accordance with then-current policies and procedures. With many BCBSRI plans, you can reduce trips to the pharmacy—and maybe even save money—by having medications delivered. 8. Medicaid. *Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of Blue Cross & Blue Shield of Rhode Island. BCBSRI Pharmacy Benefit Manager (PBM): The benefits and services described on this site may not be available with all BCBSRI plans. Everything is BCBSRI. com account will be deactivated. Commercial Products If you have a doctor you see regularly, you can update your PCP by visiting the Your PCP page on myBCBSRI or call Customer Service number at (401) 459-5000 or 1-800-639-2227 (outside RI) and let us know who your PCP is. Our online Provider finder tool allows members to find participating doctors and hospitals locally and Using Our Web Site. ; Extra Help Plans Medicare + Medicaid and the new Access plans. The specialist recommends that she have some lab work, and Kate agrees and proceeds. effective date:06|01|2013 policy last reviewed:01 |03 2024 overview (401) 274-4848 WWW. If a pharmacy has an issue, their pharmacist can call the Catamaran PBM Help Desk at 1-866-391-1164. Please call Customer Service for specific information on coverage. Learn More. to noon. If additional assistance is required, the member should contact BCBSRI Customer Service. Learn more. New member platform delivers personalized service and healthcare navigation to each of your employees. You can also emulate the web account. 4 for information about using the Point-of-Service option. Members subject to this designation include, but are not limited to, members that have a history of: If you cannot find an in-network doula where you live, call Customer Service and learn how to access the in-network level of benefits. Why: If diabetes, heart disease, and other health problems are not under control, they can lead to complications and even hospital stays. If you have questions about your plan, please check your subscriber agreement or contact Customer Service. If you’d like to order a new member ID card, call the BCBSRI Customer Service number printed on the back of your old card. effective date: 06|01|2013. You also can view a quick summary of benefits below: 2025. Let us know what you think. Covers inpatient care in hospitals, skilled nursing facilities, hospice care, and home healthcare. , and February 15, 2015 I'm a member with a question for customer service: 1-877-860-2837 (TTY/TDD: 711) Speak with a live agent Monday - Friday: 8 a. (Eastern Time) Saturday and Sunday, 8:00 a. Customer Service. Confirm eligibility with BCBSRI Customer Service, MA Customer service for all other BCBSRI members: 1-800-639-2227 Monday through Friday, 8:00 a. Some of our plans cover out-of-network services. COVERAGE . EFFECTIVE DATE:06|01|2013 POLICY LAST REVIEWED:07 |01 2024. COM RIGL 27-20-29. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. If you have questions about using CVS Caremark Mail Service, please call BCBSRI Customer Service. Billing/Invoice questions (membership) Electronic Enrollment; Claims Customer service; Staying healthy: Screening and tests; High levels of member retention; We're proud to say that our 2024 Medicare plans are once again the highest-rated plans available to all Medicare-eligible Rhode Islanders at 4. assistance is required, the member should contact BCBSRI Customer Service. Catamaran representatives will be available to provide support during the transition process. Call our customer service team 7 days a week: (401) 459-5000 or 1-800-639-2227 (TTY/TDD: 711) Monday through Friday, 8:00 a. Your support encouraging your employees to register is so important. policy last reviewed: hour BCBSRI Behavioral Health Line at 1-800-274-2958. Are you a supplier or vendor? Local: (401) 459-1000. to find the right fit. BCBSRI Website: www. These will include, at minimum, a welcome kit to BCBSRI. 4 issues with service. That’s why you can talk with BCBSRI Customer Service 7 days a week. Important tips and guidelines Call your employer/union benefits administrator or BCBSRI Customer Service to find out whether the benefits will change or be terminated if you or your spouse enroll in a plan with Medicare Part D drug coverage. A specific customer service center supports each member. BACKGROUND Medical Coverage Policy | Breast BlueCare Connect is BCBSRI’s enhanced member service and support model. PARTICIPATING DENTIST ADMINISTRATIVE MANUAL 9 . You must call at least 48 hours before your appointment, unless your trip is urgent. These will include, at minimum, a welcome kit to Use this form if you already have a policy with BCBSRI and need to add a new dependent (for example, newborn, spouse, etc. bcbsri. Eastern. Delivering exceptional customer service – With four Your Blue Store SM locations across the Ocean State (and a fifth one opening in Narragansett this fall), BCBSRI is meeting members where they are. org . First name: * Last name: * Email address: * Phone number: * Company name: * Company size: * Enter a brief description of how we can help you: * Submit If you purchased coverage through HealthSource RI, please call 1-855-651-7873 for information about payment options. Power 2022 U. speak with your employer or call BCBSRI customer Email: BrokerOperations@bcbsri. to noon, to assist you. Address ongoing health issues. 1-401-831-0153 FEHB 1-800-377-4418 FEHB 1-401-459-1118 PSHB 1-855-201-1805 PSHB. Doctors Online is a telemedicine service provided by American Well®, an independent company that administers Doctors Online on behalf of Blue Cross & Blue Shield of Rhode Island. This Companion Guide may be revised and republished if and when Blue Cross & Blue Shield of Rhode Island makes improvements and/or changes Medicare Advantage See all your options, compare plans, and enroll. Your Blue Store locations follow state and federal guidelines during emergencies. myBCBSRI gives you quick, easy access to your digital ID cards, claims, and benefits. This year, BCBSRI was ranked highest across all factors measured: Customer service; Coverage and benefits; Cost please visit our website or call our Customer Service Department which is indicated at the end of section A in this document. TYPE OF SERVICE means, for the purposes of this agreement, the two kinds of prescription drugs which are defined as: My son has just entered college. Simply call Customer Service at the number on the back of your member ID card. Refer to your Subscriber Agreement or myBCBSRI account to see if it They may refer you to our BCBSRI Customer Service team. All fully insured plans, whether provided through your employer, purchased directly from BCBSRI, or purchased through HealthSource RI, include this coverage. Aiming to utilize my current IT and customer service 1. You also can request a replacement card by calling our Customer This BCBSRI "how-to" guide can help make it easier to find the care your child needs. Our formulary offers a w Discover how BCBSRI boosts convenience and savings for you and your employees. Unlike e-mail, the messages you send never leave the BCBSRI system and can be accessed by only the intended recipients. Confirm eligibility with BCBSRI Customer Service, MA Your loved one can get a copy of the "Designee" form by contacting BCBSRI Customer Service. Transcript. Web A Reference Guide . . Find a doctor and see the cost. You don't have to be an expert to get great Medicare coverage. How can I get a replacement ID card? To request a replacement ID card for yourself or a covered family member, visit Member Self-Service, choose Replacement ID Card, and follow the instructions on the screen. Confirm eligibility with BCBSRI Customer Service, MA Also, our customer service representatives may ask for your responses the next time you call. Please refer to the appropriate Benefit Booklet . Not all medical visits need to be in person, and your loved ones’ doctors may offer phone or video visits as an option. It looks as though you already are a BCBSRI member on your recent enrollment form. Have your BCBSRI member ID information handy. This is where you can ask questions about anything from medical benefits to managing health conditions, even on Saturdays. (See Chapter 3, Section 2. ). m. com or call customer service at the number on the back of your member ID card. If the amounts don’t match, call your doctor or BCBSRI Customer Service at the number on the back of your card or (401) 459-5000 or 1-800-639-2227 (outside RI). If you purchased coverage through BCBSRI directly, 500 exchange street, providence, ri 02903-2699 payment policy | 1 (401) 274-4848 www. Items will be shipped to you at no cost. 1 Insurance coverage for mastectomy hospital stays: (a) The Rhode Island General Assembly recognizes that breast cancer is a unique illness with both a physical and emotional impact on patients. BCBSRI’s easy-to-use Find a Doctor tool can help you choose the right healthcare provider for you: Call BCBSRI Customer Service at We need this information in order to determine which insurance is responsible for paying your claims first. BCBSRI. Covers doctors’ services and other outpatient care. Once BCBSRI processes that claim, it will show up on your HSS. Billing, Enrollment & Employer Support. Weekend customer service – Get answers when you need them. 1 Insurance coverage for mastectomy hospital stays Medicare Advantage Plans Rhode Island mandates do not apply to Medicare Advantage Plans. The Find a Doctor tool and BCBSRI customer service (1-800-639-2227) are additional resources to consider. BCBSRI will send a conversion letter to the address listed on your policy. Broker of Record/Disaffiliations; Commissions & VUE/Vertafore Portal; Broker Portal . to 5 please visit our website or call our Customer Service Department which is indicated at the end of section A in this document. Call 1-866-304-2138 to order products over the phone. BlueCare Connect acts like a single front door to customer service and to all your health benefits—plan information, health and wellness programs, health savings account, and care management services. You can obtain a Subscriber Agreement by contacting BlueCHiP Customer Service at the numbers below: BlueCHiP members: (401) 274-3500 or 1-800-564-0888 How can I find out what procedures are covered by my BCBSRI plan? Because all BlueCHiP policies may vary, please contact the BlueCHiP Customer Service Department for questions regarding your Every BCBSRI plan includes 100% in-network coverage for your annual physical, flu shot, and recommended tests and screenings. We're always happy to answer your questions. You can register for our new member platform beginning January 1. Then update your PCP online or at the Customer Service Representative at BCBSRI · IT Support Specialist with 10 years of experience in IT helpdesk, support and customer service. I want to get help from the 24/7 Nurseline: If you want to change your plan, and you purchased your current plan directly from BCBSRI, we can help you. If the amounts don’t match, call your doctor or BCBSRI Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI) . Choose the store location that works best for BCBSRI members rewarded our focus on their health and well-being by giving us top marks on multiple surveys. Online tools. com, by telephone at 1-866-329-3053, or by mail using the refill order form included with your first shipment. Provider Portal. Members can order refills 24 hours a day, seven days a week online at BCBSRI. Call BCBSRI’s Behavioral Health Line at 1-844-427-2205 to locate suitable providers and/or connect with a behavioral health case manager if desired. com, or can request a printed form by calling BCBSRI Customer Service. Please refer to the appropriate Benefit Booklet, Evidence of Doctor tool on bcbsri. Customer service; Staying healthy: Screenings and tests; High levels of member retention; Members enrolled in 5-Star plans generally experience lower out-of-pocket costs, high member satisfaction, better health outcomes, and best-in Spanish-speaking BCBSRI customer service represen-tative via a new menu on our main Customer Service phone line. Tier 4 drugs are listed in the Specialty Drug List. website or call our Customer Service Department which is indicated at the end of section A in this document. Customer service. Why is BCBSRI asking for this information? BCBSRI wants all Rhode Islanders to have quality, affordable, and equitable care when they need it. Promoting self-care and well-being 1. We do this to ensure personalized service for every member. Call the toll-free number on the back of your Welcome to the Customer Service Home Page. Learn more Problems with the customer service you receive. * The Preferred Blue network is Blue Cross & Blue Shield of Rhode Island's (BCBSRI) designated BlueCard PPO Network. com, by telephone at 1-866-329-3053, or by mail using the refill order form included with their first shipment. Can he still be covered under my BCBSRI plan? I recently divorced. *For more information and to confirm your coverage, please call Customer Service; Member Reimbursement Donor Egg and Sperm for Standard Infertility Service Benefits LAUNCHING JANUARY 1, 2025: Help your employees get up to speed quickly with this new member service and support platform. 639. Please refer to the appropriate Benefit Booklet Members can also contact BCBSRI’s 24-hour Behavioral Health Line (1-800-274-2958) for assistance locating suitable providers and/or connecting with a behavioral health case manager if desired. If you are deaf, hard of hearing, or have a speech disability, dial 711 for TTY relay services. 2024. 10/24 DPAY-1140804 Customer Service for all other BCBSRI plans: (401) 459-5000 (within RI) or 1-800-639-2227 (outside of RI only) Telecommunications Device for the Deaf (TDD): 1-888-252-5051 Tier 1, Tier 2, and Tier 3 drugs are listed in the Preferred Drug List. Care Management. You don’t have to do it alone. You can also contact BCBSRI Customer Service at the number on the back of your ID card for help locating a PCP. Training for All BCBSRI Employees. For fastest service, call the number on the back of your BCBSRI member ID card If you already have dental coverage with BCBSRI, you can find everything you need to know about your plan, including covered services and claims, through the Dental Benefits section of your online account. If you receive care from an out-of-network provider, you might have to pay please visit our website or call our Customer Service Department which is indicated at the end of section A in this document. com An HSA debit card, which they can use to pay for eligible services at their doctor’s office, hospitals, and pharmacies Access to new online educational tools that will help them make smart choices about their health One customer service number for their health plan and HSA, making Logging into Electronic Enrollment Neither BCBSA nor BCBSRI recommends, endorses, warrants, or guarantees any specific vendor, product, or service available under or through the Blue365 Program. Search for providers, labs, and Shield of Rhode Island (BCBSRI) dental network. 2227 . Close 2023 Mission Report Quality Quality. Kate talks to a BCBSRI Customer Service rep to investigate the situation, who works with a Physician and Provider Service Center rep, who contacts the doctor, and so on. POLICY LAST REVIEWED: 04|01|2024 . Please refer to the appropriate Benefit Booklet You can order refills 24 hours a day, seven days a week online at BCBSRI. More details coming soon. CLINICAL CRITERIA Medical Transportation Management Information CONTACT TO INITIATE SERVICES Call us at 1-855-330-9131 (TTY: 711). Your loved one can learn more by calling BCBSRI Customer Service. ) Employees can download the app and register (they’ll need their BCBSRI member ID) or visit myBCBSRI. But making time for things you enjoy can help protect your own health and help you care for Our members have rated BCBSRI #1 in member satisfaction among commercial health plans in the Northeast region in the J. Call BCBSRI Customer Service at 1-800-639-2227 for help. to noon (Eastern Time) Our customer service team is ready to help you, including: Explaining your benefits; Answering prescription medication questions; I understand that I may revoke this designation at any time by notifying the BCBSRI Customer Service Department, in writing, at 500 Exchange Street, Providence, RI 02903-2699, or by emailing HIPAA_concerns@bcbsri. Meeting our members where they are; Ranking #1 in member satisfaction We use generative AI to assist our Medicare Concierge customer service team in documenting calls, which reduces the time they spend after a call. Contact BCBSRI customer service at 1-844-426-3091. Please call Customer Service at the number on the back of your card or (401) 459-5000 or 1-800-639-2227 (outside RI). com or calling our Customer Service Department, members can get information regarding their membership, including inquiries on issues such as: Customer Service hours for BlueCHiP for Medicare members are: October 1, 2014 to February 14, 2015: seven days a week, 8:00 a. And now you can choose to On January 1, BlueCare Connect will replace myBCBSRI. Am I still covered? Can my new spouse and stepchildren be covered on my BCBSRI policy? Is my common law spouse covered by my BCBSRI plan? Benefits/Coverage How can I obtain a copy of my subscriber 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. BCBSRI and our partner, Beacon Health Options, offer many services and benefits to meet the needs of our members with mental health and substance use disorders. Below you’ll find the BCBSRI formulary, which is a list of all the prescription drugs covered under your health plan. (401) 459-5545. Box 3418 Scranton, PA 18505. BCBSRI. My healthcare coverage was in my husband's name. If you don’t have a regular doctor, use Find a Doctor to search for a "PCP" near you. BCBSRI Customer Service Our local team is available Monday through Friday, 8:00 a. If you have a question about a provider that customer service can’t answer, they will get back to you with an answer. Benefits may vary between groups and contracts. You can reach the CARE center at (401) 429-2102 or 1-866-987-3706. If you have any questions regarding this process, you may contact Customer Service at the numbers listed below: BlueCHiP Commercial members: (401) 274-3500 or 1-800-564-0888 : My doctor doesn't participate with BCBSRI. SKILLED HOME HEALTH CARE OVERVIEW Use this resource to review BCBSRI home care network. Find out more by contacting BCBSRI Customer Service. All BCBSRI members periodically receive a survey in the mail about other health insurance they may have. O. Additionally, BCBSRI has invested in technology enabling us to better evaluate "call quality" and reduce the time it takes to answer member telephone calls. We can help make sure the amounts are being calculated correctly. the allowance of another service, or BCBSRI has determined that even if the service listed below is the only service filed, we will not reimburse them separately. org; Report it online and enter access ID "BCRI" Your member ID card and fraud: How to protect your medical information Use our Find a Doctor tool or call BCBSRI Customer Service. Special Handling Form 3. 459. Call 1-844-563-0892 (TTY/TTD: 711) or email care@bcbsri. Are you Access claims, review benefits, and connect directly with BCBSRI customer service—with one easy log-in. com. D. Problems with how long you have to spend waiting on the phone, in the waiting room, or in the exam room. For general help using the BCBSRI. Some like Classic Blue because it's similar to a traditional fee-for-service plan, while others enjoy it because it's more affordable than a straight fee-for-service plan, but yet offers some of the same benefits. Call the Customer Service number on the back of your BCBSRI member ID card or call (401) 459-5000 or 1-800-639-2227 (TTY/TDD: 711). INTRODUCTION . Read More. If you want to change your plan, and you purchased your current plan directly from BCBSRI, we can help you. This all-in-one support will help you: Understand your medical benefits; Get assistance with ongoing health conditions; Locate assistance is required, the member should contact BCBSRI Customer Service. Learn what signs to look for, what questions to ask, and what resources are available. Making it easier If the person you are caring for is 65+ or living with a disability, they may have a BCBSRI Medicare Advantage plan with additional money-saving benefits, including a monthly or quarterly allowance to spend on everyday health items. It includes information about your plan and much more. National Information Secure Messaging is a tool that allows you to communicate online with our Customer Service representatives, and if applicable, Case Managers or Providers, in a private, secure environment. View Diane Studmire’s profile on LinkedIn, a professional community of 1 billion members. * They can talk with a Care Manager on the phone, over video 1 , or at a Your Blue Store SM location . Members can shop for eligible products and services, and use their flex card dollars to order products for delivery or pick up at their favorite stores. Can I get a COVID shot and a flu vaccine at the same time? Yes, the CDC has stated that the allowance of another service, or BCBSRI has determined that even if the service listed below is the only service filed, we will not reimburse them separately. org. You will no longer be able to submit prior authorizations through our portal and your account cannot be reactivated by the provider customer service team without first attending a training session. 6 Customer Service. Using the links on the left, you can view the details of member, employer, and provider web accounts. MEDICAL CRITERIA Not applicable. **Apple and the Apple logo are trademarks (401) 274-4848 WWW. If you think your member ID card has been stolen, you can: Contact the BCBSRI Anti-Fraud Hotline at 1-800-830-1444; Email SIU@bcbsri. If a pharmacy has an issue, your pharmacist can call the Catamaran PBM Help Desk at 1-866-391-1164. contributions, by simply signing on to BCBSRI. Find help for caregivers. 2227 BCBSRI Website: www. As a local institution that has served the community for 85 years, we know Medicare. Extra help—at no extra cost If you or your loved one is a BCBSRI member, you can get help from our Care Management team of nurses, dietitians, behavioral health specialists, and pharmacists. com or call our Customer Service Department at 1-800-267-0439, October 1 - February 14, seven days a week, 8:00 a. Send us a message through your myBCBSRI account. If they would like to order a new member ID card, they can call the BCBSRI Customer Service number printed on the back of their within 24 hours. Medicare Part B. It is an all-in-one support center that connects Lifespan employees and their families with a local BCBSRI customer service and clinical team dedicated to their needs. It only takes a couple of minutes and will help us improve our service. That's our job. Since the first site opened in 2013, Let us know what you think. Please contact your account executive or call our main number at (401) 459-1000 or 1-800-637-3718 outside Rhode Island. com BCBSRI Pharmacy Benefit Manager (PBM): If you need help finding a primary care provider, other doctor, or a hospital/facility, you can use the Find a Doctor tool or call Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI). As a caregiver, you likely often put yourself last. BCBSRI offers our Medicare Advantage members a meal delivery program through ILS Meals by Independent Living Systems. Provide Feedback. For out-of-network services. I want to contact you by mail: Blue Cross Community Health Plans c/o Member Services P. You can reach the CARE center at (401) 429- 2102 or 1-866-987-3706. ATTN: Membership - 00000 Blue Cross & Blue Shield of RI 500 Exchange Street Providence, RI 02903-2699. 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, or gender expression service. Please contact Customer Service for assistance with submitting receipts. We’re happy to talk with you Monday through Friday, 8:00 a. Who can they contact for help with Virgin Pulse issues? For technical support, members may call (888) 671-9395, Monday through Friday 8:00 a. Saturday and BCBSRI Customer Service (401) 459-5000 or 1-800-639-2227. Please visit bcbsri. Saturday and Doctors Online will submit a claim to BCBSRI after your visit is completed and then will bill you for any copay you might owe once your insurance benefits are applied. to 8. com to get started. Medicaid is a state government program that helps with medical costs for some people with limited incomes and resources. for provider information, members can contact Customer Service or visit BCBSRI. Both lists can be found on I understand that I may revoke this designation at any time by notifying the BCBSRI Customer Service Department, in writing, at 444 Westminster Street, Providence, RI 02903. Phone: (401) 459-1000 x6064 or (800) 637-3718 x6064 Fax: (401) 459-2385 Email: EmployerSupport@bcbsri. Take time for yourself. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service Connect with member customer service or find the right support resources, including your local Blue Cross and Blue Shield (BCBS) company, general FAQs and media relations contacts. With a single log-in or phone call, your clients' employees can access health and wellness apps, plan information, care management, and customer service—and get personalized health support from BCBSRI care managers. Contact Us. 5000 or 1. Doctors Online: Video chat with a doctor 24/7 Online tools After you see your provider, they send a claim for your service to BCBSRI. Call Customer Service at (401) 459-5000 or 1-800-639-2227, Monday through Friday, 8:00 a. Forwarding Service Requested. fdjvdfweswqbgyybsjslfnzfocjbnmtrbazencuscrvbsgal
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