BlueCHiP for Medicare Group Preferred is a comprehensive, coordinated care plan for retirees who are eligible for Medicare Parts A and B. It is designed specifically for retirees whose legal residence is in Rhode Island. In addition, key features include:
- Comprehensive statewide provider network
- Coverage that includes all original Medicare benefits
- Additional benefits such as:
- Annual physicals
- Dental services
- Eyeglasses
- Hearing aids
- Fitness memberships
Individual Medicare Advantage plans are also available directly through BCBSRI.
Plan Comparison and Enrollment
| | BlueCHiP for Medicare Group Choice (HMO-POS) | BlueCHiP for Medicare Group Preferred (HMO-POS) |
|---|
| Monthly Premium | $147* | $342* |
| Medical Deductible | $0 | $0 |
| Pharmacy Deductible | $0 | $0 |
Office Visits (In-Network) |
| PCP Office Visits | $0 PCMH or $10 non-PCMH | $0 PCMH or $10 non-PCMH |
| Routine Hearing and Vision Exams | $0 | $0 |
| Specialist Office Visits | $35 | $30 |
Inpatient / Outpatient Services (In-Network) |
| Inpatient Medical Hospitalization | $275 per day for days 1-5 | $250 per admission |
| Skilled Nursing Facility | $0 for days 1-20; $140 for days 21-45; $0 for days 46-100 | $0 for days 1-29; $50 for days 30-100 |
| Lab Services | $0 | $0 |
| Diagnostic Tests and X-Rays | $0 | $0 |
| High Tech Radiology Services (MRIs, CT Scans, etc.) | $150 | $50 |
| Home Health Care | $0 | $0 |
| Outpatient Surgery | $175 | $100 |
Emergency Services |
| Emergency Room | $65 | $65 |
| Ambulance | $150 | $50 |
Out-of-Pocket Costs |
| In-Network & Out-of-Network Out of Pocket Maximum | $3,750 | $3,000 |
| Out-of-Network Benefit | Same as In-Network | 20% |
Prescription Drugs |
| Tier 1: Generic | $0 | $6 |
| Tier 2: Preferred Brand | $45 | $20 |
| Tier 3: Non-Preferred Brand | $95 | $50 |
| Tier 4: Specialty | 33% | 25% |
| Preferred Mail Order (100 Day Supply) | $0 for Tier 1 medications | $0 for Tier 1 medications |
| Catastropic Coverage | Once your out of pocket costs exceed $2,100, you will pay $0 for covered drugs | Once your out of pocket costs exceed $2,100, you will pay $0 for covered drugs |
Dental Benefits |
| Annual Benefit Maximum | $1,500 | $1,500 |
| Annual Exam | $0. One oral exam per calendar year. | $0. One oral exam per calendar year. |
| Cleanings | $0. Two cleanings per calendar year. | $0. Two cleanings per calendar year. |
| Bitewing X-Rays | $0. One set per calendar year. | $0. One set per calendar year. |
| Full Mouth Set | $0. One set every five years. | $0. One set every five years. |
| Individual X-Rays | $0. As needed, up to four per year. | $0. As needed, up to four per year. |
| Comprehensive Services (Includes fillings, palliative treatment, simple extractions, denture repairs, root canal therapy, and oral surgery) | 20% | $0 |
Additional Benefits |
| Over-the-Counter (OTC) Benefit | $25 | $75 |
| Acupuncture - Low Back Pain | $15 | $15 |
| Vision Hardware Allowance | $150 every year | $150 every year |
| Hearing Aid | Not covered | $200-$1,675 per device; max 2 per year |
| Fitness Benefit | $0 | $0 |
| Telehealth | $0 | $0 |
*Must have Medicare Part A and Medicare Part B to enroll. All members must continue to pay their Medicare Part B premium. This is only a partial list of benefits. Please review the Summary of Benefits for more detailed information
2026 Group Medicare Advantage Enrollment Form
Completed applications may be submitted to: medicareenrollmentintake@bcbsri.org
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