Bcbsri customer service. PARTICIPATING DENTIST ADMINISTRATIVE MANUAL 9 .

Bcbsri customer service You don't have to be an expert to get great Medicare coverage. PARTICIPATING DENTIST ADMINISTRATIVE MANUAL 9 . to 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 Please call BCBSRI Customer Service at (401) 459-5000 (800) 639-2227 Or log into your account on BCBSRI. SKILLED HOME HEALTH CARE OVERVIEW Use this resource to review BCBSRI home care network. Training for All BCBSRI Employees. It looks as though you already are a BCBSRI member on your recent enrollment form. BCBSRI Customer Service Department: 401. BACK . Designated Pharmacy BCBSRI may limit the selection of a pharmacy to one (1) pharmacy, referred to as a Pharmacy Home Assignment. 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. Phone: (401) 459-1000 x6064 or (800) 637-3718 x6064 Fax: (401) 459-2385 Email: EmployerSupport@bcbsri. New members should allow up to 72 hours for the Nations OTC service team to see eligibility in their system. Web Access claims, review benefits, and connect directly with BCBSRI customer service—with one easy log-in. customer service for assistance in obtaining a new Primary Care Physician. 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 PAYMENT POLICY | 2 (401) 274-4848 WWW. I received mostly substitutions but, Okay. What should I do if I have a problem with a service I need? You can call our Customer Service team. (Open seven days a week, 8:00 a. If you have a question about this, please call our Medicare Concierge team at 1-800-267-0439 TTY: 711 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. I want to get help from the 24/7 Nurseline: 1 BCBSRI Protecting Your Information OED: January 2014 REV: November 2015 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. Trained and certified doulas provide emotional, physical, and educational support (401) 274-4848 WWW. com Blue Cross & Blue Shield of Rhode Island complies with applicable Federal How to contact Blue Cross And Blue Shield Of Rhode Island customer support at toll-free phone number? Call or write an email to resolve Blue Cross And Blue Shield Of Rhode Island issues. com (401) 429-2291 or 1-866-987-5858 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. Our formulary offers a w BCBSRI members can earn up to $500 in cash rewards. For outpatient and professional services, the member is responsible for paying the provider and filing the claim. Get the banking services help you need with Chase Customer Service. The new store, located at 1400 Oaklawn Avenue, provides Rhode Islanders with an unmatched way to interact with their health plan whether they have health plan benefits 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. Why: If diabetes, heart disease, and other health problems are not under control, they can lead to complications and even hospital stays. But making time for things you enjoy can help protect your own health and help you care for BCBSRI. BCBSRI’s easy-to-use Find a Doctor tool can help you choose the right healthcare provider for you: Call BCBSRI Customer Service at 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. , and February 15, 2015 Welcome to your BCBSRI Healthcare Services Summary (HSS)! If it doesn’t, please call your provider or BCBSRI Customer Service. These BCBSRI teams also can review your medicines to make sure you understand why and how to take them. BCBSRI Customer Service Our local team is available Monday through Friday, 8:00 a. PROVIDENCE, RI (February 16, 2021) – Blue Cross & Blue Shield of Rhode Island (BCBSRI) has launched SmartShopper, a digital healthcare shopping and savings program that helps members compare providers and find the most cost-effective practitioner and location of their choice. to 6:00 p. Call Customer Service at (401) 459-5000 or 1-800-639-2227, Monday through Friday, 8:00 a. BCBSRI. BCBSRI Website : www. Jackie is an active member of our Latin@Link BlueCare Connect is BCBSRI’s enhanced member service and support model. You’ll get a week’s worth of meals delivered to your door—up to 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. Box 3418 Scranton, PA 18505. Billing/Invoice questions (membership) Electronic Enrollment; Claims 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. To get started, call 1-844-779-8820. In-person customer service at Your Blue StoreSM Free fitness classes and nutrition counseling Coordinated care network Prescription drug coverage (Part D*) Blue365® offers our members access to exclusive discounts on health and wellness products and services. Please refer to the appropriate Benefit Booklet, Evidence of Or you can contact Customer Service at (401) 459-5000 or 1-800-639-2227 (outside RI). Understanding and meeting linguistic needs of our members is a shared concern of BCBSRI and our contracted providers. , and February 15, 2015 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. ; Saturday, 8:00 a. For fastest service, call the number on the back of your BCBSRI member ID card Access claims, review benefits, and connect directly with BCBSRI customer service—with one easy log-in. Upon enrollment in the Nations system, the account is opened and funds are loaded within 24 hours. Physicians in concierge Call, chat, or visit a nearby store to talk to our customer support team for your wireless & home services and devices. The HouseCall by Blue program is managed by Landmark Health (Landmark) and its affiliated medical group. • Routine eye care (Adult) 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. VantageBlue. 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 3 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. 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. 0 2 Disclosure Statement . International Shipping Support. Learn More. BCBSRI or BCBSMA, contact the customer service number located on the back of the member’s ID card. 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. Visit the main BCBSRI site. POLICY LAST REVIEWED: 04|01|2024 . What programs can help? This quick guide lists some programs that can Island (BCBSRI), we’ll show you the basic concepts you need to get started, and dispel some common myths about Medicare. Address ongoing health issues. 5-Stars. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service For more information on the meals program, call Independent Living Systems at 833-853-8946 (toll free) and provide your BCBSRI Member ID number. Use Alternate Code This indication is used when there is an equivalent CPT or HCPCS code for the service that is being rendered Your benefits allow for purchase of approved products and services. EFFECTIVE DATE: 06|01|2013. A representative will walk you through how the service works and can help 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. Hours: 24/7 1 BCBSRI medical insurance, you will have 30 days to redeem your rewards. If you have questions Or, on Saturday, December 7, you can submit your application in person at one of the following locations. In addition to this manual, our website, bcbsri. edi. Call the toll-free number on the back of your member ID card for BCBS customer service. Find out more by contacting BCBSRI Customer Service. 7 Patient-centered medical homes: Extra care when you need it If you are looking for a new PCP or want an extra level of care, consider a doctor who is part of a patient-centered medical home (PCMH). (Eastern Time) Saturday and Sunday, 8:00 a. How can I be reimbursed for what I paid directly? Back to BlueCHiP FAQ List 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 please visit our website or call our Customer Service Department which is indicated at the end of section A in this document. policy last reviewed: Or, on Saturday, December 7, you can submit your application in person at one of the following locations. Please refer to the appropriate Benefit Booklet Discover how BCBSRI boosts convenience and savings for you and your employees. at www. org Information about HIPAA transactions and code sets testing, etc. Logging into Electronic Enrollment 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. Call BCBSRI Customer Service at 1-800-639-2227 for help. Take time for yourself. to noon. Below you’ll find the BCBSRI formulary, which is a list of all the prescription drugs covered under your health plan. You must call at least 48 hours before your appointment, unless your trip is urgent. 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 . All BCBSRI members periodically receive a survey in the mail about other health insurance they may have. Contact Customer Service for more information. this document, such as key contacts and an overview of the dental provider services offered by BCBSRI. First name: * Last name: * Membership Services 444 Westminster Street Providence, Rhode Island, 02903. Learn more. Customer service. Any disputes regarding these products and services may be subject to BCBSRI’s grievance process. Dental Direct Basic; Dental Direct Standard; Dental Direct Plus; Dental Direct Elite And BCBSRI cares about its employees. Access claims, review benefits, and connect directly with BCBSRI customer service—with one easy log-in. Please refer to the appropriate Benefit Booklet 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. Dental Connections. Customer Service Phone varies by plan TDD Phone Number will vary by plan To Blue Cross & Blue Shield of Rhode Island (BCBSRI) and London Health Administrators. Members can order refills 24 hours a day, seven days a week by: • Visiting BCBSRI. 500 exchange street, providence, ri 02903-2699 medical coverage policy | 1 (401) 274-4848 www. How: Talk to your provider about whether you need to schedule a visit. 500 exchange street, providence, ri 02903-2699 payment policy | 1 (401) 274-4848 www. to 5 You can also contact BCBSRI Customer Service at the number on the back of your ID card for help locating a PCP. Welcome to the Customer Service Home Page. My healthcare coverage was in my husband's name. Jackie participated in our corporate rotational program placing her in a full-time HR role. Dental Connections - Fall 2024; Dental Connections - Spring 2024; Dental Connections - Fall 2023; Dental Connections - Spring 2023; Dental A Reference Guide . Sr. 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. A BCBSRI Medicare advisor will be available to review your application for accuracy and completeness: Your Blue Store SM in Cranston, East Providence, Lincoln, Narragansett, or Warwick; Dunkin Donuts (740 Branch Ave, Providence)—noon to 5 customer service for assistance in obtaining a new Primary Care Physician. Choose the store location that works best for If you want to change your plan, and you purchased your current plan directly from BCBSRI, we can help you. Or call (401) 459-5000 or 1-800-639-2227 (TTY/TDD: 711). 800. to find the right fit. com • Calling Catamaran Home Delivery. 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. You can also work with a BCBSRI Care within 24 hours. This is where you can ask questions about anything from medical benefits to managing health conditions, even on Saturdays. CHAPTER 4 – DENTIST If you want to change your plan, and you purchased your current plan directly from BCBSRI, we can help you. 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. TransPerfect utilizes the services of 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. 1 : 3 ; New BCBSRI member ID number will . (401) 459-5545. It feels more like a family that prioritizes employee wellness. , Puerto Rico and the U. BCBSRI Pharmacy Benefit Manager (PBM): The Preferred Blue network is Blue Cross & Blue Shield of Rhode Island's (BCBSRI) designated BlueCard PPO Network. You can also emulate the web account. support@bcbsri. Use Alternate Code This indication is used when there is an equivalent CPT or HCPCS code for the service that is being rendered Medicare Advantage See all your options, compare plans, and enroll. See what BlueCare Connect can do PROVIDENCE, RI – Blue Cross & Blue Shield of Rhode Island (BCBSRI) has expanded the reach of its Your Blue Store SM retail experience with the opening of a new store in Cranston. 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. Use Alternate Code This indication is used when there is an equivalent CPT or HCPCS code for the service that is being rendered Customer Service. Read your newsletter for highlights of changes and news about Blue Cross Dental. Search for answers on our support pages and within our knowledge base. 6 Customer Service. New member platform delivers personalized service and healthcare navigation to each of your employees. Additionally, BCBSRI has invested in technology enabling us to better evaluate "call quality" and reduce the time it takes to answer member telephone calls. Questions? If members have any questions about their benefits, they can call our Customer Service Department at the appropri-ate number below: Customer Service for BlueCHiP plans: (401) 274-3500 or 1-800-564-0888 Customer Service for all other BCBSRI plans: 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 PAYMENT POLICY | 2 (401) 274-4848 WWW. Why is BCBSRI asking for this information? BCBSRI wants all Rhode Islanders to have quality, affordable, and equitable care when they need it. 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 Confirm eligibility with BCBSRI Customer Service, MA Concierge at (401) 277-2958 or 1-800-267-0439. As a caregiver, you likely often put yourself last. Phone support representatives are available 8:00 a. Special Handling please visit our website or call our Customer Service Department which is indicated at the end of section A in this document. Please refer to the appropriate Benefit Booklet, Evidence of 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 PAYMENT POLICY | 2 (401) 274-4848 WWW. BCBSRI members can stay in their own home 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. Provide Feedback. Discover how BCBSRI boosts convenience and savings for you and your employees. to 5 p. I want to contact you by mail: Blue Cross Community Health Plans c/o Member Services P. The rep. Medicaid is a state government program that helps with medical costs for some people with limited incomes and resources. xlsx COVERAGE Benefits may vary between groups/contracts. We offer customer service seven days a week, because questions can come up anytime. Providers who offer both non-concierge and concierge (401) 274-4848 WWW. 2227 BCBSRI Website: www. com (401) 429-2291 or 1-866-987-5858 Use our Find a Doctor tool or call BCBSRI Customer Service. Please call customer service for specific information on coverage. Virgin Islands, call: 1-888 Claim form used when services are rendered outside of United States. BCBSRI is the only Rhode Island health bcbsri. 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. Provider Portal. First name My doctor doesn't participate with BCBSRI. Note: Some codes may be NSR for specific ages or provider type. CMS rated a total of 507 Medicare Advantage contracts this year in the United States. Medicare Part B. Talk to a Therapist From Your Own Couch The benefits and services described on this site may not be available with all Blue Cross & Blue Shield of Rhode Island (BCBSRI) Medicare plans. First name: * Last name: * customer service for assistance in obtaining a new Primary Care Physician. Please visit bcbsri. ; Extra Help Plans Medicare + Medicaid and the new Access plans. to noon (Eastern Time) Our customer service team is ready to help you, including: Explaining your benefits; Answering prescription medication questions; Customer service software company Zendesk estimates that 66% of consumers who often interact with support said a bad interaction with a business can ruin their day, while 73% of those consumers Logging into Electronic Enrollment Also, our customer service representatives may ask for your responses the next time you call. Eastern. CLINICAL CRITERIA Medical Transportation Management Information CONTACT TO INITIATE SERVICES Call us at 1-855-330-9131 (TTY: 711). com Note: You may request an expedited (faster) review of denied services if the circumstances are urgent or if you are in an inpatient setting . to noon, to assist you. BCBSRI HEALTH PLAN COMPANION GUIDE July 2012 005010 1. 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 Customer service for all other BCBSRI members: 1-800-639-2227 Monday through Friday, 8:00 a. D. NationsBenefits. Call Monday through 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. View Rose Delgado’s profile on Members who choose to have services 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. Call 1-800-274-2958. Members with substance use disorder now have another option: Aware Recovery Care. Power 2022 U. Please go to MyBenefits. You don’t have to do it alone. kaizenhealth. Members subject to this designation include, but are not limited to, members that have a history of: BCBSRI created the Lifespan Employee CARE Center to support people covered under the Lifespan Health Plan. 2 of 9. With many BCBSRI plans, you can reduce trips to the pharmacy—and maybe even save money—by having medications delivered. COM over and above those services required by BCBSRI of all Primary Care Physicians. Information on this site is Problems with the customer service you receive. Confirm eligibility with BCBSRI Customer Service, MA 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. This all-in-one support will help you: Understand your medical benefits; Get assistance with ongoing health conditions; Locate (401) 274-4848 WWW. You or your doctor must call the GAU at (401) 459-5784 or 1-800-639-2227 or fax your request to (401) 459-5005. Please customer service for assistance in obtaining a new Primary Care Physician. It only takes a couple of minutes and will help us improve our service. Everything is integrated and accessible online Virgin Pulse® is an independent wellness company, contracted by Blue Cross & Blue Shield of Rhode Island (BCBSRI) to provide wellness services. Covers doctors’ services and other outpatient care. to 8:00 p. 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 BCBSRI Medicare plans stand out for exceptional quality, plan performance and member experience. Out-of-state: 1-800-676-2583. Hours: Monday-Friday 6 AM to 1 AM ET, and Saturday 8 AM to 8 PM ET 1-800-742-5877. Summary of Benefits and Coverage: What this Plan Covers & What it Costs. + MyBCBSRI phone number Providers and doctors call these Blue Cross & Blue Shield Rhode Island phone numbers for eligibility and other questions. In addition, they are not subject to the Medicare appeals process. 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 | 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 1. org Follow the steps on the sign-up link— answer a few simple questions to set up an account, agree to the terms and conditions, and begin booking rides to your doctor and select community locations! Call Contact the ride service at 1-833-972-2774. 2227 . COVERAGE Benefits may vary between groups and contracts (401) 274-4848 WWW. Verizon Fios: 1. com/yourbluestore for the latest information. ” 3 “ Your loved one can get a copy of the "Designee" form by contacting BCBSRI Customer Service. 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 Personal messaging service – Sign up for convenient messages about your plan and your health sent right to your phone or mobile device. health savings account, care management services, and customer support. Select “Pharmacy” on the left hand side of your member home page and follow the prompt from there. 922. For the Hearing Impaired 1-800-833-0056. com BCBSRI Pharmacy Benefit Manager (PBM): Customer Service Rep at BCBSRI · Experience: BCBSRI · Location: Providence. We do this to ensure personalized service for every member. If additional assistance is required, the member should contact BCBSRI Customer Service. ; Medicare Supplement Help cover costs with a Plan 65 option. EFFECTIVE DATE:06|01|2013 POLICY LAST REVIEWED:07 |01 2024. 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 psychiatric nursing services, and individual, group, and family therapy. Left untreated, it can increase your risk of vision problems, kidney Here, BCBSRI’s customer service team will work alongside your clinical team to provide all-in-one support. Your health plan includes medical and dental benefits and also features a consumer contact BCBSRI Customer Service at (401) 459-5000 or 1-800-639-2227 (outside of Rhode Island only). Doctors Online: Video chat with a doctor 24/7 Online tools Some self-funded health plans may also include coverage for doula services. org; Report it online and enter access ID "BCRI" Your member ID card and fraud: How to protect your medical information please visit our website or call our Customer Service Department which is indicated at the end of section A in this document. Billing, Enrollment & Employer Support. – 9:00 p. This Companion Guide may be revised and republished if and when Blue Cross & Blue Shield of Rhode Island makes improvements and/or changes bcbsri. COVERAGE Benefits may vary between groups and contracts Overseas Customer Service. Problems with how long you have to spend waiting on the phone, in the waiting room, or in the exam room. Let us know what you think. . dollar check reimbursements and more. • To request a mail order brochure, please contact BCBSRI Customer Service. I spoke with was rude and (401) 274-4848 WWW. Benefits may vary between groups and contracts. Physicians in concierge website or call our Customer Service Department which is indicated at the end of section A in this document. MEDICAL CRITERIA A specific customer service center supports each member. Follow the steps below to access the claim form: Accept the terms and conditions; Enter the 3 character prefix from the member's ID; Click on Claim Forms and choose the form preferred *For more information and to confirm your coverage, please call Customer Service Among its peers, BCBSRI was the highest ranked for every area measured, including customer service, coverage and benefits, cost, information and communications, provider choice, and billing and payment. The member is responsible only for applicable deductibles and copayments. We are here to help. If you already have a Benefits Prepaid Card, you can keep using your current card for all your 2024 spending allowances. COVERAGE Benefits may vary between groups and contracts Submit electronically to BCBSRI or mail paper claims to 500 Exchange Street Providence, RI 02903. For calls from the U. com, by telephone at 1-866-329-3053, or by mail using the refill order form included with your first shipment. 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 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. Please refer to the appropriate Benefit Booklet A specific customer service center supports each member. If you have a question about a provider that customer service can’t answer, they will get back to you with an answer. Related. Visit a Your Blue Store SM location together. to 6 p. Special Handling Form 3. COVERAGE Benefits may vary between groups and contracts BCBSRI was the highest ranked insurer in the Northeast region for every area measured, including customer service, coverage and benefits, cost, information and communications, provider choice, and billing and payment. COVERAGE . Saturday and Welcome to your BCBSRI Healthcare Services Summary (HSS)! If it doesn’t, please call your provider or BCBSRI Customer Service. PROVIDENCE, RI (July 13, 2020) – With customer safety at the forefront, Blue Cross & Blue Shield of Rhode Island (BCBSRI) has reopened its four Your Blue Store locations in Cranston, East Providence, Lincoln and Warwick. com effective date: 01|01|2020 policy last updated: 10|01|2020 overview Your loved one can learn more by calling BCBSRI Customer Service. Read More. COVERAGE Benefits may vary between groups and contracts contributions, by simply signing on to BCBSRI. BCBSRI will send a conversion letter to the address listed on your policy. Please call Customer Service at the number on the back of your card or (401) 459-5000 or 1-800-639-2227 (outside RI). contain a 3-character alpha-prefix, followed by 9 digits. Together, they will help you: They may refer you to our BCBSRI Customer Service team. Your employees can get answers to health plan questions, speak with a registered nurse or dietitian, and enjoy no-cost fitness classes and issues with service. Hours: Monday through Friday, 8:00 a. We need this information in order to determine which insurance is responsible for paying your claims first. This year, BCBSRI was ranked highest across all factors measured: Customer service; Coverage and benefits; Cost Please contact our Customer Service Department at 401-459-5000, so we can help you. BCBSRI. NationsOTC allows qualifying members to purchase health and wellness products via retail, phone, online, or catalog mail order with shipping at no additional cost. Please call the Customer Service telephone number on the back of your Member ID card. The order was placed in the 2nd quarter! I called Nations OTC to resolve the issue. If you have questions With many BCBSRI plans, you can reduce trips to the pharmacy—and maybe even save money—by having medications delivered. Saturday and Different than home health, in-home medical care brings preventive and urgent services to you through a team of providers, pharmacists, dietitians, social workers, and others. Physician and Provider Service Center (401) 274-4848 or 1-800-230-9050 Complex claims inquiries, policies and procedures, business practice change requests, and Web access information Email: hipaa. Use Alternate Code This indication is used when there is an equivalent CPT or HCPCS code for the service that is being rendered 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 have questions about your plan, please check your subscriber agreement or contact Customer Service. But making time for things you enjoy can help protect your own health and help you care for Personal messaging service – Sign up for convenient messages about your plan and your health sent right to your phone or mobile device. 5000 or 1. • Members can locate a dental provider by using the Dental Provider Search tool or contacting BCBSRI Concierge/ customer service at health and substance use services and other community services • Help you in getting the mental health and substance use services that work best for you • Help you to follow the instructions from your doctor, nurse or social worker • Work with you to get help from local programs • Help you with a plan to remember to take your medication If you have questions about your specific plan details, please check with Customer Service or your employer. to 4:30 p. policy last reviewed: logging in to BCBSRI. If you get your health insurance through work and aren’t sure what type of plan you have, speak with your employer or call BCBSRI customer service at the number listed on Understanding and meeting linguistic needs of our members is a shared concern of BCBSRI and our contracted providers. The first step is to gain a better understanding of the healthcare needs of our For more information on the meals program, call Independent Living Systems at 833-853-8946 (toll free) and provide your BCBSRI Member ID number. Marketplace. Broker of Record/Disaffiliations; Commissions & VUE/Vertafore Portal; Broker Portal . The codes are provider liability and reimbursement vary Please call Customer Service for specific information on coverage. For questions about your coverage, please contact BCBSRI Customer Service. Medicare can be confusing. Eastern Time, Monday through Friday, and Members who choose to have services 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. If you need additional information regarding your coverage, please contact BlueCHiP Customer Service: BlueCHiP members: (401) 274-3500 or 1-800-564-0888 : Can my new spouse and stepchildren be covered on my BCBSRI policy? about using CVS Caremark Mail Service, they can call BCBSRI Customer Service. Unlike e-mail, the messages you send never leave the BCBSRI system and can be accessed by only the intended recipients. 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. com or call 1-800-639-2227 or (401) 459-5000 or TDD 1-888-252-5051 to request a copy. You can contact us in a couple of ways: Check the back of your membership card for your specific customer service phone number . (BCBSRI) eligible Medicare Advantage members. Schedule video visits with doctors and therapists. com, offers access . This is the customer service number for questions BCBSRI Customer Service (401) 459-5000 or 1-800-639-2227. BCBSA may receive payments from Blue365 vendors. Customers will notice some changes, such as designated hours for older adults and limits on the number of customers permitted in the store at one time. The conversion letter will offer your child membership in a BCBSRI individual policy, or you may Members who choose to have services 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. Commercial Member Health Plan Satisfaction Study—for the second year in a row. We schedule routine trips Monday through Friday from 8 a. Use My Health Toolkit ®. 5499 For Customer Service: 1. The Worst Customer Service, EVER!! The worst customer service, EVER!! I placed an order on 6/30. 2019 Q3 Non Reimbursable_Use Alternate List. Eastern time. At a PCMH, you’ll receive care from a team led by a PCP. EFFECTIVE DATE:07|01|2006 POLICY LAST UPDATED: 03|03|2021 . Self-service or a voicemail available 24/7. 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. Members If you purchased coverage through HealthSource RI, please call 1-855-651-7873 for information about payment options. We cover home and community-based services available through Aware. Physicians in concierge . Please refer to the appropriate Benefit Booklet, Evidence of My son has just entered college. 2. Neither Access claims, review benefits, and connect directly with BCBSRI customer service—with one easy log-in. Contact the Medicare Sales team at 1-800-505-2583 (TTY: 711). HEALTHPATH* For members at risk for hospitalization or who were recently hospitalized • BCBSRI members receive services from their healthcare team, which may include a case manager, psychiatrist, therapist, and other healthcare professionals. A BCBSRI Medicare advisor will be available to review your application for accuracy and completeness: Your Blue Store SM in Cranston, East Providence, Lincoln, Narragansett, or Warwick; Dunkin Donuts (740 Branch Ave, Providence)—noon to 5 Please know that if you have received an e-mail and do not attend a required training, your BCBSRI. You can reach the CARE center at (401) 429- 2102 or 1-866-987-3706. If you have questions about using CVS Caremark Mail Service, please call BCBSRI Customer Service. 225. Special Handling Members can also request a printed form by calling BCBSRI Customer Service at the number on the back of their member ID card. Services Confirm eligibility with BCBSRI Customer Service, MA Concierge at (401) 277-2958 or 1-800-267-0439. 459. Call the toll-free number on the back of your 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 Guides, nurses, and coaches. Physicians in concierge (401) 274-4848 WWW. 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. In addition to those services, BCBSRI members in fully insured (and many self-funded) health plans can be reimbursed for doula services up to $1,500. And BCBSRI members rated us “Best Health Plan Possible. On January 1, BlueCare Connect will replace myBCBSRI. over and above those services required by BCBSRI of all Primary Care Physicians. Send us a message through your myBCBSRI account. 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. Are you looking for something specific? Please contact your account executive or call our main number at (401) 459-1000 or 1-800-637-3718 outside Rhode Island. Special Handling Medicare Advantage See all your options, compare plans, and enroll. 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. Customer Service rep at Blue Cross & Blue Shield of Rhode Island · Experience: Dell Services ( BCBSRI ) · Location: Providence · 39 connections on LinkedIn. Using the links on the left, you can view the details of member, employer, and provider web accounts. If you purchased coverage through BCBSRI directly, John Auger, managing director of digital strategy, Blue Cross & Blue Shield of Rhode Island Blue Cross & Blue Shield of Rhode Island (BCBSRI) recently released an enhanced version of its Your Blue Touch RI app, complete with new member-focused features designed to simplify healthcare for members by providing them with easier, more convenient access to their health plans. com . You can register for our new member platform beginning January 1. Please contact Customer Service for assistance with submitting receipts. You also can view a quick summary of benefits below: 2025. Call Monday through Friday 8:00 a. If you maintain BCBSRI coverage through COBRA, You can call the Virgin Pulse customer service line at 1-888-671-9395 or go to support@virginpulse. ðÿƒˆjR €"d˜ûÏlöÝs9½¯_aù#[`Øû;] 1Á ¶Á¦— ö Ô±%—$ ˜ Ss¹Îý:~µ|ÓfwB‚f0ex„Ù€[ýºgì ¥ð¥úY!^Ž3³³«]ç˜°Ë §À"ã߇T 64 500 exchange street, providence, ri 02903-2699 medical coverage policy | 3 (401) 274-4848 www. com account will be deactivated. Deliveries are made Monday through Friday only. Use the Find a Doctor tool available through their myBCBSRI account. Tips for partnering with your PCP Your PCP needs to get to know your medical history and individual needs. m. Learn more Access claims, review benefits, and connect directly with BCBSRI customer service—with one easy log-in. bcbsri. Weekend customer service – Get answers when you need them. Promoting self-care and well-being • 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®) Email: BrokerOperations@bcbsri. 0204. That's our job. 3. We're always happy to answer your questions. Can he still be covered under my BCBSRI plan? I recently divorced. to noon (Eastern Time) Our customer service team is ready to help you, including: Explaining your benefits; Answering prescription medication questions; Confirm eligibility with BCBSRI Customer Service, MA Concierge at (401) 277-2958 or 1-800-267-0439. For other language assistance or translation services, please call the customer service number for your local Blue Cross and Blue Shield company. Assists with claim filing, enrollment questions, U. VERIZON, and Verizon Prepaid: Let us know what you think. The CARE Center combines both your local customer service team and a dedicated clinical team. The focus on developing exceptional customer service begins with the Customer Service Department, yet impacts every member of the 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 The reward of customer loyalty; 2023 Medicare plans rated 5-Stars; Connecting children and teens with mental healthcare; Affordability Affordability. Mental well-being. TransPerfect utilizes the services of issues with service. How can I get a replacement ID card? To request a replacement ID card for yourself or a covered family Call MyBCBSRI customer service faster, Get Support/Help, Pricing Info and more. Confirm eligibility with BCBSRI Customer Service, MA Customer service for all other BCBSRI members: 1-800-639-2227 Monday through Friday, 8:00 a. They debit my third quarter benefit. If you have a non-urgent request, we can dig into it for you. We'll help you find answers to your questions today! With Blue Cross & Blue Shield of Rhode Island (BCBSRI), you have access to an extensive network of healthcare professionals. Our members have rated BCBSRI #1 in member satisfaction among commercial health plans in the Northeast region in the J. • You can also call CVS Caremark at 1-866-329-3053 (TDD 1-800-231-4403). For employers/brokers. PROVIDENCE, RI (October 8, 2021) – Blue Cross & Blue Shield of Rhode Island (BCBSRI)’s 2022 Medicare Advantage HMO and PPO plans have been rated 5-Stars by the Centers for Medicare & Medicaid Services (CMS). Available 5 a. The benefits and services described on this site may not be available with all BCBSRI plans. Why: If diabetes, heart disease, and other health problems are not under control, they can lead to complications and Access claims, review benefits, and connect directly with BCBSRI customer service—with one easy log-in. Therefore, BCBSRI is pleased to offer our providers the use of the TransPerfect telephone language services to communicate in-office with BCBSRI Commercial members who have interpreter needs. 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. O. Commercial members should call 1-866-235-1057 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. Providers who offer both non-concierge and concierge services to patients should make it voluntary for (401) 274-4848 WWW. com to order online and find information on your benefits. View Diane Studmire’s profile on LinkedIn, a professional community of 1 billion members. The conversion letter will offer your child membership in a BCBSRI individual policy, or you may BCBSRI. Medicare Part A. ATTN: Membership - 00000 Blue Cross & Blue Shield of RI 500 Exchange Street Providence, RI 02903-2699. The BCBSRI customer service team dedicated to helping Medicare members anytime you need help with your plan or benefits. Covers inpatient care in hospitals, skilled nursing facilities, hospice care, and home healthcare. Contact BCBSRI customer service at 1-844-426-3091. Please call Customer Service for specific information on coverage. Two weeks later a duplicate order arrives. If a pharmacy has an issue, their pharmacist can call the Catamaran PBM Help Desk at 1-866-391-1164. Please refer to the appropriate Benefit Booklet BCBSRI Member ID Card Sample FRONT . Filter by location, language, services, availability, etc. Get rewarded with wellness You can use our wellness program online or on your phone to help you feel better, have fun, BCBSRI DIABETES CARE MANAGEMENT PROGRAM Diabetes is a chronic condition that can be difficult to manage and pose real health challenges. As a local institution that has served the community for 85 years, we know Medicare. S. See all the best ways overall to get in contact with MyBCBSRI ASAP. INTRODUCTION . com or call customer service at the number on the back of your member ID card. COM. Forwarding Service Requested. They can get a copy of the form by contacting BCBSRI Customer Service. You can also find our telephone numbers and hours of operation on the A specific customer service center supports each member. If you have questions about your CSA, 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. BCBSRI’s score improved more than 25 points overall from last year’s top performance and more than 40 points compared to the Members who choose to have services 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. 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. Confirm eligibility with BCBSRI Customer Service, MA Licensed professionals work with you and your providers to get you the services you need. Need to talk to a representative? Try here for Sales: 1. effective date: 06|01|2013. For inpatient services, participating hospitals will file claims. If you have pharmacy benefits with BCBSRI, you can review Rx information once you have logged in to BlueCare Connect, and you can go service all benefits on a single call. com. Call Customer Service at (401) 459-5000 or 1-800-639-2227, Monday through Friday, 8:00 a Every BCBSRI plan includes 100% in-network coverage for your annual physical, flu shot, and recommended tests and screenings. BCBSRI offers our Medicare Advantage members a meal delivery program through ILS Meals by Independent Living Systems. BCBS Customer Service. Don’t have a PCP? Use our Find a Doctor tool or call BCBSRI Customer Service. Medicaid. Rhode Island Help Center: Important contact information for Blue Cross & Blue Shield of 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 Your Blue Store locations follow state and federal guidelines during emergencies. 1. These will include, at minimum, a welcome kit to BCBSRI Customer Service Our local team is available Monday through Friday, 8:00 a. ” Jackie’s career began as a customer service rep providing exceptional service to our members. Are you a supplier or vendor? Local: (401) 459-1000. Need Global Coverage? Blue Cross Blue Shield Global™ provides a full range of health care coverage solutions for people who live, work and travel internationally. About Specialty Drugs Specialty drugs must be purchased at one Neither BCBSA nor BCBSRI recommends, endorses, warrants, or guarantees any specific vendor, product, or service available under or through the Blue365 Program. The Find a Doctor tool and BCBSRI customer service (1-800-639-2227) are additional resources to consider. , and Saturday and Sunday, 8:00 a. 639. We're Pleased to Assist You. These will include, at minimum, a welcome kit to 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. It combines a personalized digital experience (online or on the app) with one-on-one support from Care Guides, registered nurses, and health coaches. BCBSRI Website: www. 1 . Care Management. Catamaran representatives will be available to provide support during the transition process. axeyp uvmsystx oxyyucl pmdfmkez bzbmnl ilgyaqrwd yyyqy nose ihkvdm jjtv