A few highlights of your plan:
- Lower copays when you visit a primary care provider (PCP) at a patient-centered medical home (PCMH) (We explain these below.)
- No cost for some over-the-counter medications when you get them at a participating pharmacy with a prescription
- Full coverage for programs to stop smoking, lose weight, and manage conditions like asthma and diabetes
PCP and PCMH explained
Think of a primary care provider (PCP) as your regular doctor, the one you see for a checkup and when you have a medical concern. When they work with a patient-centered medical home (PCMH), they lead an entire team to help you.
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$0 for prevention
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Know the basics
El monto que paga antes de que su plan de salud empiece a pagar ciertas facturas médicas. It resets every calendar year or plan year.
Un importe específico que usted paga cuando recibe atención médica. Ejemplo: Un médico puede cobrar $100 por una visita. Si su seguro médico tiene un copago de $20, usted le pagaría al médico $20 y su seguro le pagaría al médico $80.
The percentage of the total medical bill that you have to pay after you’ve met your deductible. For example, some plans have a 20% coinsurance charge for physical therapy. So if the total bill is $100, the coinsurance would be $20.
Máximo de bolsillo
The maximum amount you would pay out-of-pocket for covered health care services each year, including deductible, copays, and coinsurance. After the out-of-pocket is met, in-network covered services are paid at 100% by Blue Cross & Blue Shield of Rhode Island.