BlueCHiP for Medicare Core (HMO)
Rhode Island Medicare Advantage Plan (2024 Plan)
Overall Government Star Rating4.5
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BlueCHiP for Medicare Core (HMO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Rhode Island and offered by the health insurance company Blue Cross Blue Shield of Rhode Island. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
BlueCHiP for Medicare Core (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $3,500 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for BlueCHiP for Medicare Core (HMO) are defined below.
Additional Benefits and Coverage
BlueCHiP for Medicare Core (HMO) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. BlueCHiP for Medicare Core (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. BlueCHiP for Medicare Core (HMO) includes coverage for the following additional benefits:
Comparing the Quality Score of BlueCHiP for Medicare Core (HMO) to Other Plans in Rhode Island
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, BlueCHiP for Medicare Core (HMO) received an overall government quality rating of 4.5 stars out of 5 stars.
BlueCHiP for Medicare Core (HMO) performed better than Rhode Island’s State average overall quality score of 4.0 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
BlueCHiP for Medicare Core (HMO) received 4.5 stars for its health plan quality score which is better than the Rhode Island State average health plan quality score of 4.0 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
$0 per day for days 6 through 90
Skilled nursing facility
$130 per day for days 21 through 45
$0 per day for days 46 through 100
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
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In this article we rank Rhode Island Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in Rhode Island is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Rhode Island.