Employee Benefits
Medical Benefits
Provided by Blue Cross Blue Shield of Rhode Island
Blue Cross Blue Shield Enrollment Application
Local – (401) 459-5000
Out of state residents – 1-800-369-2227
Website: www.bcbsri.com
The uniform summary of benefits and coverage (SBC) is a new health plan disclosure required by the health care reform law. The SBC consists of a template document, with coverage examples of common health plan services. These materials, along with a uniform glossary of definitions, serve as a type of executive summary of the more comprehensive SPDs.
School Pre-65 SBC
Blue Cross Summaries
DENTAL BENEFITS
Provided by Delta Dental of RI
Billing – (401) 752-6200
Enrollment – (401) 752-6234
Customer Service – (401) 752-6100
Website: www.deltadentalri.com
Delta Dental Summaries
PRESCRIPTION BENEFITS
Provided by CVS Caremark
Customer Service: 1-888-790-8070
Website: www.caremark.com
CVS Caremark Summaries
Retired School 1033
Retired School Department
VISION BENEFITS
Provided by Blue Cross Blue Shield of RI
- One annual routine eye exam per calendar year with co-payment under medical policy
- Prescription glasses (lenses and or frames) or contact lenses are covered up to a maximum of $100 per -calendar year. Members pay the full charge whether using a participating or non-participating provider and files claim to BCBSRI for reimbursement
- Blue Cross Reimbursement Form
OPEN ENROLLMENT
Open Enrollment occurs annually and allows you to alter your current health plan
- Retiree Open Enrollment –
QUALIFYING EVENT
A life event that allows you to make changes to your current health plan
*ALL CHANGES MUST BE SUBMITTED WITHIN 30 DAYS OF THE QUALIFYING EVENT WITH THE PROPER DOCUMENTATION
- Qualifying Events include: Marriage/Birth/Adoption/Loss of coverage
- Documentation: Marriage License/Birth Certificate/Adoption papers/ HIPAA letter
