ExchangeAdministrativeMedium impact
Individual market portfolio changes for January 2026
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
BCBSRI is introducing a new individual market plan (BlueCHiP Direct 7000/14000) and discontinuing BasicBlue Direct 5500/11000, with affected members automatically transitioning to VantageBlue Direct 6000/12000. These changes affect individual market plans purchased directly from BCBSRI and through HealthSource RI marketplace.
Action Required
Before January 1, 2026: Billing team must update patient eligibility verification systems to recognize the new BlueCHiP Direct 7000/14000 plan and remove BasicBlue Direct 5500/11000 from active plan lists. Update front desk staff training materials to reflect VantageBlue Direct 6000/12000 as the transition plan for affected members. Verify patient insurance information at appointments to ensure accurate billing.