Medicare AdvantageCoverageHigh impact
Blue RI for Duals – New ID cards for January 1 and 20% coinsurance
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2023
We identified it
Jun 19, 2026
Summary
Effective January 1, 2023, Blue RI for Duals (D-SNP) members will receive new ID cards without copay information displayed and will have 20% coinsurance for PCP visits (excluding annual physicals), dental, and X-rays. All D-SNP copays and coinsurance must be billed to Medicaid and will be covered in full by Medicaid.
Action Required
Immediately: Billing team must update procedures for Blue RI for Duals members - do not rely on ID cards for copay information. Bill all D-SNP copays and coinsurance (20% for PCP visits excluding annual physicals, dental, and X-rays) to Medicaid for full coverage. If not an approved Medicaid provider and cannot submit claims to Medicaid, do not bill members for any copay/coinsurance amounts.