Medicare AdvantageCoverageMedium impact
New PPO Medicare Plan for 2020 – HealthMate for Medicare
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
BCBSRI launched a new Medicare Advantage PPO plan called HealthMate for Medicare effective January 2020, offering no referrals, open pharmacy network, and national PPO access. Out-of-area members will be reimbursed at BCBSRI contractual MA rates.
Action Required
Immediately: Billing team must log into BCBSRI secured provider portal to verify member eligibility and benefits for all Medicare patients to confirm which type of Medicare plan they selected for 2020. Update patient records to identify HealthMate for Medicare PPO members. Out-of-area HealthMate members should be billed at BCBSRI contractual MA rates.