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CommercialCoverageHigh impact

Large group updates

Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

BCBSRI is making significant changes to their 2020 large group portfolio, including adding new Network Blue New England Options plans, discontinuing the BlueCHiP with Flex product family, and removing multiple specific HMC2C, VantageBlue, and BlueSolutions plans. They are also eliminating the free sick visit benefit for VantageBlue plans and expanding preventive drug coverage for depression medications.

Action Required

Action needed
By January 1, 2020: Billing team must update eligibility verification systems to recognize new Network Blue New England Options plans and remove discontinued BlueCHiP with Flex product family from active plan lists. Update patient registration forms to capture new plan options. Verify patient eligibility more carefully as multiple HMC2C, VantageBlue, and BlueSolutions plans are being discontinued. Update benefit verification procedures to note removal of free sick visit benefit for VantageBlue plans - first sick visits will now be subject to normal copays.