CommercialAdministrativeMedium impact
Physician concierge services
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, Pediatrics·Physician
Effective date
Dec 1, 2018
We identified it
Jun 20, 2026
Summary
BCBSRI now allows physicians providing concierge services to join their network, reversing previous exclusions. Only primary care MDs and DOs are eligible; mid-level providers and specialists practicing concierge medicine remain excluded from the network.
Action Required
Immediately: Identify any primary care providers (internal medicine, family medicine, pediatrics) offering concierge services who may now be eligible for BCBSRI network participation. Verify these providers meet standard credentialing requirements. Ensure billing staff understand that retainer/access fees cannot be billed to BCBSRI or applied toward covered services - only standard copayments, coinsurance, and deductibles should be collected.