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Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.
Please note: Not all services and procedures are covered by your benefits contract. Benefit summaries are for comparison purposes only and does not create rights not given through the benefit plan.
NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.
BlueChoice Advantage (HRA and HSA/HRA)
Mid / Large Group Benefit Summaries - District of Columbia
| Options | Features | Medical Summary | Rx Summary |
|---|---|---|---|
| Option 1 | In: $1,650 Ded. | Out: $3,300 Ded. 100%-70% |
SUM1680 | Integrated Rx Options |
| Option 2 | In: $2,000 Ded. | Out: $4,000 Ded. 90%-60% |
SUM1714 | Integrated Rx Options |
| Option 12 | In: $2,000 Ded. | Out:$4,000 Ded. 100%-60% |
SUM5459 | Integrated Rx Options |
| Option 14 | In: $2,000 Ded. | Out:$4,000 Ded. 100%-80% |
SUM5795 | Integrated Rx Options |
| Option 3 | In: $1,650 Ded. | Out:$3,300 Ded. 90%-70% |
SUM4625 | Integrated Rx Options |
| Option 4 | In: $1,650 Ded. | Out: $3,300 Ded. 80%-60% |
SUM4626 | Integrated Rx Options |
| Option 5 | In: $2,500 Ded.| Out $5,000 Ded. 100%-80% |
SUM4627 | Integrated Rx Options |
| Option 6 | In: $1,650 Ded.| Out:$3,300 Ded. 100%-80% |
SUM4628 | Integrated Rx Options |
All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.
| Options | Features | Medical Summary | Rx Summary |
|---|---|---|---|
| BlueChoice Advantage HSA/HRA Option MV 1 |
$4,000 Deductible | SUM2696 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 2 |
$5,500 Deductible | SUM3290 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 3 |
$3,300 Deductible | SUM5093 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 4 |
$5,000 Deductible | SUM5094 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 5 |
$7,000 Deductible | SUM6896 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 6 |
$3,300 Deductible | SUM6899 | Integrated Minimum Value (MV) Rx Options |
All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.