BlueChoice HMO Open Access (HRA and HSA/HRA)
Mid / Large Group Benefit Summaries - District of Columbia

The following BlueFund and Compatible HSA & HRA Plans are BlueChoice HMO Open Access based. Whether you choose an option as a BlueFund or Compatible plan, there is no difference in cost.


NOTE: All HSA and HRA plans may be offered through our Consumer Driven Health Plan integrated fund administrator or Compatible. Compatible funds do not integrate with CareFirst's fund administrator.

Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

HSA plans require a combined medical and Rx plan.

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51+ BlueChoice HMO Open Access HSA (Combined Medical and Rx Deductible)

Options Features Medical Summary Rx Summary
Option 2 $2,500 Deductible CUT8701 Integrated Rx Options
Option 3 $4,000 Deductible CUT8702 Integrated Rx Options
Option 4 $1,750 Deductible CUT7013 Integrated Rx Options
Option 7 $1,750 Deductible SUM4639 Integrated Rx Options
Option 8 $1,750 Deductible SUM4640 Integrated Rx Options
Option 9 $2,500 Deductible SUM4641 Integrated Rx Options
Option 10 $1,750 Deductible SUM4642 Integrated Rx Options

All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.

51+ BlueChoice HMO Open Access HRA (Combined Medical and Rx Deductible)

Options Features Medical Summary Rx Summary
Option 2 $2,500 Deductible CUT8701 Integrated Rx Options
Option 3 $4,000 Deductible CUT8702 Integrated Rx Options
Option 4 $1,750 Deductible CUT7013 Integrated Rx Options
Option 6 $1,300 Deductible SUM1874 Integrated Rx Options
Option 7 $1,750 Deductible SUM4639 Integrated Rx Options
Option 8 $1,750 Deductible SUM4640 Integrated Rx Options
Option 9 $2,500 Deductible SUM4641 Integrated Rx Options
Option 10 $1,750 Deductible SUM4642 Integrated Rx Options
Option 11 $2,000 Deductible SUM5788 Integrated Rx Options

Plans may be sold without a funding arrangement.

All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.

51+ Minimum Value

Options Features Medical Summary Rx Summary
BlueChoice HMO Open Access HSA/HRA
Option MV 1		 $4,000 Deductible SUM2694 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 3		 $3,500 Deductible SUM5103 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 4		 $5,000 Deductible SUM5104 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 5 		$7,000 Deductible SUM6895 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 6 		$3,500 Deductible SUM6898 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 7 		$5,000 Deductible SUM7626 Integrated Minimum Value (MV) Rx Options

All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.

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