BlueChoice Advantage
Small Group On-SHOP - District of Columbia

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

Plan Name Rx Plan Type Integration Status Medical Summary

BlueChoice Advantage Platinum 0 Ded

$15/$45/$70/D,50% (up to $100)/D,50% (up to $150)

Standard

Integrated OOP only

 SUM7879

SUM7879-SPA

BlueChoice Advantage Platinum 500 Ded

 $0/$45/$65/50% (up to $100)/50% (up to $150)

Standard

Integrated OOP only

 SUM7880

SUM7880-SPA

BlueChoice Advantage Gold 0 Ded

$20/$45/$70/$100/$150

Standard

Integrated OOP only

 SUM7881

SUM7881-SPA

BlueChoice Advantage Gold 800 Ded

$15/D,$45/D,$70/D,50% (up to $100)/D,50% (up to $150)

Standard

RX Deductible with Integrated OOP

 SUM7882

SUM7882-SPA

BlueChoice Advantage Gold 1000 Ded

$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HRA

RX Deductible with Integrated OOP

 SUM7883

SUM7883-SPA

BlueChoice Advantage Gold 3000 Ded

$10/D,$40/D,$70/D,$100/D,$150

HRA

RX Deductible with Integrated OOP

 SUM7884

SUM7884-SPA

BlueChoice Advantage Silver 5500 Ded

$20/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150)

HRA

RX Deductible with Integrated OOP

 SUM7885

SUM7885-SPA

BlueChoice Advantage Silver 6900 Ded

$20/D,$50/D,$75/D,$100/D,$150

HRA

RX Deductible with Integrated OOP

 SUM7886

SUM7886-SPA

BlueChoice Advantage Bronze 6000 Ded

D,$20/D,$50/D,$70/D,$100/D,$150

HRA

Fully Integrated

 SUM7887

SUM7887-SPA

BlueChoice Advantage HSA/HRA Gold 1900 Ded

D,$10/D,$45/D,$65/D, 50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM7888

SUM7888-SPA

BlueChoice Advantage Silver 2800 BlueFund HSA Ded

D,$15/D,$50/D,$70/D, 50% (up to $100)/D,50% (up to $150)

HSA

Fully Integrated

 SUM7890

SUM7890-SPA

BlueChoice Advantage HSA/HRA Silver 2800 Ded

D,$15/D,$50/D,$70/D, 50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM7889

SUM7889-SPA

BlueChoice Advantage HSA/HRA Silver 3050 Ded

D,$10/D,$45/D,$65/D,$100/D,$150

HSA/HRA/HDHP

Fully Integrated

 SUM7891

SUM7891-SPA

BlueChoice Advantage HSA/HRA Silver 3600 Ded

D,$15/D,$50/D,$100/D, 50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM7892

SUM7892-SPA

BlueChoice Advantage HSA/HRA Bronze 6100 Ded

D,$15/D,$45/D,$75/D, 50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM7893

SUM7893-SPA