BlueChoice Plus
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 Plus

Plan Name Rx Plan Type Integration Status Medical Summary

BlueChoice Plus Platinum 0 Ded

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

Standard

Integrated OOP only

 SUM7915

SUM7915-SPA

BlueChoice Plus Gold 800 Ded

$15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

Standard

RX Deductible with Integrated OOP

 SUM7917

SUM7917-SPA

BlueChoice Plus Gold 1000 Ded

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

HRA

RX Deductible with Integrated OOP

 SUM7918

SUM7918-SPA

BlueChoice Plus 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

 SUM7919

SUM7919-SPA

BlueChoice Plus HSA/HRA Silver 3350 Ded

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

HSA/HRA/HDHP

Fully Integrated

 SUM7920

SUM7920-SPA

BlueChoice Plus HSA/HRA Silver 3600 Ded

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

HSA/HRA/HDHP

Fully Integrated

 SUM7921

SUM7921-SPA

BlueChoice Plus 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

 SUM7922

SUM7922-SPA