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BlueChoice HMO HSA/HRA
Mid / Large Group Benefit Summaries - Maryland
The following Consumer Driven Health Plan integrated fund administrator and Compatible HSA & HRA Plans are BlueChoice HMO Open Access based. Whether you choose an option as a Consumer Driven Health Plan integrated fund administrator 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.
| Options | Features | Medical Summary | Rx Summary |
|---|---|---|---|
| Option 4 | Copay $10/20 $1,750 Ded. | SUM4616 | Integrated Rx Options |
| Option 8 | Copay $20/40 $1,750 Ded. | SUM4613 | Integrated Rx Options |
| Option 9 | Copay $0/5 $2,500 Ded. | SUM4614 | 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 HMO HSA/HRA Option MV 1 |
$4,000 Deductible | SUM4619 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice HMO HSA/HRA Option MV 3 |
$3,500 Deductible | SUM5083 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice HMO HSA/HRA Option MV 4 |
$5,000 Deductible | SUM5084 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice HMO HSA/HRA Option MV 5 |
$7,000 Deductible | SUM6885 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice HMO HSA/HRA Option MV 6 |
$3,500 Deductible | SUM6888 | Integrated Minimum Value (MV) Rx Options |
All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.