BlueChoice HMO Open Access (HRA and 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.

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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 CUT7006 Integrated Rx Options
Option 3 $4,000 Deductible CUT7007 Integrated Rx Options
Option 4 $1,750 Deductible CUT7008 Integrated Rx Options
Option 7 $1,750 Deductible SUM4608 Integrated Rx Options
Option 8 $1,750 Deductible SUM4609 Integrated Rx Options
Option 9 $2,500 Deductible SUM4610 Integrated Rx Options
Option 10 $1,750 Deductible SUM4611 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 CUT7006 Integrated Rx Options
Option 3 $4,000 Deductible CUT7007 Integrated Rx Options
Option 4 $1,750 Deductible CUT7008 Integrated Rx Options
Option 6 $1,300 Deductible SUM1866 Integrated Rx Options
Option 7 $1,750 Deductible SUM4608 Integrated Rx Options
Option 8 $1,750 Deductible SUM4609 Integrated Rx Options
Option 9 $2,500 Deductible SUM4610 Integrated Rx Options
Option 10 $1,750 Deductible SUM4611 Integrated Rx Options
Option 11 $2,000 Deductible SUM5767 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 SUM2690 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 3		 $3,500 Deductible SUM5088 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 4		 $5,000 Deductible SUM5089 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 5 		$7,000 Deductible SUM6886 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 6 		$3,500 Deductible SUM6889 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 7 		$5,000 Deductible SUM7618 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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