BlueChoice HMO
Small Group Off-SHOP - Maryland

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 HMO

Plan Name Rx Plan Type Integration Status Medical Summary
BlueChoice HMO Platinum 0 Ded $15/$45/$70/50% (up to $100)/50% (up to $150)  Standard Integrated OOP only SUM7843

SUM7843-SPA
BlueChoice HMO Gold 800 Ded $15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) Standard RX Deductible with Integrated OOP SUM7844

SUM7844-SPA
BlueChoice HMO Gold 1500 Ded ON/OFF SHOP $10/D,$45/D,$70/D,50% (up to $100)/D,50% (up to $150) HRA RX Deductible with Integrated OOP SUM7845

SUM7845-SPA
BlueChoice HMO Gold 3000 Ded $10/D,$40/D,$70/D,50% (up to $100)/D,50% (up to $150) HRA RX Deductible with Integrated OOP SUM7846

SUM7846-SPA
BlueChoice HMO Silver 2200 Ded $15/D,$50/D,$75/D,50% (up to $100)/D,50% (up to $150) HRA RX Deductible with Integrated OOP SUM7847

SUM7847-SPA
BlueChoice HMO Silver 6900 Ded ON/OFF SHOP $15/D,$45/D,$75/D,$100/D,$150 HRA RX Deductible with Integrated OOP SUM7848

SUM7848-SPA
BlueChoice HMO Bronze 6000 Ded ON/OFF SHOP $20/D,$50/D,$70/D,$100/D,$150 HRA Fully Integrated SUM7849

SUM7849-SPA
BlueChoice HMO HSA/HRA Gold 1900 Ded $10/D,$45/D,$70/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7850

SUM7850-SPA
BlueChoice HMO HSA/HRA Silver 2800 Ded ON/OFF SHOP $15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7851

SUM7851-SPA
BlueChoice HMO HSA/HRA Silver 3050 Ded $15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7852

SUM7852-SPA
BlueChoice HMO HSA/HRA Silver 3150 Ded ON/OFF SHOP D,$15/D,20%/D,40%/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7853

SUM7853-SPA
BlueChoice HMO HSA/HRA Silver 3600 Ded $15/D,$50/D,$70/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7854

SUM7854-SPA
BlueChoice HMO 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 SUM7855

SUM7855-SPA