| Plan Name | Rx Plan | Type | Integration Status | Medical Summary |
|---|---|---|---|---|
| BlueChoice HMO Referral Platinum 0 | $10/$45/$65/50% up to $100 max/50% up to $150 max | Non-Integrated | SUM4802 | |
| BlueChoice HMO Referral Gold 0 | $10/$45/$65/50% up to $100 max/50% up to $150 max | Non-Integrated | SUM4803 | |
| BlueChoice HMO Referral Gold 500 | $10/$45/$65/50% up to $100 max/50% up to $150 max | Non-Integrated | SUM4804 | |
| BlueChoice HMO Referral Silver 4000 | $15/$45/$65/50% up to $100 max/50% up to $150 max | HRA | Non-Integrated | SUM4805 |
| BlueChoice HMO Referral Bronze 6500 | $20/$80/$150/$100/$150 | HRA | Non-Integrated | SUM4806 |
| BlueChoice HMO Referral Bronze 8150 | $0/$0/$0/$0/$0 | HRA | Integrated | SUM4807 |
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BlueChoice HMO Referral
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 Referral