As of January 15, CareFirst will now reimburse members for over-the-counter at-home COVID-19 tests. Learn more.

BluePreferred PPO - Small Group Off-SHOP Applications - Virginia

BluePreferred PPO (including HSA/HRA)

Group SizeGroup Subscriber Enrollment FormGroup Contract ApplicationPoint of Enrollment
2-50 SUM4735 (for plans effective between 1/1/20 and 12/31/20)

SUM5065 (for plans effective 1/1/21 and after)