Due to a planned data migration beginning Friday, July 11 at 11:00 p.m., and continuing through Monday, July 14 at 8:00 a.m., you may experience a delay in your information appearing on CareFirst portals. We expect that changes to member data will be reflected on the portals by Tuesday, July 15. Your patience is appreciated.
Change Healthcare notifying individuals of data breach. Learn more here.
CDH - BlueChoice HMO Open Access - Virginia
Note: If the group is adding a BlueFund HRA at renewal or purchasing it as a new group, the group must complete the HRA Plan Design Guide as well as the Employer ACH Authorization.
CDH - BlueChoice HMO Open Access
| Group Size | Group Subscriber Enrollment Form | Group Contract Application | Point of Enrollment |
|---|---|---|---|
| 2-50 BlueFund BlueChoice HSA (product other than VA & ES) | CUT6191 | N/A | N/A |
| 2-50 BlueChoice HSA or HRA Compatible Plans (product other than VA & ES) | CUT6191 | N/A | N/A |
| 2-50 BlueFund BlueChoice HRA (product other than VA & ES) | CUT6191 | N/A | N/A |
| 2-50 BlueChoice High Deductible Health Plans (product other than VA & ES) | CUT6191 | N/A | N/A |
| 51+ BlueFund BlueChoice HSA (product other than VA & ES) | CUT6191 | VA/CFBC/GCA/LG (R. 3/14) (BC(HMO), BCOO(OA), HB(HMO), HB2) | VA/GHMSI/ CFBC/POE/ GCA/LG (R. 3/14) |
| 51+ BlueChoice HSA or HRA Compatible Plans (product other than VA & ES) | CUT6191 | VA/CFBC/GCA/LG (R. 3/14) (BC(HMO), BCOO(OA), HB(HMO), HB2) | VA/GHMSI/ CFBC/POE/ GCA/LG (R. 3/14) |
| 51+ BlueFund BlueChoice HRA (product other than VA & ES) | CUT6191 | VA/CFBC/GCA/LG (R. 3/14) (BC(HMO), BCOO(OA), HB(HMO), HB2) | VA/GHMSI/ CFBC/POE/ GCA/LG (R. 3/14) |
| 51+ BlueChoice High Deductible Health Plans (product other than VA & ES) | CUT6191 | VA/CFBC/GCA/LG (R. 3/14) (BC(HMO), BCOO(OA), HB(HMO), HB2) | VA/GHMSI/ CFBC/POE/ GCA/LG (R. 3/14) |