BlueChoice Advantage 2.0 (HRA and HSA/HRA)
Mid / Large Group Benefit Summaries - District of Columbia

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.

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Options Features Medical Summary Rx Summary
Option 1 In: $1,650 Ded. |
Out:
$3,300 Ded. 100%-70%
SUM7218 Integrated Rx Options
Option 2 In: $2,000 Ded. |
Out:
$4,000 Ded. 90%-60%
SUM7219 Integrated Rx Options
Option 12 In: $2,000 Ded. |
Out
:$4,000 Ded. 100%-60%
SUM7220 Integrated Rx Options
Option 14 In: $2,000 Ded. |
Out
:$4,000 Ded. 100%-80%
SUM7221 Integrated Rx Options
Option 3 In: $1,650 Ded. |
Out
:$3,300 Ded. 90%-70%
SUM7222 Integrated Rx Options
Option 4 In: $1,650 Ded. |
Out
: $3,300 Ded. 80%-60%
SUM7223 Integrated Rx Options
Option 5 In: $2,500 Ded.|
Out
$5,000 Ded. 100%-80%
SUM7224 Integrated Rx Options
Option 6 In: $1,650 Ded.|
Out
:$3,300 Ded. 100%-80%
SUM7225 Integrated Rx Options

All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.

Options Features Medical Summary Rx Summary
BlueChoice Advantage 2.0 HSA/HRA
Option MV 1
$4,000 Deductible SUM7231 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage 2.0 HSA/HRA
Option MV 2
$5,500 Deductible SUM7232 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage 2.0 HSA/HRA
Option MV 3
$3,300 Deductible SUM7233 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage 2.0 HSA/HRA
Option MV 4
$5,000 Deductible SUM7234 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage 2.0 HSA/HRA
Option MV 5
$7,000 Deductible SUM7235 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage 2.0 HSA/HRA
Option MV 6
$3,300 Deductible SUM7236 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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