Change Healthcare notifying individuals of data breach. Learn more here.
BlueChoice HMO HSA/HRA
Mid / Large Group Benefit Summaries - District of Columbia
The following BlueFund and Compatible HSA & HRA Plans are BlueChoice HMO-based. Whether you choose an option as a BlueFund or Compatible plan, there is no difference in cost.
NOTE: BlueFund Plans integrate with our fund administrator. Compatible Plans do not integrate with a CareFirst fund administrator.
Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.
HSA plans require a combined medical and Rx plan.
Options | Features | Medical Summary | Rx Summary |
---|---|---|---|
Option 4 | Copay $10/20 $1,650 Ded. | SUM4647 | Integrated Rx Options |
Option 5 | Copay $0/0 $2,000 Ded. | SUM5781 | Integrated Rx Options |
Option 8 | Copay $20/40 $1,650 Ded. | SUM4644 | Integrated Rx Options |
Option 9 | Copay $0/5 $2,500 Ded. | SUM4645 | 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 HMO HSA/HRA Option MV 1 |
$4,000 Deductible | SUM4650 | Integrated Minimum Value (MV) Rx Options |
BlueChoice HMO HSA/HRA Option MV 3 |
$3,300 Deductible | SUM5098 | Integrated Minimum Value (MV) Rx Options |
BlueChoice HMO HSA/HRA Option MV 4 |
$5,000 Deductible | SUM5099 | Integrated Minimum Value (MV) Rx Options |
BlueChoice HMO HSA/HRA Option MV 5 |
$7,000 Deductible | SUM6894 | Integrated Minimum Value (MV) Rx Options |
BlueChoice HMO HSA/HRA Option MV 6 |
$3,300 Deductible | SUM6897 | Integrated Minimum Value (MV) Rx Options |
All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.