BlueChoice HMO
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.

Spanish benefit summaries are available upon request. Please contact your CareFirst sales representative for more information.

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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OptionsFeaturesMedical SummaryRx Summary
Option 3 Copay $10/20 $0 Ded. CUT8605 Non-Integrated Rx Options
Option 13 Copay $30/40 $0 Ded. CUT8615 Non-Integrated Rx Options
Option 14 Copay $20/30 $0 Ded. CUT8616 Non-Integrated Rx Options
Option B Copay $20/30 $500 Ded. CUT8618 Non-Integrated Rx Options
Option C Copay $30/40 $500 Ded. CUT8619 Non-Integrated Rx Options
Option I Copay $30/40 $500 Ded. CUT8422 Non-Integrated Rx Options
Option J Copay $30/40 $0 Ded. CUT8423 Non-Integrated Rx Options
Option L 10% $1,000 Ded. SUM4629 Non-Integrated Rx Options
Option M $20/20% $1,000 Ded. SUM4630 Non-Integrated Rx Options
Option N Copay $20/40 $1,500 Ded. SUM4631 Non-Integrated Rx Options
Option O Copay $20/40 $2,000 Ded. SUM4632 Non-Integrated Rx Options
Option P Copay $10/20 $500 Ded. SUM4633 Non-Integrated Rx Options

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


OptionsFeaturesMedical SummaryRx Summary
Option 1-S $0 Deductible SUM3291 Non-Integrated Rx Options
Option 2-S $500 Deductible SUM3292 Non-Integrated Rx Options
Option 3-S $1,000 Deductible SUM3293 Non-Integrated Rx Options
Option 4-S $2,000 Deductible SUM3294 Non-Integrated Rx Options
Option 5-S $1,500 Deductible SUM4095 Non-Integrated Rx Options
Option 6-S $3,000 Deductible SUM4096 Non-Integrated Rx Options

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

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