BlueChoice HMO Open Access (HRA and HSA/HRA)
Mid / Large Group Benefit Summaries - District of Columbia

The following BlueFund and Compatible HSA & HRA Plans are BlueChoice HMO Open Access 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.

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51+ BlueChoice HMO Open Access HSA (Combined Medical and Rx Deductible)

Options Features Medical Summary Rx Summary
Option 2 $2,500 Deductible CUT8701 Integrated Rx Options
Option 3 $4,000 Deductible CUT8702 Integrated Rx Options
Option 4 $1,650 Deductible CUT7013 Integrated Rx Options
Option 7 $1,650 Deductible SUM4639 Integrated Rx Options
Option 8 $1,650 Deductible SUM4640 Integrated Rx Options
Option 9 $2,500 Deductible SUM4641 Integrated Rx Options
Option 10 $1,650 Deductible SUM4642 Integrated Rx Options
Option 11 $2,000 Deductible SUM5788 Integrated Rx Options

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

51+ BlueChoice HMO Open Access HRA (Combined Medical and Rx Deductible)

Options Features Medical Summary Rx Summary
Option 2 $2,500 Deductible CUT8701 Integrated Rx Options
Option 3 $4,000 Deductible CUT8702 Integrated Rx Options
Option 4 $1,650 Deductible CUT7013 Integrated Rx Options
Option 6 $1,300 Deductible SUM1874 Integrated Rx Options
Option 7 $1,650 Deductible SUM4639 Integrated Rx Options
Option 8 $1,650 Deductible SUM4640 Integrated Rx Options
Option 9 $2,500 Deductible SUM4641 Integrated Rx Options
Option 10 $1,650 Deductible SUM4642 Integrated Rx Options

Plans may be sold without a funding arrangement.

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

51+ Minimum Value

Options Features Medical Summary Rx Summary
BlueChoice HMO Open Access HSA/HRA
Option MV 1		 $4,000 Deductible SUM2694 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 3		 $3,300 Deductible SUM5103 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 4		 $5,000 Deductible SUM5104 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 5 		$7,000 Deductible SUM6895 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 6 		$3,300 Deductible SUM6898 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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