HealthyBlue PPO (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.

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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51+ HealthyBlue PPO HRA (Separate Medical & Rx Deductibles)

Please select benefit summaries based on a plan's effective date.


OptionsFeaturesMedical Summary
(for plans effective
before 8/1/2016)		Smart Selections
Medical Summary
(for plans effective
8/1/2016 and after)		Rx Summary
Option A
Option A-S		 $300 Deductible SUM2304 SUM3368 Non-Integrated Rx Options
Option B
Option B-S		 $500 Deductible SUM2305 SUM3369 Non-Integrated Rx Options
Option C
Option G-S		 $1,000 Deductible SUM2306 SUM3370 Non-Integrated Rx Options

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

51+ HealthyBlue PPO HSA/HRA (Combined Medical & Rx Deductible)

Please select benefit summaries based on a plan's effective date.

Options Features Medical Summary
(for plans effective
before 8/1/2016)		 Smart Selections
Medical Summary
(for plans effective
8/1/2016 and after)		 Rx Summary
Option D
Option D-S		 $1,500 Deductible SUM2307 SUM3371 Integrated Prescription Options
Option E
Option E-S		 $2,000 Deductible SUM2308 SUM3372 Integrated Prescription Options
Option F
Option F-S		 $2,500 Deductible SUM2309 SUM3373 Integrated Prescription Options

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

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