Prescription Drug Plans Grandfathered/Small Group Non-ACA 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.

District of Columbia Rx

Options Features Rx Summary
Option 1* $0 Ded., $0/25/45/50% up to $75 max SUM2798
Option 2 $100 Ded., $0/25/45/50% up to $75 max SUM2799
Option 4 $0 Ded; $8/15/30 SUM2800
Option 7 $0 Ded; $10/20/35 SUM2801
Option 12 $0 Ded; $10/25/45/50% up to $75 max SUM2802
Option 15 $100 Ded; $10/25/45/50% up to $75 max SUM2803
Option 18 $200 Ded; $10/25/45/50% up to $75 max SUM2804
Option 21* $0 Ded; $15/35/60/50% up to $100 max SUM2805
Option 24 $100 Ded; $15/35/60/50% up to $100 max SUM2806
Option 27* $200 Ded; $15/35/60/50% up to $100 max SUM2807
*Also available with self-insured medical plans purchased for 100-199.