BlueChoice Advantage
Small Group On-SHOP - District of Columbia

Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.

NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

BlueChoice Advantage

Plan Name Rx Plan Type Integration Status Medical Summary

BlueChoice Advantage Platinum 0 Ded

$10/$45/$65/D,50% (up to $100)/D,50% (up to $150)

Standard

Integrated OOP only

 SUM7452

SUM7452-SPA

BlueChoice Advantage Platinum 500 Ded

 $0/$45/$65/50% (up to $100)/50% (up to $150)

Standard

Integrated OOP only

 SUM7453

SUM7453-SPA

BlueChoice Advantage Gold 0 Ded

$10/$45/$65/$100/$150

Standard

Integrated OOP only

 SUM7454

SUM7454-SPA

BlueChoice Advantage Gold 800 Ded

$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

Standard

RX Deductible with Integrated OOP

 SUM7455

SUM7455-SPA

BlueChoice Advantage Gold 1000 Ded

$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HRA

RX Deductible with Integrated OOP

 SUM7456

SUM7456-SPA

BlueChoice Advantage Gold 3000 Ded

$10/D,$40/D,$70/D,$100/D,$150

HRA

RX Deductible with Integrated OOP

 SUM7457

SUM7457-SPA

BlueChoice Advantage Silver 5350 Ded

$15/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150)

HRA

RX Deductible with Integrated OOP

 SUM7458

SUM7458-SPA

BlueChoice Advantage Silver 6900 Ded

$15/D,$45/D,$75/D,$100/D,$150

HRA

RX Deductible with Integrated OOP

 SUM7459

SUM7459-SPA

BlueChoice Advantage Bronze 6000 Ded

D,$20/D,$50/D,$70/D,$100/D,$150

HRA

Fully Integrated

 SUM7460

SUM7460-SPA

BlueChoice Advantage HSA/HRA Gold 1800 Ded

D,$10/D,$45/D,$65/D, 50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM7461

SUM7461-SPA

BlueChoice Advantage Silver 2300 BlueFund HSA Ded

D,$15/D,$45/D,$65/D, 50% (up to $100)/D,50% (up to $150)

HSA

Fully Integrated

 SUM7463

SUM7463-SPA

BlueChoice Advantage HSA/HRA Silver 2300 Ded

D,$15/D,$45/D,$65/D, 50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM7462

SUM7462-SPA

BlueChoice Advantage HSA/HRA Silver 2650 Ded

D,$10/D,$45/D,$65/D,$100/D,$150

HSA/HRA/HDHP

Fully Integrated

 SUM7464

SUM7464-SPA

BlueChoice Advantage HSA/HRA Silver 3400 Ded

D,$10/D,$45/D,$65/D, 50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM7465

SUM7465-SPA

BlueChoice Advantage HSA/HRA Bronze 6100 Ded

D,$15/D,$45/D,$75/D, 50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM7466

SUM7466-SPA