BlueChoice HMO
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 HMO

Plan NameRx PlanTypeIntegration StatusMedical Summary
BlueChoice HMO Platinum 0 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4847
BlueChoice HMO Gold 500 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4848
BlueChoice HMO Gold 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4849
BlueChoice HMO Gold 3000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM4850
BlueChoice HMO Silver 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4851
BlueChoice HMO Silver 5000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM4852
BlueChoice HMO HSA/HRA Gold 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4853
BlueChoice HMO HSA/HRA Gold 1500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4854
BlueChoice HMO HSA/HRA Silver 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4855
BlueChoice HMO HSA/HRA Silver 2000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4856
BlueChoice HMO HSA/HRA Silver 2000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4857
BlueChoice HMO HSA/HRA Silver 2500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4858
BlueChoice HMO HSA/HRA Silver 3000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4859
BlueChoice HMO HSA/HRA Silver 3000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4860
BlueChoice HMO HSA/HRA Bronze 6000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4861
BlueChoice HMO HSA/HRA Bronze 6000 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4862