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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.

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.

BlueChoice HMO

Plan NameRx PlanTypeIntegration StatusMedical Summary
BlueChoice HMO Platinum 0 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM5198
BlueChoice HMO Gold 500 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM5199
BlueChoice HMO Gold 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM5200
BlueChoice HMO Gold 3000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM5201
BlueChoice HMO Silver 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM5202
BlueChoice HMO Silver 5000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM5203
BlueChoice HMO Value Bronze 6000 $20/$50/$70/$100/$150 Integrated SUM5204
BlueChoice HMO HSA/HRA Gold 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5205
BlueChoice HMO HSA/HRA Gold 1500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM5206
BlueChoice HMO HSA/HRA Silver 1500 $15/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5207
BlueChoice HMO HSA/HRA Silver 2000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5208
BlueChoice HMO HSA/HRA Silver 2100 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM5209
BlueChoice HMO HSA/HRA Silver 3000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5210
BlueChoice HMO HSA/HRA Silver 3000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM5211
BlueChoice HMO HSA/HRA Bronze 6100 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5212
BlueChoice HMO HSA/HRA Bronze 6500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM5213