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BlueChoice HMO Referral
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 Referral

Plan NameRx PlanTypeIntegration StatusMedical Summary
BlueChoice HMO Referral Platinum 0 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM4386
BlueChoice HMO Referral Gold 0 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM4387
BlueChoice HMO Referral Gold 500 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4388
BlueChoice HMO Referral Gold 80 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4389
BlueChoice HMO Referral Silver 70 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4390
BlueChoice HMO
Referral Silver 4000
$10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4391
BlueChoice HMO Referral Bronze 5750 $20/$75/$150/$100/$150 HRA Non-Integrated SUM4392