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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 SUM4863
BlueChoice HMO Referral Gold 0 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM4864
BlueChoice HMO Referral Gold 500 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4865
BlueChoice HMO
Referral Silver 4000
$15/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4866
BlueChoice HMO Referral Bronze 6500 $20/$80/$150/$100/$150 HRA Non-Integrated SUM4867
BlueChoice HMO Referral Bronze 8150 $0/$0/$0/$0/$0 HRA Integrated SUM4868