|Plan Name||Rx Plan||Type||Integration Status||Medical Summary|
|BlueChoice HMO Referral Platinum 0||$10/$45/$65/50% to $100/50% to $150||Non-Integrated||SUM5214|
|BlueChoice HMO Referral Gold 0||$10/$45/$65/50% to $100/50% to $150||Non-Integrated||SUM5215|
|BlueChoice HMO Referral Gold 500||$10/$45/$65/50% to $100/50% to $150||Non-Integrated||SUM5216|
Referral Silver 4000
|$15/$45/$65/50% to $100/50% to $150||HRA||Non-Integrated||SUM5217|
|BlueChoice HMO Referral Bronze 8250||$0/$0/$0/$0/$0||HRA||Integrated||SUM5218|
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.