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 Name Rx Plan Type Integration Status Medical Summary
BlueChoice HMO Referral Platinum 0 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM6246
BlueChoice HMO Referral Gold 0 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM6247
BlueChoice HMO Referral Gold 800 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM6248
BlueChoice HMO
Referral Silver 5350 Virtual Connect
$15/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM6249
BlueChoice HMO Referral Bronze 8250 $0/$0/$0/$0/$0 HRA Integrated SUM6250