BlueChoice Plus
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.

NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

BlueChoice Plus

Plan Name Rx Plan Type Integration Status Medical Summary

BlueChoice Plus Platinum 500 Ded

$0/$45/$65/50% to $100/50% to $150

Standard

Integrated OOP only

SUM7490

SUM7490-SPA

BlueChoice Plus Gold 800 Ded

$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

Standard

RX Deductible with Integrated OOP

SUM7491

SUM7491-SPA

BlueChoice Plus Gold 1000 Ded

$10/D,$45/D,$65/ 50% (up to $100)/50% (up to $150)

HRA

RX Deductible with Integrated OOP

SUM7492

SUM7492-SPA

BlueChoice Plus HSA/HRA Silver 2300 Ded

D,$15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

SUM7493

SUM7493-SPA

BlueChoice Plus HSA/HRA Silver 3050 Ded

D,$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

SUM7494

SUM7494-SPA

BlueChoice Plus HSA/HRA Silver 3400 Ded

D,$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

SUM7495

SUM7495-SPA

BlueChoice Plus HSA/HRA Bronze 6100 Ded

D,$15/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

SUM7496

SUM7496-SPA