| Plan Name | Rx Plan | Type | Integration Status | Medical Summary |
|---|---|---|---|---|
| BluePreferred PPO Platinum 0 | $10/$45/$65/50% to $100/50% to $150 | Non-Integrated | SUM6258 | |
| BluePreferred PPO Standard Platinum $0 | $5/$15/$25/ $100/$100 | Non-Integrated | SUM6259 | |
| BluePreferred PPO HSA Standard Bronze $6,350 | 20%/20%/20%/20% to $150/20% to $150 | HSA, HRA, or HDHP | Integrated | SUM6260 |
| BluePreferred PPO Standard Bronze $7,500 | $25/$75/$100/$150/$150 | Non-Integrated | SUM6261 | |
| BluePreferred PPO Platinum 500 | $10/$45/$65/50% to $100/50% to $150 | Non-Integrated | SUM6262 | |
| BluePreferred PPO Standard Gold $500 | $15/$50/$70/$150/$150 | Non-Integrated | SUM6263 | |
| BluePreferred PPO Gold 800 | $10/$45/$65/50% to $100/50% to $150 | Non-Integrated | SUM6264 | |
| BluePreferred PPO Gold 1000 | $10/$45/$65/50% to $100/50% to $150 | HRA | Non-Integrated | SUM6265 |
| BluePreferred PPO 1100 90%/70% | $15/20%/40%/50% to $100/50% to $150 | HRA | Integrated | SUM6266 |
| BluePreferred PPO Gold 1500 | $10/$45/$65/50% to $100/50% to $150 | HRA | Non-Integrated | SUM6267 |
| BluePreferred PPO Silver 1900 | $10/$45/$65/50% to $100/50% to $150 | HRA | Non-Integrated | SUM6268 |
| BluePreferred PPO Standard Silver $4,850 | $20/$50/$70/$150/$150 | Non-Integrated | SUM6269 | |
| BluePreferred PPO HSA/HRA Silver 1600 | $15/$45/$65/50% to $100/50% to $150 | HSA, HRA or HDHP | Integrated | SUM6270 |
| BluePreferred PPO Silver 1600 BlueFund HSA | $15/$45/$65/50% to $100/50% to $150 | HSA | Integrated | SUM6274 |
| BluePreferred PPO HSA/HRA Silver 2000 | $10/$45/$65/50% to $100/50% to $150 | HSA, HRA or HDHP | Integrated | SUM6271 |
| BluePreferred PPO HSA/HRA Silver 2400 70 | $10/$45/$65/$100/$150 | HSA, HRA or HDHP | Integrated | SUM6272 |
| BluePreferred PPO HSA/HRA Silver 2750 80%/60% | $10/20%/40%/50% to $100/50% to $150 | HSA, HRA or HDHP | Integrated | SUM6273 |
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BluePreferred PPO
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.
Please note: Not all services and procedures are covered by your benefits contract. Benefit summaries are for comparison purposes only and does not create rights not given through the benefit plan.
NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.
BluePreferred PPO