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.

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

BluePreferred PPO

Plan Name Rx Plan Type Integration Status Medical Summary

BluePreferred PPO Essential Platinum 0

$5/$15/$25/$100/$100

Standard

Integrated OOP only

 SUM7028

BluePreferred PPO Essential Gold 500

$15/$45/$65/$150/$150

Standard

Fully Integrated

 SUM7032

BluePreferred PPO Essential Silver 4850

$20/D,$50/D,$70/D,$150/D,$150

Standard

RX Deductible with Integrated OOP

 SUM7038

BluePreferred PPO HSA Bronze 6350

D,20%/D,20%/D,20%/D,20% ($150 max)/D,20% ($150 max)

HSA

Fully Integrated

 SUM7029

BluePreferred PPO Essential Bronze 7500

$25/D,$75/D,$100/D,$150/D,$150

Standard

RX Deductible with Integrated OOP

 SUM7030

BluePreferred PPO Platinum 0 Ded

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

Standard

Integrated OOP only

 SUM7027

BluePreferred PPO Platinum 500 Ded

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

Standard

Integrated OOP only

 SUM7031

BluePreferred PPO Gold 800 Ded

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

Standard

RX Deductible with Integrated OOP

 SUM7033

BluePreferred PPO Gold 1000 Ded

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

HRA

RX Deductible with Integrated OOP

 SUM7034

BluePreferred PPO 1200 Ded

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

HRA

RX Deductible with Integrated OOP

 SUM7035

BluePreferred PPO Gold 1500 Ded

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

HRA

RX Deductible with Integrated OOP

 SUM7036

BluePreferred PPO Silver 1900 Ded

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

HRA

RX Deductible with Integrated OOP

 SUM7037

BluePreferred PPO HSA/HRA Silver 1950 Ded

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

HSA/HRA/HDHP

Fully Integrated

 SUM7039

BluePreferred PPO Silver 1950 Ded BlueFund HSA 

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

Standard

Integrated OOP only

 SUM7041

BluePreferred PPO HSA/HRA Silver 2500 Ded

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

HSA/HRA/HDHP

Fully Integrated

 SUM7040