BlueChoice HMO Open Access
Mid / Large Group Benefit Summaries - Maryland

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.

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OptionsFeaturesMedical SummaryRx Summary
Option 3 Copay $10/20 $0 Ded. CUT6684 Non-Integrated Rx Options
Option 13 Copay $30/40 $0 Ded. CUT6674 Non-Integrated Rx Options
Option 14 Copay $20/30 $0 Ded. CUT6673 Non-Integrated Rx Options
Option B Copay $20/30 $500 Ded. CUT6671 Non-Integrated Rx Options
Option C Copay $30/40 $500 Ded. CUT6670 Non-Integrated Rx Options
Option F * Copay $30/40 $500 Ded. CUT6667 Non-Integrated Rx Options
Option G * Copay $20/30 $500 Ded. CUT8496 Non-Integrated Rx Options
Option H * Copay $20/30 $0 Ded. CUT8497 Non-Integrated Rx Options
Option I Copay $30/40 $500 Ded. CUT8498 Non-Integrated Rx Options
Option J Copay $30/40 $0 Ded. CUT8499 Non-Integrated Rx Options
Option K Copay $20/30 $1,000 Ded. SUM2673 Non-Integrated Rx Options
Option L NEW 10% $1,000 Ded. SUM4603 Non-Integrated Rx Options
Option M NEW $20/20% $1,000 Ded. SUM4604 Non-Integrated Rx Options
Option N NEW Copay $20/40 $1,500 Ded. SUM4605 Non-Integrated Rx Options
Option O NEW Copay $20/40 $2,000 Ded. SUM4606 Non-Integrated Rx Options
Option P NEW Copay $10/20 $500 Ded. SUM4607 Non-Integrated Rx Options

All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.

* This plan is not actively marketed and is for existing groups only. Not available for new business.

OptionsFeaturesMedical SummaryRx Summary
Option 1-S $0 Deductible SUM3277 Non-Integrated Rx Options
Option 2-S $500 Deductible SUM3278 Non-Integrated Rx Options
Option 3-S $1,000 Deductible SUM3279 Non-Integrated Rx Options
Option 4-S $2,000 Deductible SUM3280 Non-Integrated Rx Options
Option 5-S $1,500 Deductible SUM4090 Non-Integrated Rx Options
Option 6-S $3,000 Deductible SUM4091 Non-Integrated Rx Options

All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.

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