Non-Integrated Minimum Value Prescription Options
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.

Formulary 3 Non-Integrated Rx Options

Options for Minimum Value plans only.

 

Options Features PDF Summary
Option C
(Minimum Value)		 $0 Ded, $15/$35/$60/50% up to $100/50% up to $150 SUM6882
Option E
(Minimum Value)		 $0 Ded, $15/$50/$100/50%/50% SUM4030
Option I
(Minimum Value)		 $500 Ded, $15/$35/$60/50%/50% SUM4034
Option J
(Minimum Value)		 $500 Ded, $15/$50/$100/50%/50% SUM4035


NOTE: Minimum Value has mandatory generic substitution.