BlueChoice HMO Grandfathered/Small Group Non-ACA 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.
|Option 1||Copay $20/$30; $250 per admission copay||CUT5566|
|Option 3||Copay $10/$20||CUT5568|
|Option 4||Copay $5/$10||CUT5569|
|Option 5||Copay $30/$40; $250 per admission copay||CUT6534|
|Option 6 Core with BlueVision||Copay $30/$40; $1,000 per admission copay||CUT9172|
|Option 6 Core without BlueVision||Copay $30/$40; $1,000 per admission copay||CUT6940|
|Option 1||Copay $5/10||CUT5530|
|Option 3||Copay $10/20||CUT5532|
|Option 13||Copay $30/40||CUT6195|
|Option 14||Copay $20/30||CUT6390|
|Option B||Copay $20/30 $500 Ded.||CUT6480|
|Option C||Copay $30/40 $500 Ded.||CUT6481|
|Option F||Copay $30/40 $500 Ded.||CUT6484|