BlueChoice Opt-Out Open Access 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.

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MSGR

Summary of MSGR Plan Options
OptionsFeaturesMedical Summary
Option 1 In: Copay $10/20 |
Out: 80%-20%		 CUT5960
Option 3 In: Copay $20/30 |
Out: 80%-20%		 CUT5962
Option 4 In: Copay $10/20 |
Out: 60%-40%		 CUT5963
Option 6 In: Copay $20/30 |
Out: 60%-40%		 CUT5965

Non-MSGR 1-50

Summary of Non-MSGR Plan Options
OptionsFeaturesMedical Summary
Option 2 In: Copay $10/20 |
Out: 80%-20%		 CUT5967
Option 4 In: Copay $20/30 |
Out: 80%-20%		 CUT5969
Option 6 In: Copay $10/20 |
Out: 60%-40%		 CUT5971
Option 8 In: Copay $20/30 |
Out: 60%-40%		 CUT5973
Option 13 In: Copay $30/40 |
Out: 80%-20%		 CUT6393
Option 14 In: Copay $30/40 |
Out: 60%-40%		 CUT6395
Option B Copay $20/30 $500 Ded. CUT6486
Option F Copay $30/40 $500 Ded. CUT6490
Option H Copay $20/30 $500 Ded. CUT6492
Option L Copay $30/40 $500 Ded. CUT6496

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