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BlueChoice Advantage (CDH) 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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Rx Copay: $0/$45/$65*

Summary of MSGR BlueChoice Advantage HSA Combined Rx Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 1 In: $1,500 Ded; $30/visit |
Out:
$3,000 Ded
SUM1763 Options listed above
Option 2 In: $2,000 Ded; $30/visit |
Out:
$4,000 Ded
SUM1764 Options listed above

*This Rx plan has 50% coinsurance injectables.

Summary of Non-MSGR BlueChoice Advantage HSA/HRA Combined Rx Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 1 In: $1,400 Ded; 100% |
Out:
$2,800 Ded; 70%
SUM1677 $10/$25/$45/50%
Option 2 In: $2,000 Ded; 90% |
Out:
$4,000 Ded; 60%
SUM1712 $10/$25/$45/50%

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

Summary of Non-MSGR BlueChoice Advantage HRA Separate Rx Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 1 In: $1,400 Ded; 100% |
Out:
$2,800 Ded; 70%
SUM1678 Standard Rx Options Available
Option 2 In: $2,000 Ded; 90% |
Out:
$4,000 Ded; 60%
SUM1711 Standard Rx Options Available

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