Due to a planned data migration beginning Friday, July 11 at 11:00 p.m., and continuing through Monday, July 14 at 8:00 a.m., you may experience a delay in your information appearing on CareFirst portals. We expect that changes to member data will be reflected on the portals by Tuesday, July 15. Your patience is appreciated.

Change Healthcare notifying individuals of data breach. Learn more here.

BlueChoice HMO Open Access (CDH) Grandfathered/Small Group Non-ACA Benefit Summaries - Maryland

The following BlueFund and Compatible HSA & HRA Plans are BlueChoice HMO Open Access based. Whether you choose an option as a BlueFund or Compatible plan, there is no difference in cost.

NOTE: BlueFund Plans integrate with our fund administrator. Compatible Plans do not integrate with a CareFirst fund administrator.

Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

HSA plans require a combined medical and Rx plan.

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MSGR BlueChoice HMO HSA (Combined Medical and Rx Deductible)

Rx Copay Options 1,2 & 6: $0/$25/$45 ; Option 3: 75% Member Coinsurance ; Options 4-5: $0/$45/$65

Options	Features	Medical Summary	Rx Summary
Option 2	$2,000 Deductible	CUT6953	Options listed above
Option 3 CORE	$2,700 Deductible	CUT6951	Options listed above
Option 4	$1,500 Deductible	SUM1765	Options listed above
Option 5	$2,000 Deductible	SUM1766	Options listed above
Option 6	$1,300 Deductible	SUM1929	Options listed above

MSGR BlueChoice HMO (Combined Medical & Rx Deductible)

Options	Features	Medical Summary
Option 1	$1,200 Deductible	SUM1934

MSGR BlueChoice HMO HRA (Combined Medical & Rx Deductible)

Options	Features	Medical Summary	Rx Summary
Option 1	$1,500 Deductible	CUT8401	$0/$25/$45
Option 2	$2,000 Deductible	CUT8402	$0/$25/$45

MSGR BlueChoice HMO HRA (Separate Medical and Rx Deductibles)

Options	Features	Medical Summary	Rx Summary
Option 3 CORE	$2,500 Deductible	CUT8403	75% Member Coinsurance

Non-MSGR 1-50 BlueChoice HMO HSA (Combined Medical & Rx Deductible)

Options	Features	Medical Summary	Rx Summary
Option 2	$2,500 Deductible	CUT7006	$0/$25/$45
Option 3	$4,000 Deductible	CUT7007	$0/$25/$45
Option 6	$1,300 Deductible	SUM1866	$0/$25/$45
Option 7	$1,500 Deductible	SUM1920	$0/$25/$45

Non-MSGR BlueChoice HMO HRA (Combined Medical & Rx Deductible)

Options	Features	Medical Summary
Option 1	$1,200 Deductible	SUM1890
Option 2	$2,500 Deductible	CUT7006
Option 3	$4,000 Deductible	CUT7007
Option 7	$1,500 Deductible	SUM1920

Non-MSGR 1-50 BlueChoice HMO HRA (Separate Medical and Rx Deductibles)

Options	Features	Medical Summary
Option 1	$1,200 Deductible	SUM1890
Option 2	$2,500 Deductible	CUT7006
Option 3	$4,000 Deductible	CUT7007

Non-MSGR 1-50 BlueChoice HMO (Combined Medical & Rx Deductible)

Options	Features	Medical Summary
Option 1	$1,200 Deductible	SUM1942

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