BluePreferred (CDH) Grandfathered/Small Group Non-ACA Benefit Summaries - Maryland
The following BlueFund and Compatible HSA & HRA Plans are BluePreferred based. Whether you choose an option as a BlueFund or Compatible plan, there is no difference in cost.
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.
Rx Copay (Options 1-3, 7): $0/$25/$45, $15/$25/$50
Rx Copay (Option 5): 75% Member Coinsurance
Rx Copay (Option 8):$0/$45/$65
Options | Features | Medical Summary | Rx Summary |
---|---|---|---|
Option 2 | In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
CUT6789 | Options listed above |
Option 3 | In: $2,500 Ded; 100% | Out: $5,000 Ded; 80% |
CUT6790 | Options listed above |
Option 5 (CORE) | In: $2,700 Ded; 80% | Out: $5,400 Ded; 60% |
CUT6787 | Options listed above |
Option 7 | In: $1,300 Ded; 90% | Out: $2,600 Ded; 70% |
SUM1931 | Options listed above |
Option 8 | In: $1,500 Ded; 90% | Out: $3,000 Ded; 70% |
SUM1932 | Options listed above |
Options | Features | Medical Summary |
---|---|---|
Option 1 | In: $1,200 Ded; 90% | Out: $2,400 Ded; 70% |
SUM1936 |
Options | Features | Medical Summary | Rx Summary |
---|---|---|---|
Option 8 | In: $1,500 Ded; 90% | Out: $3,000 Ded; 70% |
SUM1933 | $0/$45/$65 |
Rx Copay (All Options): $0/$25/$45 , $10/$25/$45
Options | Features | Medical Summary | Rx Summary |
---|---|---|---|
Option 3 | In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
CUT6740 | Options listed above |
Option 4 | In: $2,700 Ded; 100% | Out: $5,400 Ded; 80% |
CUT6741 | Options listed above |
Option 6 | In: $1,300 Ded; 100% | Out: $2,600 Ded; 80% |
SUM1868 | Options listed above |
Option 7 | In: $1,300 Ded; 90% | Out: $2,600 Ded; 70% |
SUM1871 | Options listed above |
Option 8 | In: $1,500 Ded; 100% | Out: $3,000 Ded; 80% |
SUM1869 | Options listed above |
Option 9 | In: $1,500 Ded; 90% | Out: $3,000 Ded; 70% |
SUM1872 | Options listed above |
Rx Copay (All Options): $0/$25/$45, $10/$25/$45
Options | Features | Medical Summary | Rx Summary |
---|---|---|---|
Option 1 | In: $1,000 Ded; 100% | Out: $2,000 Ded; 80% |
CUT6733 | Options listed above |
Option 2 | In: $1,000 Ded; 90% | Out: $2,000 Ded; 70% |
CUT6734 | Options listed above |
Option 3 | In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
CUT6735 | Options listed above |
Option 4 | In: $3,000 Ded; 100% | Out: $6,000 Ded; 80% |
CUT6736 | Options listed above |
Option 5 | In: $5,000 Ded; 100% | Out: $10,000 Ded; 80% |
CUT6737 | Options listed above |
Option 8 | In: $1,500 Ded; 100% | Out: $3,000 Ded; 80% |
SUM1870 | Options listed above |
Option 9 | In: $1,500 Ded; 90% | Out: $3,000 Ded; 70% |
SUM1873 | Options listed above |
Options | Features | Medical Summary |
---|---|---|
Option 1 | In: $1,000 Ded; 100% | Out: $2,000 Ded; 80% |
CUT6728 |
Option 2 | In: $1,000 Ded; 90% | Out: $2,000 Ded; 70% |
CUT6729 |
Option 3 | In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
CUT6730 |
Option 4 | In: $3,000 Ded; 100% | Out: $6,000 Ded; 80% |
CUT6731 |
Option 5 | In: $5,000 Ded; 100% | Out: $10,000 Ded; 80% |
CUT6732 |