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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.

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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


Summary of MSGR HSA Combined Rx Plan Options
OptionsFeaturesMedical SummaryRx 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
Summary of MSGR Combined Rx Plan Options
OptionsFeaturesMedical Summary
Option 1 In: $1,200 Ded; 90% |
Out: $2,400 Ded; 70%
SUM1936
Summary of MSGR HRA Combined Rx Plan Option
OptionsFeaturesMedical SummaryRx Summary
Option 8 In: $1,500 Ded; 90% |
Out: $3,000 Ded; 70%
SUM1933 $0/$45/$65
Summary of MSGR HRA Separate Rx Plan Options
OptionsFeaturesMedical Summary
Option 10 In: $1,200 Ded; 100% |
Out: $2,400 Ded; 80%
CUT6581
Option 11 In: $2,000 Ded; 100% |
Out: $4,000 Ded; 80%
CUT6582

Rx Copay (All Options): $0/$25/$45 , $10/$25/$45


Summary of Non-MSGR HSA Combined Rx Plan Options
OptionsFeaturesMedical SummaryRx 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


Summary of Non-MSGR HRA Combined Rx Plan Options
OptionsFeaturesMedical SummaryRx 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
Summary of Non-MSGR BluePreferred HRA Separate Rx Plans and Options
OptionsFeaturesMedical 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
Summary of Non-MSGR BluePreferred Combined Rx Plan Options
OptionsFeaturesMedical Summary
Option 1 In: $1,200 Ded; 100% |
Out: $2,400 Ded; 80%
SUM1944
Option 2 In: $1,200 Ded; 90% |
Out: $2,400 Ded; 70%
SUM1945

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