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Prescription Drug Plans 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.
| Options | Features | Rx Summary |
|---|---|---|
| Option 1 | $0 Ded., $0/25/45/50% up to $75 max | CUT7046 |
| Option 2 | $100 Ded., $0/25/45/50% up to $75 max | CUT7047 |
| Option 3 | $0 Ded., $8/15/30 | CUT5707 |
| Option 4 | $0 Ded., $10/20/30 | CUT5708 |
| Option 5 | $50 Ded., $10/20/30 | CUT5709 |
| Option 9 | $0 Ded, $15/25/50 | CUT6573 |
| Option 10 | $250 Ded, $15/25/50 | CUT6569 |
| Option 11 | $2500 Ded, 75% coinsurance CORE | CUT6945 |
| Options | Features | Rx Summary |
|---|---|---|
| Option 2 | $0 Ded., $8/$15/$30 | SUM2808 |
| Option 4 | $0 Ded., $10/$20/$35 | SUM2809 |
| Option 8* | $0 Ded; $0/$25/$45/50% up to $75 max | SUM2780 |
| Option 9 | $100 Ded., $0/$25/$45/50% up to $75 max | SUM2781 |
| Option 12 | $0 Ded; $10/25/45/50% up to $75 max | SUM2782 |
| Option 15 | $100 Ded; $10/25/45/50% up to $75 max | SUM2783 |
| Option 18 | $200 Ded; $10/25/45/50% up to $75 max | SUM2784 |
| Option 21* | $0 Ded; $15/35/60/50% up to $100 max | SUM2785 |
| Option 24 | $100 Ded; $15/35/60/50% up to $100 max | SUM2786 |
| Option 27* | $200 Ded; $15/35/60/50% up to $100 max | SUM2787 |
| *Also available with self-insured medical plans purchased for 100-199. | ||