BlueChoice Advantage
Small Group Off-SHOP - Maryland

Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.

Please note: Not all services and procedures are covered by your benefits contract. Benefit summaries are for comparison purposes only and does not create rights not given through the benefit plan.

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

BlueChoice Advantage

Plan Name Rx Plan Type Integration Status Medical Summary
BlueChoice Advantage Platinum 0 Ded $10/$45/$65/50% (up to $100)/50% (up to $150) Standard Integrated OOP only SUM7400

SUM7400-SPA
BlueChoice Advantage Platinum 500 Ded $0/$45/$65/50% (up to $100)/ 50% (up to $150) Standard Integrated OOP only SUM7401

SUM7401-SPA
BlueChoice Advantage Gold 0 Ded $10/$45/$65/$100/$150 Standard Integrated OOP only SUM7402

SUM7402-SPA
BlueChoice Advantage Gold 800 Ded $10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) Standard RX Deductible with Integrated OOP SUM7403

SUM7403-SPA
BlueChoice Advantage Gold 1000 Ded ON/OFF SHOP $10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HRA RX Deductible with Integrated OOP SUM7404

SUM7404-SPA
BlueChoice Advantage Gold 3000 Ded $10/D,$40/D,$70/D,$100/D,$150 HRA RX Deductible with Integrated OOP SUM7405

SUM7405-SPA
BlueChoice Advantage Silver 5350 Ded $15/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150) HRA RX Deductible with Integrated OOP SUM7406

SUM7406-SPA
BlueChoice Advantage Silver 6900 Ded $15/D,$45/D,$75/D,$100/D,$150 HRA RX Deductible with Integrated OOP SUM7407

SUM7407-SPA
BlueChoice Advantage Bronze 6000 Ded D,$20/D,$50/D,$70/D,$100/D,$150 HRA Fully Integrated SUM7408

SUM7408-SPA
BlueChoice Advantage HSA/HRA Gold 1800 Ded ON/OFF SHOP D,$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7409

SUM7409-SPA
BlueChoice Advantage HSA/HRA Silver 2300 Ded D,$15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7410

SUM7410-SPA
BlueChoice Advantage HSA/HRA Silver 2650 Ded D,$10/D,$45/D,$65/D,$100/D,$150 HSA/HRA/HDHP Fully Integrated SUM7411

SUM7411-SPA
BlueChoice Advantage HSA/HRA Silver 3400 Ded D,$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7412

SUM7412-SPA
BlueChoice Advantage HSA/HRA Bronze 6100 Ded ON/OFF SHOP D,$15/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM7413

SUM7413-SPA