BlueChoice HMO
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 HMO

Plan NameRx PlanTypeIntegration StatusMedical Summary
BlueChoice HMO Platinum 0 $10/$45/$65/50% up to $100 max/50% up to $150 max   Non-Integrated SUM4784
BlueChoice HMO Gold 500 $10/$45/$65/50% up to $100 max/50% up to $150 max Non-Integrated SUM4785
BlueChoice HMO Gold 1500 $10/$45/$65/50% up to $100 max/50% up to $150 max HRA Non-Integrated SUM4787
BlueChoice HMO Gold 3000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM4788
BlueChoice HMO Silver 1500 $10/$45/$65/50% up to $100 max/50% up to $150 max HRA Non-Integrated SUM4789
BlueChoice HMO Silver 5000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM4790
BlueChoice HMO HSA/HRA Gold 1500 $10/$45/$65/50% up to $100 max/50% up to $150 max HSA, HRA or HDHP Integrated SUM4791
BlueChoice HMO HSA/HRA Gold 1500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4792
BlueChoice HMO HSA/HRA Silver 1500 $10/$45/$65/50% up to $100 max/50% up to $150 max HSA, HRA or HDHP Integrated SUM4793
BlueChoice HMO HSA/HRA Silver 2000 $10/$45/$65/50% up to $100 max/50% up to $150 max HSA, HRA or HDHP Integrated SUM4795
BlueChoice HMO HSA/HRA Silver 2000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4796
BlueChoice HMO HSA/HRA Silver 2500 $10/$45/$65/50% up to $100 max/50% up to $150 max HSA, HRA, or HDHP Integrated SUM4797
BlueChoice HMO HSA/HRA Silver 3000 $10/$45/$65/50% up to $100 max/50% up to $150 max HSA, HRA or HDHP Integrated SUM4798
BlueChoice HMO HSA/HRA Silver 3000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4799
BlueChoice HMO HSA/HRA Bronze 6000 $10/$45/$65/50% up to $100 max/50% up to $150 max HSA, HRA or HDHP Integrated SUM4800
BlueChoice HMO HSA/HRA Bronze 6000 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4801