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 Name Rx Plan Type Integration Status Medical Summary
BlueChoice HMO Platinum 0 Ded $10/$45/$65/50% (up to $100)/50% (up to $150)  Standard Integrated OOP only SUM6944
BlueChoice HMO Gold 800 Ded $10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) Standard RX Deductible with Integrated OOP SUM6945
BlueChoice HMO Gold 1500 Ded ON/OFF SHOP $10/D,$40/D,$70/D,$100/D,$150 HRA RX Deductible with Integrated OOP SUM6946
BlueChoice HMO Gold 3000 Ded $10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HRA RX Deductible with Integrated OOP SUM6947
BlueChoice HMO Silver 1900 Ded $15/D,$50/D,$75/D,50% (up to $100)/D,50% (up to $150) HRA RX Deductible with Integrated OOP SUM6948
BlueChoice HMO Silver 6500 Ded ON/OFF SHOP $15/D,$45/D,$75/D,$100/D,$150 HRA RX Deductible with Integrated OOP SUM6949
BlueChoice HMO Bronze 6000 Ded ON/OFF SHOP $20/D,$50/D,$70/D,$100/D,$150 HRA Fully Integrated SUM6950
BlueChoice HMO HSA/HRA Gold 1700 Ded $10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM6951
BlueChoice HMO HSA/HRA Silver 1950 Ded ON/OFF SHOP $15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM6952
BlueChoice HMO HSA/HRA Silver 2500 Ded $10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM6954
BlueChoice HMO HSA/HRA Silver 2900 Ded ON/OFF SHOP D,$10/D,20%/D,40%/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM6953
BlueChoice HMO HSA/HRA Silver 3400 Ded $10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM6955
BlueChoice HMO HSA/HRA Bronze 6100 Ded D,$15/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150) HSA/HRA/HDHP Fully Integrated SUM6956