BlueChoice HMO Referral
Small Group Off-SHOP - 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.

BlueChoice HMO Referral

Plan NameRx PlanTypeIntegration StatusMedical Summary
BlueChoice HMO Referral Platinum 0 $10/$45/$65/50% up to $100 max/50% up to $150 max Non-Integrated SUM4802
BlueChoice HMO Referral Gold 0 $10/$45/$65/50% up to $100 max/50% up to $150 max Non-Integrated SUM4803
BlueChoice HMO Referral Gold 500 $10/$45/$65/50% up to $100 max/50% up to $150 max Non-Integrated SUM4804
BlueChoice HMO Referral Silver 4000 $15/$45/$65/50% up to $100 max/50% up to $150 max HRA Non-Integrated SUM4805
BlueChoice HMO Referral Bronze 6500 $20/$80/$150/$100/$150 HRA Non-Integrated SUM4806
BlueChoice HMO Referral Bronze 8150 $0/$0/$0/$0/$0 HRA Integrated SUM4807