| Plan Name | Rx Plan | Type | Integration Status | Medical Summary |
|---|---|---|---|---|
| BlueChoice HMO Referral Platinum 0 Ded | $10/$45/$65/50% (up to $100)/,50% (up to $150) | Standard | Integrated OOP only | SUM7427 SUM7427-SPA |
| BlueChoice HMO Referral Gold 0 Ded | $10/$45/$65/50% (up to $100)/,50% (up to $150) | Standard | Integrated OOP only | SUM7428 SUM7428-SPA |
| BlueChoice HMO Referral Gold 800 Ded | $10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150) | Standard | RX Deductible with Integrated OOP | SUM7429 SUM7429-SPA |
| BlueChoice HMO Referral Silver 5350 Ded | $15/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150) | HRA | RX Deductible with Integrated OOP | SUM7430 SUM7430-SPA |
| BlueChoice HMO Referral HSA/HRA Bronze 6200 Ded ON/OFF SHOP | D,$15/D,20%/D,40%/D,50% (up to $100)/D,50% (up to $150) | HSA/HRA/HDHP | Fully Integrated | SUM7432 SUM7432-SPA |
| BlueChoice HMO Referral Bronze 8900 Ded | D,$0/D,$0/D,$0/D,$0/D,$0 | HRA | Fully Integrated | SUM7431 SUM7431-SPA |
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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.
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 Referral