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Maryland Vision Benefit Summaries
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.
BlueVision is not included in ACA Small Group Medical Plans.
| Options | Features | Vision Summary |
|---|---|---|
|
Option 1 |
Grandfathered MSGR: Core to BlueChoice HMO Open Access, BlueChoice HMO Open Access HRA (may be purchased with Option 3), BlueChoice HMO (may be purchased with Option 6) |
BRC6420 |
|
Option 2 |
Grandfathered MSGR: Core to BlueChoice Opt-Out Open Access, BlueChoice Opt-Out Plus Open Access |
BRC6421 |
|
Option 3 |
Grandfathered MSGR: Core to BluePreferred, BluePreferred HRA, SPPP (may be purchased with Option D), BlueChoice Advantage (all plans) |
BRC6422 |
| Options | Features | Vision Summary |
|---|---|---|
|
Option 1 |
$0 exam copay / 12 month benefit period |
BRC6424 |
|
Option 2 |
$0 exam copay / 24 month benefit period |
BRC6425 |
|
Option 3 |
$10 exam copay / 12 month benefit period |
BRC6426 |
|
Option 4 |
$10 exam copay / 24 month benefit period |
BRC6427 |
|
Option 5 |
$0 exam copay / 12/12/24 month benefit period |
SUM6507 |
|
Option 6 |
$10 exam copay / 12/12/24 month benefit period |
SUM6508 |
| Options | Features | Vision Summary |
|---|---|---|
|
Option A |
$0 exam copay / 12/12/24 month benefit period |
SUM1674 |
|
Option B |
$10 exam copay / 12/12/24 month benefit period |
SUM1723 |
|
Option C |
$0 exam copay / 12 month benefit period |
SUM1724 |
|
Option D |
$10 exam copay / 12 month benefit period |
SUM1725 |
|
Option E |
$0 exam copay / 12/12/24 month benefit period |
SUM6473 |
|
Option F |
$10 exam copay / 12/12/24 month benefit period |
SUM6474 |
|
Option G |
$0 exam copay / 12 month benefit period |
SUM6475 |
|
Option H |
$10 exam copay / 12 month benefit period |
SUM6476 |
|
Option I |
$0 exam copay / 12/12/24 month benefit period |
SUM6477 |
|
Option J |
$10 exam copay / 12/12/24 month benefit period |
SUM6478 |
|
Option K |
$0 exam copay / 12 month benefit period |
SUM6479 |
|
Option L |
$10 exam copay / 12 month benefit period |
SUM6480 |
|
Option M |
$0 exam copay / 12/12/24 month benefit period |
SUM6481 |
|
Option N |
$10 exam copay / 12/12/24 month benefit period |
SUM6482 |
|
Option O |
$0 exam copay / 12 month benefit period |
SUM6483 |
|
Option P |
$10 exam copay / 12 month benefit period |
SUM6484 |
|
Option Q |
$0 exam copay / 12/12/12 month benefit period |
SUM7642 |
|
Option R |
$10 exam copay / 12/12/12 month benefit period |
SUM7641 |
|
Option S |
$0 exam copay / 12/12/12 month benefit period |
SUM7640 |
|
Option T |
$10 exam copay / 12/12/12 month benefit period |
SUM7639 |