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BlueChoice Advantage (HRA and HSA/HRA)
Mid / Large Group Benefit Summaries - Virginia
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.
| Options | Features | Medical Summary | Rx Summary |
|---|---|---|---|
| Option 1 | In: $1,650 Ded. | Out: $3,300 Ded. 100%-70% |
SUM1679 | Integrated Rx Options |
| Option 2 | In: $2,000 Ded. | Out: $4,000 Ded. 90%-60% |
SUM1713 | Integrated Rx Options |
| Option 12 | In: $2,000 Ded. | Out:$4,000 Ded. 100%-60% |
SUM5460 | Integrated Rx Options |
| Option 14 | In: $2,000 Ded. | Out:$4,000 Ded. 100%-80% |
SUM5816 | Integrated Rx Options |
| Option 3 | In: $1,650 Ded. | Out:$3,300 Ded. 90%-70% |
SUM4705 | Integrated Rx Options |
| Option 4 | In: $1,650 Ded. | Out: $3,300 Ded. 80%-60% |
SUM4706 | Integrated Rx Options |
| Option 5 | In: $2,500 Ded.| Out $5,000 Ded. 100%-80% |
SUM4707 | Integrated Rx Options |
| Option 6 | In: $1,650 Ded.| Out:$3,300 Ded. 100%-80% |
SUM4708 | Integrated Rx Options |
All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.
| Options | Features | Medical Summary | Rx Summary |
|---|---|---|---|
| BlueChoice Advantage HSA/HRA Option MV 1 |
$4,000 Deductible | SUM2700 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 2 |
$5,500 Deductible | SUM3309 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 3 |
$3,300 Deductible | SUM5108 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 4 |
$5,000 Deductible | SUM5109 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 5 |
$7,000 Deductible | SUM6905 | Integrated Minimum Value (MV) Rx Options |
| BlueChoice Advantage HSA/HRA Option MV 6 |
$3,300 Deductible | SUM6908 | Integrated Minimum Value (MV) Rx Options |
All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.