BlueChoice HMO HSA/HRA
Mid / Large Group Benefit Summaries - Virginia

The following BlueFund and Compatible HSA & HRA Plans are BlueChoice HMO-based. Whether you choose an option as a BlueFund or Compatible plan, there is no difference in cost.


NOTE: BlueFund Plans integrate with our fund administrator. Compatible Plans do not integrate with a CareFirst fund administrator.

Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

HSA plans require a combined medical and Rx plan.

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Options Features Medical Summary Rx Summary
Option 4 Copay $10/20 $1,650 Ded. SUM4727 Integrated Rx Options
Option 5 Copay $0/0 $2,000 Ded. SUM5802 Integrated Rx Options
Option 8 Copay $20/40 $1,650 Ded. SUM4724 Integrated Rx Options
Option 9 Copay $0/5 $2,500 Ded. SUM4725 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 HMO HSA/HRA
Option MV 1		 $4,000 Deductible SUM4730 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO HSA/HRA
Option MV 3		 $3,300 Deductible SUM5113 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO HSA/HRA
Option MV 4		 $5,000 Deductible SUM5114 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO HSA/HRA
Option MV 5 		$7,000 Deductible SUM6903 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO HSA/HRA
Option MV 6 		$3,300 Deductible SUM6906 Integrated Minimum Value (MV) Rx Options

All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.

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