BlueChoice HMO Open Access (HRA and HSA/HRA)
Mid / Large Group Benefit Summaries - Virginia

The following BlueFund and Compatible HSA & HRA Plans are BlueChoice HMO Open Access 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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51+ BlueChoice HMO Open Access HSA (Combined Medical and Rx Deductible)

BlueChoice HMO HSA Combined Rx Summary of Plan Options
Options Features Medical Summary Rx Summary
Option 2 $2,500 Deductible BRC7043 Integrated Rx Options
Option 3 $4,000 Deductible BRC7044 Integrated Rx Options
Option 4 $1,650 Deductible BRC6563 Integrated Rx Options
Option 7 $1,650 Deductible SUM4719 Integrated Rx Options
Option 8 $1,650 Deductible SUM4720 Integrated Rx Options
Option 9 $2,500 Deductible SUM4721 Integrated Rx Options
Option 10 $1,650 Deductible SUM4722 Integrated Rx Options
Option 11 $2,000 Deductible SUM5809 Integrated Rx Options

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

51+ BlueChoice HMO Open Access HRA (Combined Medical & Rx Deductible)

BlueChoice HMO HRA Combined Rx Summary of Plan Options
Options Features Medical Summary Rx Summary
Option 2 $2,500 Deductible BRC7043 Integrated Rx Options
Option 3 $4,000 Deductible BRC7044 Integrated Rx Options
Option 4 $1,650 Deductible BRC6563 Integrated Rx Options
Option 6 $1,300 Deductible SUM1882 Integrated Rx Options
Option 7 $1,650 Deductible SUM4719 Integrated Rx Options
Option 8 $1,650 Deductible SUM4720 Integrated Rx Options
Option 9 $2,500 Deductible SUM4721 Integrated Rx Options
Option 10 $1,650 Deductible SUM4722 Integrated Rx Options

Plans may be sold without a funding arrangement.

51+ Minimum Value

Options Features Medical Summary Rx Summary
BlueChoice HMO Open Access HSA/HRA
Option MV 1		 $4,000 Deductible SUM2698 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 3		 $3,300 Deductible SUM5118 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 4		 $5,000 Deductible SUM5119 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 5 		$7,000 Deductible SUM6904 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 6 		$3,300 Deductible SUM6907 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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