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: All HSA and HRA plans may be offered through our Consumer Driven Health Plan integrated fund administrator or Compatible. Compatible funds do not integrate with CareFirst's 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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