BlueChoice HMO Open Access
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.

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BlueChoice HMO Open Access Summary of Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 3 Copay $10/20 $0 Ded. BRC6971 Non-Integrated Rx Options
Option 13 Copay $30/40 $0 Ded. BRC6981 Non-Integrated Rx Options
Option 14 Copay $20/30 $0 Ded. BRC6982 Non-Integrated Rx Options
Option B Copay $20/30 $500 Ded. BRC6984 Non-Integrated Rx Options
Option C Copay $30/40 $500 Ded. BRC6985 Non-Integrated Rx Options
Option F * Copay $30/40 $500 Ded. BRC6988 Non-Integrated Rx Options
Option G * Copay $20/30 $500 Ded. BRC6908 Non-Integrated Rx Options
Option H * Copay $20/30 $0 Ded. BRC6909 Non-Integrated Rx Options
Option I Copay $30/40 $500 Ded. BRC6910 Non-Integrated Rx Options
Option J Copay $30/40 $0 Ded. BRC6911 Non-Integrated Rx Options
Option K Copay $20/30 $1,000 Ded. SUM2687 Non-Integrated Rx Options
Option L NEW 10% $1,000 Ded. SUM4714 Non-Integrated Rx Options
Option M NEW $20/20% $1,000 Ded. SUM4715 Non-Integrated Rx Options
Option N NEW Copay $20/40 $1,500 Ded. SUM4716 Non-Integrated Rx Options
Option O NEW Copay $20/40 $2,000 Ded. SUM4717 Non-Integrated Rx Options
Option P NEW Copay $10/20 $500 Ded. SUM4718 Non-Integrated Rx Options

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

* This plan is not actively marketed and is for existing groups only. Not available for new business.


BlueChoice HMO Open Access Smart Selections Summary of Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 1-S $0 Deductible SUM3315 Non-Integrated Rx Options
Option 2-S $500 Deductible SUM3316 Non-Integrated Rx Options
Option 3-S $1,000 Deductible SUM3317 Non-Integrated Rx Options
Option 4-S $2,000 Deductible SUM3318 Non-Integrated Rx Options
Option 5-S $1,500 Deductible SUM4104 Non-Integrated Rx Options
Option 6-S $3,000 Deductible SUM4105 Non-Integrated Rx Options

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

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