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Minimum Value 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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OptionsFeaturesMedical SummaryRx Summary
BlueChoice HMO
Option MV 1
$4,500 Deductible SUM2699 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
Option MV 2
$5,000 Deductible SUM3314 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
HSA/HRA Option MV 1
$4,000 Deductible SUM4730 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access
HSA/HRA Option MV 1
$4,000 Deductible SUM2698 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage
Option MV 1
$5,000 Deductible SUM2701 Non-Integrated Minimum Value (MV) Rx Options
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 HMO
Option MV 3
$3,000 Deductible SUM5110 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access
Option MV 3
$3,000 Deductible SUM5115 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage
Option MV 3
$3,000 Deductible SUM5105 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
Option MV 4
$5,000 Deductible SUM5111 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access
Option MV 4
$5,000 Deductible SUM5116 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage
Option MV 4
$5,000 Deductible SUM5106 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO HSA/HRA
Option MV 3
$3,000 Deductible SUM5113 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 3
$3,000 Deductible SUM5118 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage HSA/HRA
Option MV 3
$3,000 Deductible SUM5108 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 Open Access HSA/HRA
Option MV 4
$5,000 Deductible SUM5119 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage HSA/HRA
Option MV 4
$5,000 Deductible SUM5109 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
Option MV5
$7,000 Deductible SUM5112 Non-Integrated Minimum Value Rx Options
BlueChoice HMOs Open Access
Option MV5
$7,000 Deductible SUM5117 Non-Integrated Minimum Value Rx Options
BlueChoice Advantage
Option MV5
$7,000 Deductible SUM5107 Non-Integrated Minimum Value Rx Options

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