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Non-Integrated Prescription Options
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.
Please note: Not all services and procedures are covered by your benefits contract. Benefit summaries are for comparison purposes only and does not create rights not given through the benefit plan.
NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.
Minimum Value plans have other options.
| Options | Features | PDF Summary |
|---|---|---|
| Option A | $0 Ded., $0/$25/$45/50%/50% | SUM4064 |
| Option B | $0 Ded., $10/$25/$45/50%/50% | SUM4063 |
| Option C | $0 Ded., $15/$35/$60/50%/50% | SUM4065 |
| Option D | $0 Ded., $15/$45/$70/50%/50% | SUM4066 |
| Option E | $0 Ded., $15/$50/$100/50%/50% | SUM4067 |
| Option F | $100 Ded., $15/$35/$60/50%/50% | SUM4069 |
| Option G | $200 Ded., $15/$35/$60/50%/50% | SUM4070 |
NOTE: These options have restricted generic substitution.