BlueChoice HMO Open Access (CDH) Grandfathered/Small Group Non-ACA 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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VA 1-50 BlueChoice HMO HSA (Combined Medical & Rx Deductible)

Summary of BlueChoice HMO HSA Combined Rx Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 2 $2,500 Deductible BRC6561 $0/$25/$45
Option 3 $4,000 Deductible BRC6562 $0/$25/$45
Option 6 $1,300 Deductible SUM1902 $0/$25/$45
Option 7 $1,500 Deductible SUM1903 $0/$25/$45

VA 1-50 BlueChoice HMO HRA (Combined Medical & Rx Deductible)

Summary of BlueChoice HMO HRA Combined Rx Plan Options
OptionsFeaturesMedical Summary
Option 1 $1,200 Deductible SUM1925
Option 2 $2,500 Deductible BRC6561
Option 3 $4,000 Deductible BRC6562
Option 7 $1,500 Deductible SUM1903

VA 1-50 BlueChoice HMO HRA (Separate Medical and Rx Deductibles)

Summary of BlueChoice HMO HRA Separate Rx Plan Options
OptionsFeaturesMedical Summary
Option 1 $1,200 Deductible SUM1925
Option 2 $2,500 Deductible BRC6561
Option 3 $4,000 Deductible BRC6562

VA 1-50 BlueChoice HMO (Combined Medical & Rx Deductible)

Summary of BlueChoice HMO Combined Rx Plan Options
OptionsFeaturesMedical Summary
Option 1 $1,200 Deductible SUM1958

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