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BlueChoice Opt-Out Plus Open Access (CDH) Grandfathered/Small Group Non-ACA Benefit Summaries - Virginia

The following BlueFund and Compatible HSA & HRA Plans are BlueChoice Opt-Out Plus 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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Summary of BlueChoice Opt-Out Plus HSA Combined Rx Plan Options
OptionsFeaturesMedical SummaryRx Summary
Option 2 In: $2,500 Ded; 100% |
Out: $3,750 Ded; 80%
BRC6552 $0/$25/$45
Option 3 In: $4,000 Ded; 100% |
Out: $6,000 Ded; 80%
BRC6553 $0/$25/$45
Option 6 In: $1,300 Ded; 100% |
Out: $2,000 Ded; 80%
SUM1904 $0/$25/$45
Summary of BlueChoice Opt-Out Plus HRA Separate Rx Plan Options
OptionsFeaturesMedical Summary
Option 1 In: $1,200 Ded; 100% |
Out: $1,800 Ded; 80%
SUM1926
Option 2 In: $2,500 Ded; 100% |
Out: $3,750 Ded; 80%
BRC6552
Option 3 In: $4,000 Ded; 100% |
Out: $6,000 Ded; 80%
BRC6553
Summary of BlueChoice Opt-Out Plus Combined Rx Plan Options
OptionsFeaturesMedical Summary
Option 1 In: $1,200 Ded; 100% |
Out: $1,800 Ded; 80%
SUM1959

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