Prescription Drug Plans Grandfathered/Small Group Non-ACA 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.

Virginia Rx

Options Features Rx Summary
Option 1* $0 Ded., $0/25/45/50% up to $75 max SUM2788
Option 2 $100 Ded., $0/25/45/50% up to $75 max SUM2789
Option 4 $0 Ded; $8/15/30 SUM2790
Option 7 $0 Ded; $10/20/35 SUM2791
Option 12 $0 Ded; $10/25/45/50% up to $75 max SUM2792
Option 15 $100 Ded; $10/25/45/50% up to $75 max SUM2793
Option 18 $200 Ded; $10/25/45/50% up to $75 max SUM2794
Option 21* $0 Ded; $15/35/60/50% up to $100 max SUM2795
Option 24 $100 Ded; $15/35/60/50% up to $100 max SUM2796
Option 27* $200 Ded; $15/35/60/50% up to $100 max SUM2797
*Also available with self-insured medical plans purchased for 100-199.