| Plan Name | Rx Plan | Type | Integration Status | Medical Summary |
|---|---|---|---|---|
| BlueChoice Advantage Platinum 0 | $10/$45/$65/50% to $100/50% to $150 | Non-Integrated | SUM5663 | |
| BlueChoice Advantage 90%/70% SE (Platinum) | $10/20%/40%/50% to $100/50% to $150 | Non-Integrated | SUM5665 | |
| BlueChoice Advantage Gold 0 | $10/$45/$65/$100/$150 | HRA | Non-Integrated | SUM5666 |
| BlueChoice Advantage Gold 500 | $10/$45/$65/50% to $100/50% to $150 | Non-Integrated | SUM5667 | |
| BlueChoice Advantage Gold 1000 | $10/$45/$65/50% to $100/50% to $150 | HRA | Non-Integrated | SUM5668 |
| BlueChoice Advantage Gold 3000 | $10/$40/$70/$100/$150 | HRA | Non-Integrated | SUM5669 |
| BlueChoice Advantage Silver 4000 | $15/$45/$65/50% to $100/50% to $150 | HRA | Non-Integrated | SUM5670 |
| BlueChoice Advantage Silver 5000 | $10/$40/$70/$100/$150 | HRA | Non-Integrated | SUM5671 |
| BlueChoice Advantage Value Bronze 6000 | $20/$50/$70/$100/$150 | Integrated | SUM5672 | |
| BlueChoice Advantage HSA/HRA Gold 1500 | $10/$45/$65/50% to $100/50% to $150 | HSA, HRA or HDHP | Integrated | SUM5673 |
| BlueChoice Advantage HSA/HRA Gold 1500 90 | $10/$45/$65/$100/$150 | HSA, HRA or HDHP | Integrated | SUM5674 |
| BlueChoice Advantage HSA/HRA Silver 1500 | $15/$45/$65/50% to $100/50% to $150 | HSA, HRA or HDHP | Integrated | SUM5675 |
| BlueChoice Advantage HSA/HRA Silver 2000 | $10/$45/$65/$100/$150 | HSA, HRA or HDHP | Integrated | SUM5676 |
| BlueChoice Advantage HSA/HRA Silver 2100 70 | $10/$45/$65/$100/$150 | HSA, HRA or HDHP | Integrated | SUM5677 |
| BlueChoice Advantage HSA/HRA Silver 3000 | $10/$45/$65/50% to $100/50% to $150 | HSA, HRA or HDHP | Integrated | SUM5678 |
| BlueChoice Advantage HSA/HRA Silver 3000 70 | $10/$45/$65/$100/$150 | HSA, HRA or HDHP | Integrated | SUM5679 |
| BlueChoice Advantage HSA/HRA Bronze 6100 | $10/$45/$65/50% to $100/50% to $150 | HSA, HRA or HDHP | Integrated | SUM5680 |
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BlueChoice Advantage
Small Group Off-SHOP - Virginia
Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.
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BlueChoice Advantage