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.

NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

BlueChoice Advantage

Plan Name Rx Plan Type Integration Status Medical Summary

BlueChoice Advantage Platinum 0 Med Ded 25 Dent Ded

$10/$45/$65/50% (up to $100)/50% (up to $150)

Standard

Integrated OOP ONLY

 SUM6740

BlueChoice Advantage Platinum 500 Med Ded 25 Dent Ded

$0/$45/$65/50% (up to $100)/50% (up to $150)

Standard

Integrated OOP ONLY

 SUM6741

BlueChoice Advantage Gold 0 Med Ded 25 Dent Ded

$10/$45/$65/$100/$150

Standard

Integrated OOP ONLY

 SUM6742

BlueChoice Advantage Gold 800 Med Ded 250 Drug Ded 25 Dent Ded

$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

Standard

Rx DEDUCTIBLE W/INTEGRATED OOP

 SUM6743

BlueChoice Advantage Gold 1000 Med Ded 250 Drug Ded 25 Dent Ded

$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HRA

Rx DEDUCTIBLE W/INTEGRATED OOP

 SUM6744

BlueChoice Advantage Gold 3000 Med Ded 250 Drug Ded 25 Dent Ded Virtual Connect

$10/D,$40/D,$70/D,$100/D,$150

HRA

Rx DEDUCTIBLE W/INTEGRATED OOP

 SUM6745

BlueChoice Advantage Silver 5350 Med Ded 450 Drug Ded 25 Dent Ded Virtual Connect

$15/D,$45/D,$75/D,$100/D,$150

HRA

Rx DEDUCTIBLE W/INTEGRATED OOP

 SUM6746

BlueChoice Advantage Silver 6500 Med Ded 450 Drug Ded 25 Dent Ded

$15/D,$45/D,$75/D,$100/D,$150

HRA

Rx DEDUCTIBLE W/INTEGRATED OOP

 SUM6747

BlueChoice Advantage Bronze 6000 Med Ded 25 Dent Ded

D,$20/D,$50/D,$70/D,$100/D,$150

HRA

Fully Integrated

 SUM6748

BlueChoice Advantage HSA/HRA Gold 1600 Med Ded 25 Dent Ded

D,$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM6749

BlueChoice Advantage HSA/HRA Silver 1800 Med Ded 25 Dent Ded

D,$15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM6750

BlueChoice Advantage HSA/HRA Silver 2250 Med Ded 25 Dent Ded

D,$10/D,$45/D,$65/D,$100/D,$150

HSA/HRA/HDHP

Fully Integrated

 SUM6751

BlueChoice Advantage HSA/HRA Silver 3200 Med Ded 25 Dent Ded

D,$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM6752

BlueChoice Advantage HSA/HRA Bronze 6100 Med Ded 25 Dent Ded

D,$15/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

 SUM6753