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

 SUM7042

BlueChoice Advantage Platinum 500 Med Ded 25 Dent Ded

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

Standard

Integrated OOP ONLY

 SUM7043

BlueChoice Advantage Gold 0 Med Ded 25 Dent Ded

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

Standard

Integrated OOP ONLY

 SUM7044

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

 SUM7045

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

 SUM7046

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

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

HRA

Rx DEDUCTIBLE W/INTEGRATED OOP

 SUM7047

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

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

HRA

Rx DEDUCTIBLE W/INTEGRATED OOP

 SUM7048

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

 SUM7049

BlueChoice Advantage Bronze 6000 Med Ded 25 Dent Ded

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

HRA

Fully Integrated

 SUM7050

BlueChoice Advantage HSA/HRA Gold 1700 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

 SUM7051

BlueChoice Advantage HSA/HRA Silver 1950 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

 SUM7052

BlueChoice Advantage HSA/HRA Silver 2500 Med Ded 25 Dent Ded

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

HSA/HRA/HDHP

Fully Integrated

 SUM7053

BlueChoice Advantage HSA/HRA Silver 3400 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

 SUM7054

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

 SUM7055