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

 SUM7512

SUM7512-SPA

BlueChoice Advantage Platinum 500 Med Ded 25 Dent Ded

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

Standard

Integrated OOP ONLY

 SUM7513

SUM7513-SPA

BlueChoice Advantage Gold 0 Med Ded 25 Dent Ded

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

Standard

Integrated OOP ONLY

 SUM7514

SUM7514-SPA

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

 SUM7515

SUM7515-SPA

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

 SUM7516

SUM7516-SPA

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

 SUM7517

SUM7517-SPA

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

 SUM7518

SUM7518-SPA

BlueChoice Advantage Silver 6900 Med Ded 450 Drug Ded 25 Dent Ded

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

HRA

Rx DEDUCTIBLE W/INTEGRATED OOP

 SUM7519

SUM7519-SPA

BlueChoice Advantage Bronze 6000 Med Ded 25 Dent Ded

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

HRA

Fully Integrated

 SUM7520

SUM7520-SPA

BlueChoice Advantage HSA/HRA Gold 1800 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

 SUM7521

SUM7521-SPA

BlueChoice Advantage HSA/HRA Silver 2300 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

 SUM7522

SUM7522-SPA

BlueChoice Advantage HSA/HRA Silver 2650 Med Ded 25 Dent Ded

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

HSA/HRA/HDHP

Fully Integrated

 SUM7523

SUM7523-SPA

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

 SUM7524

SUM7524-SPA

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

 SUM7525

SUM7525-SPA