BlueChoice HMO
Small Group Off-SHOP - 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.

BlueChoice HMO

Plan NameRx PlanTypeIntegration StatusMedical Summary
BlueChoice HMO Platinum 0 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM4437
BlueChoice HMO Gold 500 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM4438
BlueChoice HMO 1000 SE (Gold) $10/$45/$65/50% to $100/50% to $150 HRA Integrated SUM4440
BlueChoice HMO Gold 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4441
BlueChoice HMO Gold 3000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM4442
BlueChoice HMO Silver 1000 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4443
BlueChoice HMO Silver 5000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM4444
BlueChoice HMO HSA/HRA Gold 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4445
BlueChoice HMO HSA/HRA Silver 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4446
BlueChoice HMO HSA/HRA Silver 2000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4447
BlueChoice HMO HSA/HRA 2250 SE (Silver) $10/20%/40%/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4449
BlueChoice HMO HSA/HRA Silver 2500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA, or HDHP Integrated SUM4450
BlueChoice HMO HSA/HRA Silver 3000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4451
BlueChoice HMO HSA/HRA Bronze 6000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4452