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.

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 SUM4908
BlueChoice HMO Gold 500 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM4909
BlueChoice HMO 1000 SE (Gold) $10/$45/$65/50% to $100/50% to $150 HRA Integrated SUM4911
BlueChoice HMO Gold 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4912
BlueChoice HMO Gold 3000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM4913
BlueChoice HMO Silver 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4914
BlueChoice HMO Silver 5000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM4915
BlueChoice HMO HSA/HRA Gold 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4916
BlueChoice HMO HSA/HRA Gold 1500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4917
BlueChoice HMO HSA/HRA Silver 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4918
BlueChoice HMO HSA/HRA Silver 2000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4919
BlueChoice HMO HSA/HRA Silver 2000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4920
BlueChoice HMO HSA/HRA 2300 SE (Silver) $10/20%/40%/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4922
BlueChoice HMO HSA/HRA Silver 2500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA, or HDHP Integrated SUM4923
BlueChoice HMO HSA/HRA Silver 3000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4924
BlueChoice HMO HSA/HRA Silver 3000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4925
BlueChoice HMO HSA/HRA Bronze 6000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM4926
BlueChoice HMO HSA/HRA Bronze 6000 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM4927