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 SUM5258
BlueChoice HMO Gold 500 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM5259
BlueChoice HMO 1000 SE (Gold) $10/$45/$65/50% to $100/50% to $150 HRA Integrated SUM5261
BlueChoice HMO Gold 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM5262
BlueChoice HMO Gold 3000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM5263
BlueChoice HMO Silver 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM5264
BlueChoice HMO Silver 5000 $10/$40/$70/$100/$150 HRA Non-Integrated SUM5265
BlueChoice HMO Value Bronze 6000 $20/$50/$70/$100/$150 Integrated SUM5266
BlueChoice HMO HSA/HRA Gold 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5267
BlueChoice HMO HSA/HRA Gold 1500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM5268
BlueChoice HMO HSA/HRA Silver 1500 $15/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5269
BlueChoice HMO HSA/HRA Silver 2000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5270
BlueChoice HMO HSA/HRA Silver 2100 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM5271
BlueChoice HMO HSA/HRA 2400 SE (Silver) $10/20%/40%/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5273
BlueChoice HMO HSA/HRA Silver 3000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5274
BlueChoice HMO HSA/HRA Silver 3000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM5275
BlueChoice HMO HSA/HRA Bronze 6100 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM5276
BlueChoice HMO HSA/HRA Bronze 6500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM5277