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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 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