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 Name Rx Plan Type Integration Status Medical Summary
BlueChoice HMO Platinum 0 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM6295
BlueChoice HMO Gold 800 $10/$45/$65/50% to $100/50% to $150   Non-Integrated SUM6296
BlueChoice HMO Gold 1000 SE $10/$45/$65/50% to $100/50% to $150 HRA Integrated SUM6298
BlueChoice HMO Gold 1500 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM6299
BlueChoice HMO Gold 3000 Virtual Connect $10/$40/$70/$100/$150 HRA Non-Integrated SUM6300
BlueChoice HMO Silver 1900 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM6301
BlueChoice HMO Silver 6500 $15/$45/$65/$100/$150 HRA Non-Integrated SUM6302
BlueChoice HMO Value Bronze 6000 $20/$50/$70/$100/$150 HRA Integrated SUM6303
BlueChoice HMO HSA/HRA Gold 1500 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM6304
BlueChoice HMO HSA/HRA Gold 1500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM6305
BlueChoice HMO HSA/HRA Silver 1600 $15/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM6306
BlueChoice HMO HSA/HRA Silver 2000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM6307
BlueChoice HMO HSA/HRA Silver 2400 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM6308
BlueChoice HMO HSA/HRA Silver 2750 SE $10/20%/40%/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM6310
BlueChoice HMO HSA/HRA Silver 3000 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM6311
BlueChoice HMO HSA/HRA Silver 3000 70 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM6312
BlueChoice HMO HSA/HRA Bronze 6100 $10/$45/$65/50% to $100/50% to $150 HSA, HRA or HDHP Integrated SUM6313
BlueChoice HMO HSA/HRA Bronze 6500 90 $10/$45/$65/$100/$150 HSA, HRA or HDHP Integrated SUM6314