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BlueChoice HMO Referral
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 Referral

Plan NameRx PlanTypeIntegration StatusMedical Summary
BlueChoice HMO Referral Platinum 0 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4453
BlueChoice HMO Referral Gold 0 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4454
BlueChoice HMO Referral Gold 500 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4455
BlueChoice HMO Referral Gold 80 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4456
BlueChoice HMO Referral Silver 70 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4457
BlueChoice HMO Referral Silver 4000 $10/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4458
BlueChoice HMO Referral Bronze 5750 $20/$75/$150/$100/$150 HRA Non-Integrated SUM4459