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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 SUM4928
BlueChoice HMO Referral Gold 0 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4929
BlueChoice HMO Referral Gold 500 $10/$45/$65/50% to $100/50% to $150 Non-Integrated SUM4930
BlueChoice HMO Referral Silver 4000 $15/$45/$65/50% to $100/50% to $150 HRA Non-Integrated SUM4931
BlueChoice HMO Referral Bronze 6500 $20/$80/$150/$100/$150 HRA Non-Integrated SUM4932
BlueChoice HMO Referral Bronze 8150 $0/$0/$0/$0/$0 HRA Integrated SUM4933