| Plan Name | Rx Plan | Type | Integration Status | Medical 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 |
Please be advised, the Broker Portal and Broker Express will undergo maintenance from 3 pm Friday 4/19th to 4 am Monday 4/22nd The applications will be inaccessible during this time.
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