BlueChoice Plus
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 Plus

Plan Name Rx Plan Type Integration Status Medical Summary

BlueChoice Plus Platinum 500 Med Ded 25 Dent Ded

$0/$45/$65/50% to $100/50% to $150

Standard

Integrated OOP only

SUM7547

SUM7547-SPA

BlueChoice Plus Gold 800 Med Ded 250 Drug Ded 25 Dent Ded

$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

Standard

Rx DEDUCTIBLE W/INTEGRATED OOP

SUM7548

SUM7548-SPA

BlueChoice Plus Gold 1000 Med Ded 250 Drug Ded 25 Dent Ded

$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HRA

Rx DEDUCTIBLE W/INTEGRATED OOP

SUM7549

SUM7549-SPA

BlueChoice Plus HSA/HRA Silver 2300 Med Ded 25 Dent Ded

D,$15/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

SUM7550

SUM7550-SPA

BlueChoice Plus HSA/HRA Silver 3050 Med Ded 25 Dent Ded

D,$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

SUM7551

SUM7551-SPA

BlueChoice Plus HSA/HRA Silver 3400 Med Ded 25 Dent Ded

D,$10/D,$45/D,$65/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

SUM7552

SUM7552-SPA

BlueChoice Plus HSA/HRA Bronze 6100 Ded

D,$15/D,$45/D,$75/D,50% (up to $100)/D,50% (up to $150)

HSA/HRA/HDHP

Fully Integrated

SUM7553

SUM7553-SPA