Maryland

The following BlueFund and Compatible HSA & HRA Plans are BlueChoice Opt-Out Plus Open Access based. Whether you choose an option as a BlueFund or Compatible plan, there is no difference in cost.
NOTES: BlueFund Plans integrate with our fund administrator (PayFlex).
  Compatible Plans do not integrate with a CareFirst fund administrator
 

HSA plans require a combined medical and Rx plan. HRA plans can be combined or can be purchased with a standard Rx plan.

MSGR BlueChoice Opt-Out Plus HSA Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% (No longer a qualified HSA plan. As of 1/1/13, sold only as HDHP.) CUT6954
Option 2 In: $2,000 Ded; 100%/Out: $3,000 Ded; 80% CUT6955
Option 3 In: $1,300 Ded; 100%/Out: $2,000 Ded; 80% SUM1930
Rx Copay (All Options): $0/$25/$45
MSGR BlueChoice Opt-Out Plus Integrated Medical and Rx High Deductible Health Plans
Options Features English
Option 1 $1,200 Deductible SUM1935
Non-MSGR 1-50 BlueChoice Opt-Out Plus HSA Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% (No longer a qualified HSA plan. As of 1/1/13, sold only as HDHP.) CUT6956
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% CUT6957
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% CUT6958
Option 6 In: $1,300 Ded; 100%/Out: $2,000 Ded; 80% SUM1867
Rx Copay (All Options): $0/$25/$45
Non-MSGR 1-50 BlueChoice Opt-Out Plus HRA Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1891
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% CUT6957
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% CUT6958
Non-MSGR 1-50 BlueChoice Opt-Out Plus HRA Non-Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% CUT1891
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% CUT6957
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% CUT6958
Non-MSGR 1-50 BlueChoice Opt-Out Plus Integrated Medical and Rx High Deductible Health Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1943
Non-MSGR 51-199 BlueChoice Opt-Out Plus HSA Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% (No longer a qualified HSA plan. As of 1/1/13, sold only as HDHP.) CUT6956
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% CUT6957
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% CUT6958
Option 4 In: $1,500 Ded; 100%/Out: $2,250 Ded; 80% CUT6959
Option 5 In: $5,000 Ded; 100%/Out: $7,500 Ded; 80% Renewals Only, Not available after 12/1/12 CUT6960
Option 6 In: $1,300 Ded; 100%/Out: $2,000 Ded; 80% SUM1867
Rx Copay (All Options): $0/$25/$45 | $10/$25/$45 | $15/$35/$60
Non-MSGR 51-199 BlueChoice Opt-Out Plus HRA Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1891
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% CUT6957
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% CUT6958
Option 4 In: $1,500 Ded; 100%/Out: $2,250 Ded; 80% CUT6959
Option 5 In: $5,000 Ded; 100%/Out: $7,500 Ded; 80% Renewals Only, Not available after 12/1/12 CUT6960
Rx Copay (All Options): $0/$25/$45 | $10/$25/$45 | $15/$35/$60
Non-MSGR 51-199 BlueChoice Opt-Out Plus HRA Non-Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1891
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% CUT6957
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% CUT6958
Option 4 In: $1,500 Ded; 100%/Out: $2,250 Ded; 80% CUT6959
Non-MSGR 51-199 BlueChoice Opt-Out Plus Integrated Medical and Rx High Deductible Health Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1943
Rx Copay (All Options): $0/$25/$45 | $10/$25/$45 | $15/$35/$60
Non-MSGR 200+ BlueChoice Opt-Out Plus HSA Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1176
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% SUM1177
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% SUM1178
Option 4 In: $1,500 Ded; 100%/Out: $2,250 Ded; 80% SUM1179
Option 5 In: $5,000 Ded; 100%/Out: $7,500 Ded; 80% SUM1180
Option 6 In: $1,300 Ded; 100%/Out: $2,000 Ded; 80% SUM1867
Rx Copay (All Options): $0/$25/$45 | $10/$25/$45 | $15/$35/$60
Non-MSGR 200+ BlueChoice Opt-Out Plus HRA Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1176
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% SUM1177
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% SUM1178
Option 4 In: $1,500 Ded; 100%/Out: $2,250 Ded; 80% SUM1179
Option 5 In: $5,000 Ded; 100%/Out: $7,500 Ded; 80% SUM1180
Rx Copay (All Options): $0/$25/$45 | $10/$25/$45 | $15/$35/$60
Non-MSGR 200+ BlueChoice Opt-Out Plus HRA Non-Integrated Medical and Rx Deductible Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1966
Option 2 In: $2,500 Ded; 100%/Out: $3,750 Ded; 80% SUM1167
Option 3 In: $4,000 Ded; 100%/Out: $6,000 Ded; 80% SUM1168
Option 4 In: $1,500 Ded; 100%/Out: $2,250 Ded; 80% SUM1169
Non-MSGR 200+ BlueChoice Opt-Out Plus Integrated Medical and Rx High Deductible Health Plans
Options Features English
Option 1 In: $1,200 Ded; 100%/Out: $1,800 Ded; 80% SUM1967
Rx Copay (All Options): $0/$25/$45 | $10/$25/$45 | $15/$35/$60

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