Learn more about CareFirst BlueCross BlueShield medical, dental, and vision insurance in Maryland, Washington D.C., and Northern Virginia. Plan Options. BlueChoice. CareFirst’s transit and parking benefits allow associates to set aside money on a pre-tax basis to pay for certain transportation costs of commuting to and from work. BlueChoice. Designed for today’s health conscious and busy families, CareFirst BlueChoice offers one less thing to worry about during your hectic day. CareFirst BlueCross BlueShield, CareFirst BlueChoice, Inc., CareFirst Diversified Benefits and all of their corporate affiliates (CareFirst) comply with applicable federal … The Benefits of My Account. CareFirst of Maryland, Inc. and The Dental Network, Inc. underwrite products in Maryland only. /j��FL��RF �)�� U*V��\�)�"^��؊ $[1�J�g�Kԩ� BlueChoice HMO HSA Gold $1,500 Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a … ��#�~z�Yr��f'���Ջ�.��t��n
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�i!�f! If you would like to keep your doctor, you can determine whether he or she is in-network under an HMO plan, a PPO plan or both. Summary of Benefits and Coverage: What This Plan Covers & What You Pay For Covered Services BlueChoice HMO Value Gold $1,000 Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Maryland BlueChoice HMO Referral Small Group Off-SHOP Benefit Summaries for CareFirst - intended for use by CareFirst Brokers Individual Select Dental HMO Members. Benefits of BlueChoice HMO Choose from more than 37,000 doctors, Get Health Insurance plan info on BlueChoice HMO Value Silver $2,250 from CareFirst BlueChoice. VA/CFBC/GC (R. 1/13) GC-1 HMO OA/Advantage HSA CareFirst BlueChoice, Inc. 840 First Street, NE Washington, DC 20065 202-479-8000 An independent licensee of the Blue Cross and Blue Shield Association GROUP CONTRACT The consideration for this Group Contract … BlueChoice HMO • Open Access Summary of Benefits. Summary of Benefits and Coverage: What This Plan Covers & What You Pay for Covered Services BlueChoice HMO Young Adult $8,550 Coverage Period: 01/01/2021 - 12/31/2021 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). See Group Administrator. Health Maintenance Organization (HMO) plan. n��AA��B@ni�Fp8�-T?Z����n��-j�,'�%�
Z-�\$���9�6BrQ�K�,ct�P�k��N. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). As a federal employee, you are able to choose from three different health plans. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. With no deductible or coinsurance, members typically pay only a copay at time of service. The BlueChoice HMO is a managed health care plan consisting of a network of physicians and other medical providers. For Products Offered off of the Maryland Health Benefits Exchange . 2019 CareFirst BlueChoice, Inc. 4 Introduction/Plain Language/Advisory • Carefully review explanations of benefits (EOBs) that you receive from us. Brand-name Drug A prescription drug that has been patented and is only available through one manufacturer. Benefits & Worklife. Medical. Washington, DC 20065 . The CareFirst BlueCross BlueShield Select Vision and Davis Vision Plans provide you with routine annual eye exams, as well as reimbursement for glasses, frames and contact lenses. BlueChoice HMO Coordinated Care with a Primary Care Provider With a BlueChoice HMO plan, your primary care provider (PCP) provides preventive care and coordinates specialty care using a large network of CareFirst BlueChoice specialists within a referral system. Trusted for over 80 years. CareFirst BlueChoice, Inc. 840 First Street, NE . Note: If the group is adding a BlueFund HRA at renewal or purchasing it as a new group, the group must complete the HRA Set-Up Form as well as the Employer ACH Authorization. … Get the most from your plan and manage your health priorities by taking advantage of these services: Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. BlueChoice HMO Silver 1500 Summary of Benefits Non-Integrated Deductible ... BlueChoice HMO Silver 1500 Summary of Benefits . View Blue Rewards information for details. HMOs can enroll in CareFirst BlueChoice, select a PCP and receive a standard member ID card. Our small business plan options are designed to encourage your employees to make cost-effective healthcare decisions. Some examples of the changes as they apply to each plan are noted below. hY]o[9�O���ClQ_��A�$�l�v�A�y Services Get the most from your plan and manage your health priorities by taking advantage of these services: Value-added services. &�W It’s a responsibility we take very seriously, as we have with your parents, grandparents, friends and neighbors. • Periodically review your claims history for accuracy to ensure we have not been billed for services you did not receive. Benefits of Purchasing a CareFirst Health Insurance Plan: Partnering with the most recognized and trusted brand in the industry; Access to the largest network across the country, with 96% of hospitals and 95% of physicians in-network and 97% of claims paid in-network nationally; Solutions available for dental, vision and international coverage Each time that services are sought the Member may choose to receive In-Network HMO benefits or to receive Out-of-Network indemnity benefits. Benefits may vary; it is important to contact provider services at 800‑842‑5975 or visit CareFirst Direct to verify coverage in the state. CareFirst BlueChoice, Inc. BlueChoice HMO Open Access HSA (BLUEFUND) Your Group Contract 840 First Street, NE Washington, DC 20065. Please refer to the 2021 BlueChoice Brochure for a complete description of benefits. maintenance organization (HMO) while away from home for at least 90 consecutive days or more. Maryland residents, make check or money order payable to: The Dental Network, Inc; Virginia and Washington, D.C. residents, make check or money order payable to: CareFirst BlueChoice, Inc CareFirst offers small businesses over 60 plan options to meet your unique needs. Ways to Save with CareFirst. Members have access to any provider who participates in the CHMO Discount Dental Program and can receive discounts on dental services through this program. CareFirst has built its plans with patients' freedom to see the doctor of their choice in mind, and the HMO plan still covers a wider network of doctors than many other health insurance providers. Associates may be able to use one or two accounts, depending on work location and how they commute to and from work. Earn your Blue Rewards by taking an active role in your health. Benefits for Better Health. Summary of Benefits and Coverage:What This Plan Covers & What You Pay For Covered Services BlueChoice HMO HSA Standard Bronze $6,200 Coverage Period: 01/01/2019 - 12/31/2019 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Some examples of the changes as they apply to each plan are noted below. These health plans offer choice and provide flexibility in how you manage your health, your health care and your health care costs. 14 istrict of Columia oernmentYour Health Benet Options CST4713-1P (11/19) DC 51+ Option 3. "�a0y ����I'1I ׄq, � � Note: Allowed Benefit is the fee that providers in the network have agreed to accept for a particular service. … �=n��R:< )�0�D(�,I4`�-P�IQ 49�!��| AO^� ��|���]�����LA�zJQr��B��*�%�`[JbX)����J�� CareFirst BlueChoice Medical Insurance See all health benefits at a glance. Members from other Blue Cross and Blue Shield HMOs can enroll in CareFirst BlueChoice, select a PCP and receive a standard member ID card. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). Services In-Network You Pay HOSPITAL ALTERNATIVES Home Health Care No charge* Hospice No charge* Skilled Nursing Facility No charge* MATERNITY Prenatal and Postnatal Office Visits $15 PCP/$25 Specialist per visit (not to exceed 10 times the copay per pregnancy) Delivery and Facility Services No charge* Nursery Care of Newborn No … Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia … Benefits may vary; it is important to contact provider services at 800‑842‑5975 or visit CareFirst Direct to verify coverage in the state. First Care, Inc., CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc. and The Dental Network are independent licensees of the Blue Cross and Blue Shield Association. BlueChoice HMO Value Bronze $6,000 Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. �o�w�K�C\���nr�7����N�^���{�
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Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. of PCPs from our online provider directory. Summary of Benefits. VA/CFBC/BC-BCOO-OA/GCA/LG (1/14) 1 BC/OA, HB HMO, BCOO, HB2 CareFirst BlueChoice, Inc. 840 First Street, NE . ... Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Please refer to the 2021 BlueChoice Brochure for a complete description of benefits. all CareFirst BlueChoice Medical HMO members at no additional cost. The SBC shows you how you and the plan would share the cost for covered … BlueChoice HMO Summary of Benefits Maryland Small Group Reform. CORONAVIRUS UPDATES FROM CAREFIRST. The CareFirst BlueChoice Advantage plan provides you with different ways to access care: BlueChoice Network: Use this network when seeking in-network benefits in the DC/MD/Northern Virginia area. BlueChoice HMO HSA/HRA Silver 3000 Summary of Benefits Note: Allowed Benefit is the fee that providers in the network have agreed to accept for a particular service. BlueChoice. Network HMO benefits administered by CareFirst BlueChoice, Inc. and Out-of-Network indemnity benefits administered by Group Hospitalization and Medical Services, Inc., doing business as, CareFirst BlueCross BlueShield (CareFirst). hެZ�n��ͧ�c��+vWW_���� �F�7�0d��Ȗ����瓜S$��9��z�QU����asB�np!�ӀKr����C��8/��|J.e��w�z�Wq"З�*��"�Ir�@6�S�8M�'�%�
qp)�s�.C7��r��(.Wʣ+��Q]e<1��xbv��D�70�X0�Ә������Q�G��p����c�,�� BlueChoice HMO Medical Forms. BlueChoice An HMO plan offered by CareFirst BlueChoice, Inc., an independent licensee of the Blue Cross Blue Shield Association. A more strictly defined network of local providers. The BlueChoice HMO is a managed health care plan consisting of a network of physicians and other medical providers. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. An independent licensee of the Blue Cross and Blue Shield Association . D��
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�J��XR��#T�@2JB˄�"2��Ā���0��P�P2Q�N(�X�e�~ Because it is a discount program and not a covered beneft, there are no claim forms, referrals or paperwork to complete. Q���$���h�NL�����������ꌃx�B� &Pi�B�QL�%�b��Q� M9� d���IЙ��,&@/f ��YL�:���9� T1���"&Pw\��#[1{ي �^�� )K���������HZ'L���Cl�]a�w"d����Jr�ލ̒w.f ����J�Ít3�`� t�����9Qr��d�uC-7^z��i��+�:���,L��!�@����6'o�\����E-��a���bk�EW�21�`�����f�����7L k֧�������S}���j�[=�?�V+ T���V�߯�����ݬ*��"��[-�����*�i�ݿy�說������O���߯^\!���������+���%,9��m@ơ_T�w�T���۳���n����j��,��s�iH_����δE~�w�m��[ While CareFirst's HMO plans have especially wide networks compared to many other HMOs, the PPO plans still offer in-network coverage for more health care providers. BlueChoice HMO HSA/HRA Silver 2000 Summary of Benefits Note: Allowed Benefit is the fee that providers in the network have agreed to accept for a particular service. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. Example: Dr. Carson charges $100 to see a sick patient. You may also call the Member Services toll free phone number on the front of your CareFirst BlueChoice ID card for assistance in selecting a PCP or obtaining a printed copy of the CareFirst BlueChoice provider directory. The provider cannot charge the member more than this amount for any covered service. This plan offers in- and out-of-network benefits and has the added advantage of access … P�+�4��"�x �g�%(1�a�5�x��x���\�x/ч��X"��L��B� J�#�����)a>9� :-D�*DHy�jq�iE�VE�1i]�\lҵ�E۔�x�BjJi�B���7��t)w�iH7�7��4���[ת��o��!�Ӯ���x�mnL���~S��� nM�Z��#��&=H#M�H[%5I�GOg��Ж�-I99�2 �X��W���#����#��_NC�v���!�D��G�p�����hb�}��v#_B�Î^�b���;c�Y6��1��5��'?>�>�yp��4>�8��a=�������;pc����Hbc�����7Ǝq�$���x��>x�����>7�����'>6������7������N��W� ����
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The SBC shows you how you and the plan would share the cost for covered health care services. When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. The CareFirst BlueCross BlueShield family of health care plans CareFirst BlueCross BlueShield is the business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association. U0Tᔅ��V������>:����n~nt~�/����{��槪�f����F՜5�S�jҕ?�v#��s�qJ?�~��QI�O�tw���&��م:;YӺdS�HY���t��n Mail a check or money order and invoice stub to: Payment Administrator PO Box 70250 Philadelphia, PA 19176-0250. As the largest health care insurer in the Mid-Atlantic region, we know how much you and your family depend on us for your health coverage. ��WL���6�'�i%�C`���\�qc��GU� 202-479-8000 . Take a look at the additional benefits CareFirst BlueChoice (offered by CareFirst BlueChoice, Inc.) can offer you and your family: CareFirst BlueChoice offers you: n Three different options in health care coverage, so you choose the plan to fit your budget. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BlueShield and CareFirst BlueChoice, Inc. (CareFirst) for your health care coverage. Ʊq����bG�Ʉ��3��71�)�Dx�&%Ol8{(��p)&s6����@��h�3d#=�[\��!Gx�|�
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��5ӏP��K�V^�l"�0U�q�3�2e�3� Plan Name Rx Plan Type Integration Status Medical Summary; BlueChoice HMO Platinum 0: $10/$45/$65/50% to $100/50% to $150: Non-Integrated: SUM5198: BlueChoice HMO Gold 500 BlueChoice HMO Standard Silver $4,000 Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This program does not change CareFirst BlueChoice … GROUP CONTRACT APPLICATION . • Periodically review your claims history for accuracy to ensure we have not been billed for services you did not receive. (new window) The CareFirst BlueChoice Advantage CDHP (Consumer Directed Health Plan) is a high deductible health plan that allows you to contribute pre-tax to a Health Savings Account (HSA). SERVICES In-Network You Pay HOSPitAl AlternAtiveS8 Home Health Care No charge2 Hospice No charge2 Skilled Nursing Facility (limited to 100 days/year)5 No charge2 mAternity Prenatal and Postnatal Office Visits $20 per visit Delivery and Facility Services8 No charge2 Nursery Care of Newborn3 No charge2 Initial Office … In exchange for a lower monthly payment, an HMO offers a narrower network of available doctors, hospitals, and specialists. S�j�ij�}��T�5ݶLUs��T*�Z֖��լ۩T���ũj����j�%v*K|e�
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�^���� CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Learn more about POS and HMO medical plans Plans offered CareFirst BlueChoice Advantage POS. Services âWorldâs Most Ethical Companiesâ and âEthisphereâ names and marks are registered trademarks of Ethisphere LLC. Individual responsible for handling employee health benefits for the employer. BlueChoice HMO Open Access . NOTE: There have been some changes to all three options for 2021. CFBC HMO . As the largest healthcare insurer in the Mid-Atlantic region, we know how much you and your family depend on us for your health coverage. Summary of Benefits. BlueChoice HMO Gold $1,750 Coverage Period: 01/01/2021 - 12/31/2021 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. An independent licensee of the Blue Cross and Blue Shield Association . 14 istrict of Columia oernmentYour Health Benet Options CST4713-1P (11/19) DC 51+ Option 3. … your CareFirst BlueChoice ID card for assistance in selecting a PCP or obtaining a printed copy of the CareFirst BlueChoice provider directory. Non-Grandfathered Maryland Small Groups . Health & Life. BlueChoice HMO Coordinated care with a primary care provider Take advantage of your benefits A network of almost 40,000 CareFirst BlueChoice providers (PCPs, nurse practitioners, specialists, hospitals, pharmacies, urgent care centers, convenience care clinics and diagnostic centers) in Maryland, Washington, D.C. and Northern Virginia. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). CDH - BlueChoice HMO Open Access Group and Member Forms and Applications - District of Columbia. If you enroll in the BlueChoice HMO, all of your health care must be coordinated and approved by your primary care physician and received in-network. All of our small business health plans meet the Affordable Care Act (ACA) requirements and include pharmacy benefits. The provider cannot charge the This plan offers in- and out-of-network benefits and has the added advantage of access … The provider cannot charge the Find a Doctor Now. BlueChoice HMO Open Access . The CareFirst BlueChoice Advantage plan allows members the flexibility to choose a health care provider when and where treatment is needed. Plan Summaries Compare the CareFirst CDHP and POS plans (2021) Summary of Benefits and Coverage (SBC, 2020) Summary of Benefits and […] �@$,�! Not all services and procedures are covered by your benefits contract. In-depth: HMOs. Washington, DC 20065 . Learn more about POS and HMO medical plans Plans offered CareFirst BlueChoice Advantage POS. Free 24-Hour Nurse Line. Designed for today’s health conscious and busy families, CareFirst BlueChoice offers one less thing to worry about during your hectic day. g2�ZpE��H.� t�g0,�p,�W<2d=R����'L�$���)�+�^�P�H)H!�CVrY� It’s a responsibility we take very seriously, as we have with your parents, grandparents, friends and neighbors. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). CareFirst BlueChoice Medical Insurance See all health benefits at a glance. O�I�u��q����C]�:����>,��~��CJ��b�qd��q�P GROUP CONTRACT APPLICATION . As a CareFirst member, you have access to a secure website with tools and information personalized just for you. If you need a form that is currently not available online, please call Member Services at the telephone number on your ID card. QC��N�PP��"r�BE#`G#p���7oU�;��+
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