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. Maryland BlueChoice HMO Referral Small Group Off-SHOP Benefit Summaries for CareFirst - intended for use by CareFirst Brokers 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. 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 … 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. 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. For Products Offered off of the Maryland Health Benefits Exchange . … Individual responsible for handling employee health benefits for the employer. Benefits for Better Health. It’s a responsibility we take very seriously, as we have with your parents, grandparents, friends and neighbors. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. 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. Associates may be able to use one or two accounts, depending on work location and how they commute to and from work. P�+�4��"�x �g�%(1�a�5�x��x���\�x/ч��X"��L��B� J�#�����)a>9� Note: Allowed Benefit is the fee that providers in the network have agreed to accept for a particular service. ��#�~z�Yr��f'���Ջ�.��t��n
7ݚl���)����4�L�>9�p�Θ�&��%�U(��� The SBC shows you how you and the plan would share the cost for covered health care services. BlueChoice. (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). BlueChoice (HMO) Forms. … Non-Grandfathered Maryland Small Groups . • Periodically review your claims history for accuracy to ensure we have not been billed for services you did not receive. The Benefits of My Account. your CareFirst BlueChoice ID card for assistance in selecting a PCP or obtaining a printed copy of the CareFirst BlueChoice provider directory. GROUP CONTRACT APPLICATION . 1143 0 obj
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View Blue Rewards information for details. �i!�f! Because it is a discount program and not a covered beneft, there are no claim forms, referrals or paperwork to complete. 202-479-8000 . Designed for today’s health conscious and busy families, CareFirst BlueChoice offers one less thing to worry about during your hectic day. Services ˊ|B�e�N�e�%XN�,�:���:��u`�x��r�ԁ�:P�+*2,���T�2j7d�0?P�7�7��B�,��q!�J[R�أ�"6!V���@�07���DG��X�t��n*�^� ��XP�����J#��������"����$�ܰŵB�=�I��q3Zu>�3u`Y#E���~`9y��8���
�^���� ... 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. Washington, DC 20065 . 14 istrict of Columia oernmentYour Health Benet Options CST4713-1P (11/19) DC 51+ Option 3. Medical. 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 … When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. BlueChoice HMO Summary of Benefits Maryland Small Group Reform. 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. A more strictly defined network of local providers. Washington, DC 20065 . Mail a check or money order and invoice stub to: Payment Administrator PO Box 70250 Philadelphia, PA 19176-0250. 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. of PCPs from our online provider directory. Health Maintenance Organization (HMO) plan. Learn more about POS and HMO medical plans Plans offered CareFirst BlueChoice Advantage POS. 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. n A preventive care package at … Learn more about POS and HMO medical plans Plans offered CareFirst BlueChoice Advantage POS. Find a Doctor Now. 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. 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 … Please refer to the 2021 BlueChoice Brochure for a complete description of benefits. Each time that services are sought the Member may choose to receive In-Network HMO benefits or to receive Out-of-Network indemnity benefits. All of our small business health plans meet the Affordable Care Act (ACA) requirements and include pharmacy benefits. 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. In exchange for a lower monthly payment, an HMO offers a narrower network of available doctors, hospitals, and specialists. … Our small business plan options are designed to encourage your employees to make cost-effective healthcare decisions. 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. This program does not change CareFirst BlueChoice … U0Tᔅ��V������>:����n~nt~�/����{��槪�f����F՜5�S�jҕ?�v#��s�qJ?�~��QI�O�tw���&��م:;YӺdS�HY���t��n CORONAVIRUS UPDATES FROM CAREFIRST. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). 2019 CareFirst BlueChoice, Inc. 4 Introduction/Plain Language/Advisory • Carefully review explanations of benefits (EOBs) that you receive from us. BlueChoice; CareFirst Plan III; Contact Us; Johns Hopkins University Human Resources. 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. An independent licensee of the Blue Cross and Blue Shield Association . NOTE: There have been some changes to all three options for 2021. 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). As a federal employee, you are able to choose from three different health plans. 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 The CareFirst BlueChoice Advantage plan allows members the flexibility to choose a health care provider when and where treatment is needed. VA/CFBC/BC-BCOO-OA/GCA/LG (1/14) 1 BC/OA, HB HMO, BCOO, HB2 CareFirst BlueChoice, Inc. 840 First Street, NE . CDH - BlueChoice HMO Open Access Group and Member Forms and Applications - District of Columbia. Summary of Benefits and Coverage: What This Plan Covers & What You Pay for Covered Services BlueChoice HMO Young Adult $8,550 Coverage Period: 01/01/2021 - 12/31/2021 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. BlueChoice HMO Medical Forms. hY]o[9�O���ClQ_��A�$�l�v�A�y 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. CareFirst BlueCross BlueShield, CareFirst BlueChoice, Inc., CareFirst Diversified Benefits and all of their corporate affiliates (CareFirst) comply with applicable federal … Trusted for over 80 years. Services 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. Benefits of BlueChoice HMO Choose from more than 37,000 doctors, Some examples of the changes as they apply to each plan are noted below. BlueChoice. Not all services and procedures are covered by your benefits contract. &�W Ways to Save with CareFirst. �=n��R:< )�0�D(�,I4`�-P�IQ 49�!��| AO^� ��|���]�����LA�zJQr��B��*�%�`[JbX)����J�� Not all services and procedures are covered by your benefits contract. 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� The BlueChoice HMO is a managed health care plan consisting of a network of physicians and other medical providers. Health Maintenance Organization (HMO) plan. 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 … The provider cannot charge the 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 … BlueChoice HMO Bronze $7,900 Coverage Period: 01/01/2019 - 12/31/2019 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. BlueChoice An HMO plan offered by CareFirst BlueChoice, Inc., an independent licensee of the Blue Cross Blue Shield Association. Free 24-Hour Nurse Line. all CareFirst BlueChoice Medical HMO members at no additional cost. 2019 CareFirst BlueChoice, Inc. 4 Introduction/Plain Language/Advisory • Carefully review explanations of benefits (EOBs) that you receive from us. If you need a form that is currently not available online, please call Member Services at the telephone number on your ID card. :-D�*DHy�jq�iE�VE�1i]�\lҵ�E۔�x�BjJi�B���7��t)w�iH7�7��4���[ת��o��!�Ӯ���x�mnL���~S��� nM�Z��#��&=H#M�H[%5I�GOg��Ж�-I99�2 �X��W���#����#��_NC�v���!�D��G�p�����hb�}��v#_B�Î^�b���;c�Y6��1��5��'?>�>�yp��4>�8��a=�������;pc����Hbc�����7Ǝq�$���x��>x�����>7�����'>6������7������N��W� ����
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��r�e�J 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. CFBC HMO . 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 In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). Get Health Insurance plan info on BlueChoice HMO Value Silver $2,250 from CareFirst BlueChoice. Summary of Benefits and Coverage: What This Plan Covers & What You Pay For Covered Services 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. 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. Earn your Blue Rewards by taking an active role in your health. Plan Summaries Compare the CareFirst CDHP and POS plans (2021) Summary of Benefits and Coverage (SBC, 2020) Summary of Benefits and […] BlueChoice. The SBC shows you how you and the plan would share the cost for covered … n��AA��B@ni�Fp8�-T?Z����n��-j�,'�%�
Z-�\$���9�6BrQ�K�,ct�P�k��N. BlueChoice HMO Open Access . BlueChoice HMO • Open Access Summary of Benefits. 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. Summary of Benefits. HMOs can enroll in CareFirst BlueChoice, select a PCP and receive a standard member ID card. CareFirst BlueChoice, Inc. 840 First Street, NE . maintenance organization (HMO) while away from home for at least 90 consecutive days or more. D��
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�J��XR��#T�@2JB˄�"2��Ā���0��P�P2Q�N(�X�e�~ 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. This plan offers in- and out-of-network benefits and has the added advantage of access … Members from other Blue Cross and Blue Shield HMOs can enroll in CareFirst BlueChoice, select a PCP and receive a standard member ID card. Benefits may vary; it is important to contact provider services at 800‑842‑5975 or visit CareFirst Direct to verify coverage in the state. 14 istrict of Columia oernmentYour Health Benet Options CST4713-1P (11/19) DC 51+ Option 3. "�a0y ����I'1I ׄq, � � See Group Administrator. As a CareFirst member, you have access to a secure website with tools and information personalized just for you. QC��N�PP��"r�BE#`G#p���7oU�;��+
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�+ܔr*�J����rK��˭�p����õ BlueShield and CareFirst BlueChoice, Inc. (CareFirst) for your health care coverage. CareFirst BlueChoice Medical Insurance See all health benefits at a glance. Get the most from your plan and manage your health priorities by taking advantage of these services: Value-added services. Some examples of the changes as they apply to each plan are noted below. This summary is for comparison purposes only … Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. Example: Dr. Carson charges $100 to see a sick patient. 202-479-8000 . %PDF-1.7
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CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Q���$���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��[ CareFirst offers small businesses over 60 plan options to meet your unique needs. 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. g2�ZpE��H.� t�g0,�p,�W<2d=R����'L�$���)�+�^�P�H)H!�CVrY� GROUP CONTRACT APPLICATION . Benefits & Worklife. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). BlueChoice HMO Silver 1500 Summary of Benefits Non-Integrated Deductible ... BlueChoice HMO Silver 1500 Summary of Benefits . These health plans offer choice and provide flexibility in how you manage your health, your health care and your health care costs. The provider cannot charge the member more than this amount for any covered service. In-depth: HMOs. The SBC shows you how you and the plan would share the cost for covered health care services. Members have access to any provider who participates in the CHMO Discount Dental Program and can receive discounts on dental services through this program. BlueChoice HMO Open Access . CareFirst BlueChoice, Inc. BlueChoice HMO Open Access HSA (BLUEFUND) Your Group Contract 840 First Street, NE Washington, DC 20065. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). ��WL���6�'�i%�C`���\�qc��GU� 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. Benefits may vary; it is important to contact provider services at 800‑842‑5975 or visit CareFirst Direct to verify coverage in the state. 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. 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