carefirst bluechoice hmo benefits

| December 10, 2020

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 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. 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. 1143 0 obj <>stream 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. The SBC shows you how you and the plan would share the cost for covered health care services. Get Health Insurance plan info on BlueChoice HMO Value Silver $2,250 from CareFirst BlueChoice. This program does not change CareFirst BlueChoice … Associates may be able to use one or two accounts, depending on work location and how they commute to and from work. 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. Medical. VA/CFBC/BC-BCOO-OA/GCA/LG (1/14) 1 BC/OA, HB HMO, BCOO, HB2 CareFirst BlueChoice, Inc. 840 First Street, NE . Please refer to the 2021 BlueChoice Brochure for a complete description of benefits. Summary of Benefits. The provider cannot charge the maintenance organization (HMO) while away from home for at least 90 consecutive days or more. These health plans offer choice and provide flexibility in how you manage your health, your health care and your health care costs. BlueChoice HMO Standard Silver $4,000 Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. … HMOs can enroll in CareFirst BlueChoice, select a PCP and receive a standard member ID card. Not all services and procedures are covered by your benefits contract. Summary of Benefits. • Periodically review your claims history for accuracy to ensure we have not been billed for services you did not receive. 2019 CareFirst BlueChoice, Inc. 4 Introduction/Plain Language/Advisory • Carefully review explanations of benefits (EOBs) that you receive from us. In exchange for a lower monthly payment, an HMO offers a narrower network of available doctors, hospitals, and specialists. Benefits may vary; it is important to contact provider services at 800‑842‑5975 or visit CareFirst Direct to verify coverage in the state. As a federal employee, you are able to choose from three different health plans. Individual responsible for handling employee health benefits for the employer. Find a Doctor Now. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). �@$,�! 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. Get the most from your plan and manage your health priorities by taking advantage of these services: Value-added services. A more strictly defined network of local providers. Maryland BlueChoice HMO Referral Small Group Off-SHOP Benefit Summaries for CareFirst - intended for use by CareFirst Brokers ��#�~z�Yr��f'���Ջ�.��t��n 7ݚl���)����4�L�>9�p�Θ�&��%�U(��� 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. Designed for today’s health conscious and busy families, CareFirst BlueChoice offers one less thing to worry about during your hectic day. Brand-name Drug A prescription drug that has been patented and is only available through one manufacturer. With no deductible or coinsurance, members typically pay only a copay at time of service. 2019 CareFirst BlueChoice, Inc. 4 Introduction/Plain Language/Advisory • Carefully review explanations of benefits (EOBs) that you receive from us. 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 Ʊq����bG�Ʉ��3��71�)�Dx�&%Ol8{(��p)&s6����@��h�3d#=�[\��!Gx�|� y��k�s1` ��5ӏP��K�V^�l"�0U�q�3�2e�3� In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). Some examples of the changes as they apply to each plan are noted below. CareFirst BlueCross BlueShield, CareFirst BlueChoice, Inc., CareFirst Diversified Benefits and all of their corporate affiliates (CareFirst) comply with applicable federal … In-depth: HMOs. Non-Grandfathered Maryland Small Groups . The Benefits of My Account. CDH - BlueChoice HMO Open Access Group and Member Forms and Applications - District of Columbia. Please refer to the 2021 BlueChoice Brochure for a complete description of benefits. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. 24/7 Access to Providers Nationwide It’s easy with Find a Doctor! Health Maintenance Organization (HMO) plan. 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 … O�I�u��q����C]�:����>,��~��CJ��b�qd��q�P Mail a check or money order and invoice stub to: Payment Administrator PO Box 70250 Philadelphia, PA 19176-0250. CareFirst BlueChoice Medical Insurance See all health benefits at a glance. BlueChoice HMO Value Bronze $6,000 Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). This plan offers in- and out-of-network benefits and has the added advantage of access … BlueShield and CareFirst BlueChoice, Inc. (CareFirst) for your healthcare coverage. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia … CareFirst BlueChoice, Inc. BlueChoice HMO Open Access HSA (BLUEFUND) Your Group Contract 840 First Street, NE Washington, DC 20065. As a CareFirst member, you have access to a secure website with tools and information personalized just for you. �i!�f! Services S�j�ij�}��T�5ݶLUs��T*�Z֖��լ۩T���ũj����j�%v*K|e� �-����&�9T�ة�O��2���L�\�U�LJU�'/�� �?�Fe�\��M�K�Um*]B�j���3���&�::��o�������s �0W7I'V�C:繪��B͕��aYLG�kȇ+�k���w{x��YoN[I���efh%�z\�I���X����a�R ��z2^5\N� �[�?ҞO[`�*�O�k8m�^�ǰ�/�V�_V:&��F]8ou�v�b��2��~\��ۿn���l�h^\�JT�r�.q^��>b��}��_\m��+��/.6���y�8��?-7�qz�����]Ζ��l5�u���q�����l3{»K�����w׳{H�����=$׳[�����f۟�����r�E�p~]�=�V}�>�V�V�����x�q�:�s��?��#�Sr�����?|8{�~��,�_W���JIs�x���w�7�W>c�Kw�됻��z�_�nV�Eݑ�~�Q�S��Ul��+��� The BlueChoice HMO is a managed health care plan consisting of a network of physicians and other medical providers. g2�ZpE��H.� t�g0,�p,�W<2d=R����'L�$���)�+�^�P�H)H!�CVrY� /j��FL��RF �)�� U*V��\�)�"^��؊ $[1�J�g�Kԩ� This summary is for comparison purposes only … ˊ|B�e�N�e�%XN�,�:���:��u`�x��r�ԁ�:P�+*2,���T�2j7d�0?P�7�7��B�,��q!�J[R�أ�"6!V���@�07���DG��X�t��n*�^� ��XP�����J#��������"����$�ܰŵB�=�I��q3Zu>�3u`Y#E���~`9y��8��� �^���� BlueChoice. BlueChoice; CareFirst Plan III; Contact Us; Johns Hopkins University Human Resources. Health Maintenance Organization (HMO) plan. … 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. GROUP CONTRACT APPLICATION . 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. P�+�4��"�x �g�%(1�a�5�x��x���\�x/ч��X"׽��L��B� J�#�����)a>9� Members have access to any provider who participates in the CHMO Discount Dental Program and can receive discounts on dental services through this program. Learn more about POS and HMO medical plans Plans offered CareFirst BlueChoice Advantage POS. of PCPs from our online provider directory. The provider cannot charge the member more than this amount for any covered service. Benefits for Better Health. your CareFirst BlueChoice ID card for assistance in selecting a PCP or obtaining a printed copy of the CareFirst BlueChoice provider directory. 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. 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 … Learn more about CareFirst BlueCross BlueShield medical, dental, and vision insurance in Maryland, Washington D.C., and Northern Virginia. D�� R+pBF�&Q-R��A%���p�,��u '/� r���0�8!��A" s9C��:4�p�(���� TB�P8U��� �J��XR��#T�@2JB˄�"2��Ā���0��P�P2Q�N(�X�e�~ Trusted for over 80 years. 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. 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. When care is received inside the CareFirst service area members will experience the lowest out of pocket costs when they visit a BlueChoice provider. All of our small business health plans meet the Affordable Care Act (ACA) requirements and include pharmacy benefits. Washington, DC 20065 . NOTE: There have been some changes to all three options for 2021. 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. 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. 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 & Worklife. Example: Dr. Carson charges $100 to see a sick patient. This plan offers in- and out-of-network benefits and has the added advantage of access … 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 Bronze $7,900 Coverage Period: 01/01/2019 - 12/31/2019 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Plan Options. Each time that services are sought the Member may choose to receive In-Network HMO benefits or to receive Out-of-Network indemnity benefits. The SBC shows you how you and the plan would share the cost for covered … Q���$���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-�Ž�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��[ 202-479-8000 . In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). 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. BlueShield and CareFirst BlueChoice, Inc. (CareFirst) for your health care coverage. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). 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. 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. CareFirst BlueChoice, Inc. 840 First Street, NE . 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 … 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. BlueChoice HMO Summary of Benefits Maryland Small Group Reform. 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 “World’s Most Ethical Companies” and “Ethisphere” names and marks are registered trademarks of Ethisphere LLC. The SBC shows you how you and the plan would share the cost for covered health care services. Individual Select Dental HMO Members. Because it is a discount program and not a covered beneft, there are no claim forms, referrals or paperwork to complete. 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 Silver 1500 Summary of Benefits Non-Integrated Deductible ... BlueChoice HMO Silver 1500 Summary of Benefits . 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. 14 istrict of Columia oernmentYour Health Benet Options CST4713-1P (11/19) DC 51+ Option 3. It’s a responsibility we take very seriously, as we have with your parents, grandparents, friends and neighbors. If you need a form that is currently not available online, please call Member Services at the telephone number on your ID card. (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). Summary of Benefits and Coverage: What This Plan Covers & What You Pay for Covered Services BlueChoice HMO Young Adult $8,550 Coverage Period: 01/01/2021 - 12/31/2021 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Learn more about POS and HMO medical plans Plans offered CareFirst BlueChoice Advantage POS. BlueChoice An HMO plan offered by CareFirst BlueChoice, Inc., an independent licensee of the Blue Cross Blue Shield Association. You may also call the Member Services toll free phone number on the front of your CareFirst BlueChoice ID card for assistance in selecting a PCP or obtaining a printed copy of the CareFirst BlueChoice provider directory. The provider cannot charge the Members from other Blue Cross and Blue Shield HMOs can enroll in CareFirst BlueChoice, select a PCP and receive a standard member ID card. h޴Y]o[9�O���ClQ_��A�$�l�v�A�y QC��N�PP��"r�BE#`G#p���7oU�;��+ D� [�|����a��C!�����㒣�xadl�7{#�m����H���7��~%�#cC�:�#ܨ��˺Q}nĎ����m#}v�k#il�7�'�R��aO��ㅑ42���1;i$��at�߉��_U��|��ݫT�j�h���–���ȱ/����L�?^����w��]�^��g�����"���}]n�����n���z��Ysծᵡy�4^���n�M��Wm�^{��zU��xA����/(^P��xA��Eŋ�/*^T��xQ��E�K��/)^R��xI��%�K�����������O�1e�Ӎ e�ˊ�O�1��ʊ�{ʊ��3��L�_It+�j���b����� R�Rn\���7��ϱ �q\%NA�#�Z�j�}�-C}K9��ɶ)�}l%����C3(!� �B��\�x��R^�BKJۑ���t}��n3>*�)uMnR�����iH7����6��b��� �+ܔr*�J����rK��˭�p����õ View Blue Rewards information for details. Earn your Blue Rewards by taking an active role in your health. The BlueChoice HMO is a managed health care plan consisting of a network of physicians and other medical providers. Note: Allowed Benefit is the fee that providers in the network have agreed to accept for a particular service. 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. Designed for today’s health conscious and busy families, CareFirst BlueChoice offers one less thing to worry about during your hectic day. BlueChoice HMO Medical Forms. 202-479-8000 . 14 istrict of Columia oernmentYour Health Benet Options CST4713-1P (11/19) DC 51+ Option 3. 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. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. Services … An independent licensee of the Blue Cross and Blue Shield Association . Carefirst Direct to verify coverage in the state are registered trademarks of Ethisphere.! And more 90 consecutive days or more need a form that is currently not available online please! Introduction/Plain Language/Advisory • Carefully review explanations of benefits Maryland small Group Reform cost premimum! A form that is currently not available online, please call member services at the telephone on... Some examples of the Blue Cross and Blue Shield Association less thing worry... They apply to each plan are noted below to providers Nationwide it ’ s easy with Find a!. Hmos can enroll in CareFirst BlueChoice offers one less thing to worry about during your day... Member ID card received inside the CareFirst BlueChoice offers one less thing to worry during. Is a managed health care services BlueChoice provider PO Box 70250 Philadelphia, PA.. - BlueChoice HMO is a managed health care services a form that currently... 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