Everyone has different needs when determining the health plan that’s right for them. CareFirst Blue Cross / Blue Shield’s Gold level plans feature a range of options including HMO, PPO, and POS networks so you can secure the coverage that’s right for you. There are four options for you to choose from under the Gold plans. Below is a general overview of the benefits under each plan:
CareFirst BCBS BlueChoice Gold $0
| Network Type – HMO (Health Maintenance Organization) | |||||
| Deductible | Out-of-Pocket Limits | Preventative Care | Doctor Office Visits | ||
| Individual | Family | Individual | Family | ||
| $0 | $0 | $6,350 | $12,700 | Fully covered – in-network |
Primary Care Physician – $20 Copay Specialist – $30 Copay |
| Prescription Drug Coverage | ||||
| Preferred Generics | Non-Preferred Generics | Preferred Brand | Non-Preferred Brand | Specialty |
| 20% Coinsurance | 20% Coinsurance | 30% Coinsurance | 50% Coinsurance | 50% Coinsurance |
CareFirst BCBS BluePreferred Gold $500
| Network Type – PPO (Preferred Provider Organization) | |||||
| Deductible | Out-of-Pocket Limits | Preventative Care | Doctor Office Visits | ||
| Individual | Family | Individual | Family | ||
| $500 | $1,000 | $3,750 | $7,500 | Fully covered – in-network |
Primary Care Physician – $30 Copay Specialist – $40 Copay |
| Prescription Drug Coverage | ||||
| Preferred Generic | Non-Preferred Generic | Preferred Brand | Non-Preferred Brand | Specialty |
| 20% after deductible | 20% after deductible | 30% after deductible | 50% after deductible | 50% after deductible |
CareFirst BCBS BlueChoice Gold $1,000
| Network Type – BlueChoice HMO (Health Maintenance Organization) | |||||
| Deductible | Out-of-Pocket Limits | Preventative Care | Doctor Office Visits | ||
| Individual | Family | Indivdual | Family | ||
| $1,000 | $2,000 | $3,750 | $7,500 | Fully covered – in-network |
Primary Care Physician – $20 Copay Specialist – $30 Copay |
| Prescription Drug Coverage | ||||
| Preferred Generics | Non-Preferred Generics | Preferred Brand | Non-Preferred Brand | Specialty |
| $10 copay, no deductible | 20% after deductible | 30% after deductible | 40% after deductible | 40% after deductible |
CareFirst BCBS HealthyBlue Gold $1,500
| Network Type – POS (Point of Service) | |||||
| Deductible | Out-of-Pocket Limts | Preventative Care | Doctor Office Visits | ||
| Individual | Family | Individual | Family | ||
| $1,500 | $3,000 | $3,450 | $6,900 | Fully covered – in-network |
Primary Care Physician – $0 Copay Specialist – $40 Copay |
| Prescription Drug Coverage – $400 Drug Deductible | ||||
| Preferred Generics | Non-Preferred Generics | Preferred Brand | Non-Preferred Brand | Specialty |
| $0 copay, no deductible | $0 copay, no deductible | $45 copay after deductible | $200 copay after deductible | $200 copay after deductible |
Click here to view additional benefits for CareFirst BCBS Affordable Care Act plans
Click on your state below to download a copy of the CareFirst BCBS plans brochure:
- Virginia
- Maryland
- Washington, DC
If you would like a free quote comparison or have any questions about health insurance plans, give us a call at 1-800-571-2980 or e-mail us at Info@terminsurancebrokers.com.