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:

 

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.