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Care First HealthyBlue 2.0 – District of Columbia Health Insurance Plan

A detailed comparison of the Care First HealthyBlue 2.0 health insurance plan as offered in District of Columbia is listed below for both Network and Non-Network coverage. This is a review of the coverage for this specific Care First plan. However, GoHealthInsurance offers a large variety of health insurance options to fit your needs. If you wish, get a new Care First health insurance quote for District of Columbia now or view all of our Care First health insurance quotes.

  Network Non-Network
Copay $0
OfficeVisit Office Visits for Illness -
  • Primary Care Physician: No charge, deductible does not apply
  • Specialist: $40 copay, deductible does not apply
 Office Visits for Illness -
  • Primary Care Physician: Deductible, then $40 copay
  • Specialist: Deductible, then $40 copay
Deductible true Individual: $1,500, Family: $3,000 (All deductible expenses will count toward both the in-network and out-of-network deductibles) Individual: $2,500, Family: $5,000 (All deductible expenses will count toward both the in-network and out-of-network deductibles)
Coinsurance N/A N/A
Coinsurance Limit Individual: $3,000, Family: $6,000 Individual: $3,400, Family: $6,800
Out-of-Pocket Maximum N/A N/A
Lifetime Maximum None None
Prescription Drugs Prescription Drug Benefits -
  • Generic Drugs (Tier 1 - up to a 34-day supply): $0, no deductible
  • Preferred Brand Name Drugs (Tier 2 - up to a 34-day supply): $400 Rx Deductible, then $45 copay
  • Non-Preferred Brand Name Drugs (Tier 3 - up to a 34
 Prescription Drug Benefits -
  • Generic Drugs (Tier 1 - up to a 34-day supply): $0, no deductible
  • Preferred Brand Name Drugs (Tier 2 - up to a 34-day supply): $400 Rx Deductible, then $45 copay
  • Non-Preferred Brand Name Drugs (Tier 3 - up to a 34
Emergency Room
  • Emergency Room (copay waived if admitted): $200 copay, deductible does not apply
  • Urgent Care Center (participating): $50 copay, deductible does not apply
  • Ambulance (when medically necessary): $50 copay, deductible does not apply
    		•
  • Emergency Room (copay waived if admitted): $200 copay, deductible does not apply
  • Urgent Care Center (participating): $50 copay, deductible does not apply
  • Ambulance (when medically necessary): $50 copay, deductible does not apply
    		•
    Adult Preventative Care
  • Routine Adult Physical (including routine OB/GYN visits): No charge, deductible does not apply
  • Pap test and Mammography: No charge, deductible does not apply
  • Prostate and Colorectal Screening: No charge, deductible does not apply
    		•
  • Routine Adult Physical (including routine OB/GYN visits): Deductible, then no copay or coinsurance
  • Pap test and Mammography: No charge, deductible does not apply
  • Prostate and Colorectal Screening: No charge, deductible does not apply
    		•
    Child Preventative Care Well-Child Care (including exams and immunizations): No charge, deductible does not apply Well-Child Care (including exams and immunizations): Deductible, then no copay or coinsurance
    Lab / X-Ray Labs and Testing -
    • Diagnostic/Lab Tests: No charge, deductible does not apply
    • X-Ray: No charge, deductible does not apply
    		 Labs and Testing -
    • Diagnostic/Lab Tests: Deductible, then no copay or coinsurance
    • X-Ray: Deductible, then no copay or coinsurance
    Maternity
  • Office Visits (pre and postnatal): Deductible, then $40 copay
  • Delivery (room and board only): Deductible, then $450/day
    		•
  • Office Visits (pre and postnatal): Deductible, then $40 copay
  • Delivery (room and board only): Deductible, then $700/day
    		•
    Physical Therapy Office Visits for Physical, Occupational and Speech Therapy, Chiropractic: $40 copay, deductible does not apply Office Visits for Physical, Occupational and Speech Therapy, Chiropractic: Deductible, then $40 copay
    Home Health Care
  • Home Health Services: Deductible, then $40 copay
  • Hospice: Deductible, then $40 copay
    		•
  • Home Health Services: Deductible, then $125 copay
  • Hospice: Deductible, then $125 copay
    		•
    Mental Health Mental Health and Substance Abuse -
    • Inpatient Facility Services: Deductible, then $450/day
    • Inpatient Physician Services: Deductible, then $40 copay
    • Outpatient Services: Deductible, then $30 copay
    		 Mental Health and Substance Abuse -
    • Inpatient Facility Services: Deductible, then $700/day
    • Inpatient Physician Services: Deductible, then $125 copay
    • Outpatient Services: Deductible, then $30 copay
    Hospital Care
  • Inpatient Facility Services: Deductible, then $450/day
  • Inpatient Physician Services: Deductible, then $40 copay
  • Outpatient Facility Services: Deductible, then $40 copay
  • Outpatient Physician Services: Deductible, then $40 copay
    		•
  • Inpatient Facility Services: Deductible, then $700/day
  • Inpatient Physician Services: Deductible, then $125 copay
  • Outpatient Facility Services: Deductible, then $125 copay
  • Outpatient Physician Services: Deductible, then $125 copay
    		•
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