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CareFirst Health Insurance in DISTRICT OF COLUMBIA – Health Plan Options

CareFirst — BluePreferred Open Enrollment

A comparison of the BluePreferred Open Enrollment offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	80% after deductible	60% after deductible
Office Visit	$25, deductible waived	Subject to deductible and coinsurance
Copay	$25, deductible waived	Subject to deductible and coinsurance
Deductible	$750 Individual, $1,500 Family	$1,500 Individual, $3,000 Family

CareFirst — BlueChoice Saver

A comparison of the BlueChoice Saver offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Office Visits for Illness: $30 PCP/$40 Specialist	Office Visits for Illness: $30 PCP/$40 Specialist
Copay	Office Visits for Illness: $30 PCP/$40 Specialist	Office Visits for Illness: $30 PCP/$40 Specialist
Deductible	$0	$0

CareFirst — BlueChoice HSA

A comparison of the BlueChoice HSA offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Office Visits for Illness- $30 PCP/$40 Specialist (after deductible)	Office Visits for Illness- $30 PCP/$40 Specialist (after deductible)
Copay	Office Visits for Illness- $30 PCP/$40 Specialist (after deductible)	Office Visits for Illness- $30 PCP/$40 Specialist (after deductible)
Deductible	see brochure	see brochure

CareFirst — BlueChoice HSA

A comparison of the BlueChoice HSA offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Office Visits for Illness- $30 PCP/$40 Specialist (after deductible)	Office Visits for Illness- $30 PCP/$40 Specialist (after deductible)
Copay	Office Visits for Illness- $30 PCP/$40 Specialist (after deductible)	Office Visits for Illness- $30 PCP/$40 Specialist (after deductible)
Deductible	see brochure	see brochure

CareFirst — BluePreferred

A comparison of the BluePreferred offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	90%	70%
Office Visit	$25 (no deductible)	Subject to deductible and coinsurance
Copay	$25	N/A
Deductible	Individual: $100, Family: $200	Individual: $300, Family: $600

CareFirst — BluePreferred

A comparison of the BluePreferred offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	90%	70%
Office Visit	$25 (no deductible)	Subject to deductible and coinsurance
Copay	$25	N/A
Deductible	Individual: $100, Family: $200	Individual: $300, Family: $600

CareFirst — BluePreferred

A comparison of the BluePreferred offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	90%	70%
Office Visit	$25 (no deductible)	Subject to deductible and coinsurance
Copay	$25	N/A
Deductible	Individual: $100, Family: $200	Individual: $300, Family: $600

CareFirst — BluePreferred

A comparison of the BluePreferred offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	90%	70%
Office Visit	$25 (no deductible)	Subject to deductible and coinsurance
Copay	$25	N/A
Deductible	Individual: $100, Family: $200	Individual: $300, Family: $600

CareFirst — BluePreferred

A comparison of the BluePreferred offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	90%	70%
Office Visit	$25 (no deductible)	Subject to deductible and coinsurance
Copay	$25	N/A
Deductible	Individual: $100, Family: $200	Individual: $300, Family: $600

CareFirst — BluePreferred

A comparison of the BluePreferred offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	90%	70%
Office Visit	$25 (no deductible)	Subject to deductible and coinsurance
Copay	$25	N/A
Deductible	Individual: $100, Family: $200	Individual: $300, Family: $600

CareFirst — BluePreferred Saver

A comparison of the BluePreferred Saver offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	Office Visits (excluding preventive care) 1-2: $30 per visit (no deductible) 3+ visits: subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Office Visits (excluding preventive care) 1-2: $30 per visit (no deductible)	Subject to deductible and coinsurance
Deductible	Individual: $10,000, Family: $20,000	Individual: $12,500, Family: $25,000

CareFirst — BluePreferred Saver

A comparison of the BluePreferred Saver offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	Office Visits (excluding preventive care) 1-2: $30 per visit (no deductible) 3+ visits: subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Office Visits (excluding preventive care) 1-2: $30 per visit (no deductible)	Subject to deductible and coinsurance
Deductible	Individual: $10,000, Family: $20,000	Individual: $12,500, Family: $25,000

CareFirst — BluePreferred Saver

A comparison of the BluePreferred Saver offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	Office Visits (excluding preventive care) 1-2: $30 per visit (no deductible) 3+ visits: subject to deductible and coinsurance	Subject to deductible and coinsurance
Copay	Office Visits (excluding preventive care) 1-2: $30 per visit (no deductible)	Subject to deductible and coinsurance
Deductible	Individual: $10,000, Family: $20,000	Individual: $12,500, Family: $25,000

CareFirst — BluePreferred HSA

A comparison of the BluePreferred HSA offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	$30 per visit (after deductible)	Subject to deductible and coinsurance
Copay	$30 per visit (after deductible)	Subject to deductible and coinsurance
Deductible	see brochure	see brochure

CareFirst — BluePreferred HSA

A comparison of the BluePreferred HSA offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	100%	80%
Office Visit	$30 per visit (after deductible)	Subject to deductible and coinsurance
Copay	$30 per visit (after deductible)	Subject to deductible and coinsurance
Deductible	see brochure	see brochure

CareFirst — BlueChoice Underwritten High Option

A comparison of the BlueChoice Underwritten High Option offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	$10 PCP/$20 Specialist	$10 PCP/$20 Specialist
Copay	$10 PCP/$20 Specialist	$10 PCP/$20 Specialist
Deductible	$0	$0

CareFirst — BlueChoice Underwritten Medium Option

A comparison of the BlueChoice Underwritten Medium Option offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	$15 PCP/$25 Specialist	$15 PCP/$25 Specialist
Copay	$15 PCP/$25 Specialist	$15 PCP/$25 Specialist
Deductible	$0	$0

CareFirst — BlueChoice Underwritten Low Option

A comparison of the BlueChoice Underwritten Low Option offered by CareFirst is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network
Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	$20 PCP/$30 Specialist	$20 PCP/$30 Specialist
Copay	$20 PCP/$30 Specialist	$20 PCP/$30 Specialist
Deductible	$0	$0