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CareFirst Health Insurance in VIRGINIA – Health Plan Options

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	80%	60%
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	80%	60%
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 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	70%	60%
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: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

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	70%	60%
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: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

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	70%	60%
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: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000