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Safe, Secure & Absolutely FreeCareFirst – BluePreferred Saver – DISTRICT OF COLUMBIA
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 |
| Application | BluePreferred Saver Application | BluePreferred Saver Application |
| Brochure | BluePreferred Saver Brochure | BluePreferred Saver Brochure |
| Copay | Office Visits (excluding preventive care) 1-2: $30 per visit (no deductible) | Subject to deductible and coinsurance |
| Office Visit | Subject to deductible and coinsurance | |
| Deductible | Individual: $10,000, Family: $20,000 | Individual: $12,500, Family: $25,000 |
| Coinsurance | 100% | 80% |
| Coinsurance Limit | BluePreferred Saver | BluePreferred Saver |
| Out-of-Pocket Maximum | Individual: $10,000, Family: $20,000 | Individual: $15,000, Family: $27,500 |
| Lifetime Maximum | $3,000,000 | $3,000,000 |
| Prescription Drugs | Subject to deductible and coinsurance | |
| Emergency Room | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Adult Preventative Care | Subject to deductible and coinsurance | |
| Child Preventative Care | Subject to deductible and coinsurance | |
| Lab / X-Ray | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Maternity | Optional Extended Maternity Services | Optional Extended Maternity Services |
| Physical Therapy | BluePreferred Saver | BluePreferred Saver |
| Skilled Nursing | BluePreferred Saver | BluePreferred Saver |
| Home Health Care | BluePreferred Saver | BluePreferred Saver |
| Mental Health | BluePreferred Saver | BluePreferred Saver |
| Hospital Care | Subject to deductible and coinsurance | Subject to deductible and coinsurance |
| Optional Benefits | BluePreferred Saver | BluePreferred Saver |