BlueChoice Advantage Benefit Summaries

The following benefit summaries are now available for small groups (1-50 & 51-199). The information is presented in a printer-friendly, PDF format.* Please check the site frequently for summary updates.

Please select from the following:
Non-MSGR: 1-50 & 51-199
Virginia: 1-50 & 51-199
District of Columbia: 1-50 & 51-199

Non-MSGR 1-50 BlueChoice Advantage
Option Features Brochure Number
Option 1 In: $0 Ded. | Out: $250 Ded. 100%-70% CUT7034
Option 2 In: $0 Ded. | Out: $500 Ded. 90%-60% CUT7035
Option 3 In: $0 Ded. | Out: $750 Ded. 80%-50% CUT7036

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Non-MSGR 51-199 BlueChoice Advantage
Option Features Brochure Number
Option 1 In: $0 Ded. | Out: $250 Ded. 100%-70% CUT7034
Option 2 In: $0 Ded. | Out: $500 Ded. 90%-60% CUT7035
Option 3 In: $0 Ded. | Out: $750 Ded. 80%-50% CUT7036
Option 4 In: $0 Ded. | Out: $500 Ded. 100%-70% CUT7037
Option 5 In: $0 Ded. | Out: $1,000 Ded. 90%-60% CUT7038

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DC 1-50 BlueChoice Advantage
Option Features Brochure Number
Option 1 In: $0 Ded. | Out: $250 Ded. 100%-70% CUT7039
Option 2 In: $0 Ded. | Out: $500 Ded. 90%-60% CUT7040
Option 3 In: $0 Ded. | Out: $750 Ded. 80%-50% CUT7041

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DC 51-199 BlueChoice Advantage
Option Features Brochure Number
Option 1 In: $0 Ded. | Out: $250 Ded. 100%-70% CUT7039
Option 2 In: $0 Ded. | Out: $500 Ded. 90%-60% CUT7040
Option 3 In: $0 Ded. | Out: $750 Ded. 80%-50% CUT7041
Option 4 In: $0 Ded. | Out: $500 Ded. 100%-70% CUT7042
Option 5 In: $0 Ded. | Out: $1,000 Ded. 90%-60% CUT7043

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Virginia 1-50BlueChoice Advantage
Option Features Brochure Number
Option 1 In: $0 Ded. | Out: $250 Ded. 100%-70% BRC6569
Option 2 In: $0 Ded. | Out: $500 Ded. 90%-60% BRC6570
Option 3 In: $0 Ded. | Out: $750 Ded. 80%-50% BRC6571

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Virginia 51-199BlueChoice Advantage
Option Features Brochure Number
Option 1 In: $0 Ded. | Out: $250 Ded. 100%-70% BRC6569
Option 2 In: $0 Ded. | Out: $500 Ded. 90%-60% BRC6570
Option 3 In: $0 Ded. | Out: $750 Ded. 80%-50% BRC6571
Option 4 In: $0 Ded. | Out: $500 Ded. 100%-70% BRC6572
Option 5 In: $0 Ded. | Out: $1,000 Ded. 90%-60% BRC6573

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Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site.

CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.

® Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc.
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