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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: |
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| MSGR |
| Option |
Features |
Brochure Number |
| Option 1 |
In: Copay $10/20 | Out: 80%-20% |
CUT5960 |
| Option 2 |
In: Copay $15/25 | Out: 80%-20% |
CUT5961 |
| Option 3 |
In: Copay $20/30 | Out: 80%-20%
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CUT5962 |
| Option 4 |
In: Copay $10/20 | Out: 60%-40% |
CUT5963 |
| Option 5 |
In: Copay $15/25 | Out: 60%-40% |
CUT5964 |
| Option 6 |
In: Copay $20/30 | Out: 60%-40% |
CUT5965 |
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| Non-MSGR 1-50 & 51-199 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: Copay $5/10 | Out: 80%-20% |
CUT5966 |
| Option 2 |
In: Copay $10/20 | Out: 80%-20% |
CUT5967 |
| Option 3 |
In: Copay $15/25 | Out: 80%-20% |
CUT5968 |
| Option 4 |
In: Copay $20/30 | Out: 80%-20% |
CUT5969 |
| Option 5 |
In: Copay $5/10 | Out: 60%-40% |
CUT5970 |
| Option 6 |
In: Copay $10/20 | Out: 60%-40% |
CUT5971 |
| Option 7 |
In: Copay $15/25 | Out: 60%-40% |
CUT5972 |
| Option 8 |
In: Copay $20/30 | Out: 60%-40% |
CUT5973 |
| Option 13 |
In: Copay $30/40 | Out: 80%-20% |
CUT6393 |
| Option 14 |
In: Copay $30/40 | Out: 60%-40% |
CUT6395 |
| Option A |
Copay $10/20 $500 Ded. |
CUT6485 |
| Option B |
Copay $20/30 $500 Ded. |
CUT6486 |
| Option C |
Copay $30/40 $500 Ded. |
CUT6487 |
| Option D |
Copay $10/20 $500 Ded. |
CUT6488 |
| Option E |
Copay $20/30 $500 Ded. |
CUT6489 |
| Option F |
Copay $30/40 $500 Ded. |
CUT6490 |
| Option G |
Copay $10/20 $500 Ded. |
CUT6491 |
| Option H |
Copay $20/30 $500 Ded. |
CUT6492 |
| Option I |
Copay $30/40 $500 Ded. |
CUT6493 |
| Option J |
Copay $10/20 $500 Ded. |
CUT6494 |
| Option K |
Copay $20/30 $500 Ded. |
CUT6495 |
| Option L |
Copay $30/40 $500 Ded. |
CUT6496 |
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| District of Columbia 1-50 & 51-199 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: Copay $5/10 | Out: 80%-20% |
CUT5978 |
| Option 2 |
In: Copay $10/20 | Out: 80%-20% |
CUT5979 |
| Option 3 |
In: Copay $15/25 | Out: 80%-20% |
CUT5980 |
| Option 4 |
In: Copay $20/30 | Out: 80%-20% |
CUT5981 |
| Option 5 |
In: Copay $5/10 | Out: 60%-40% |
CUT5982 |
| Option 6 |
In: Copay $10/20 | Out: 60%-40% |
CUT5983 |
| Option 7 |
In: Copay $15/25 | Out: 60%-40% |
CUT5984 |
| Option 8 |
In: Copay $20/30 | Out: 60%-40% |
CUT5985 |
| Option 13 |
In: Copay $30/40 | Out: 80%-20% |
CUT6392 |
| Option 14 |
In: Copay $30/40 | Out: 60%-40% |
CUT6394 |
| Option A |
Copay: $10/20 $500 Ded. |
CUT6509 |
| Option B |
Copay $20/30 $500 Ded. |
CUT6510 |
| Option C |
Copay $30/40 $500 Ded. |
CUT6511 |
| Option D |
Copay $10/20 $500 Ded. |
CUT6512 |
| Option E |
Copay $20/30 $500 Ded. |
CUT6513 |
| Option F |
Copay $30/40 $500 Ded. |
CUT6514 |
| Option G |
Copay $10/20 $500 Ded. |
CUT6515 |
| Option H |
Copay $20/30 $500 Ded. |
CUT6516 |
| Option I |
Copay $30/40 $500 Ded. |
CUT6517 |
| Option J |
Copay $10/20 $500 Ded. |
CUT6518 |
| Option K |
Copay $20/30 $500 Ded. |
CUT6519 |
| Option L |
Copay $30/40 $500 Ded. |
CUT6520 |
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| Virginia 1-50 & 51-199 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: Copay $5/10 | Out: 80%-20% |
BRC6266 |
| Option 2 |
In: Copay $10/20 | Out: 80%-20% |
BRC6267 |
| Option 3 |
In: Copay $15/25 | Out: 80%-20% |
BRC6268 |
| Option 4 |
In: Copay $20/30 | Out: 80%-20% |
BRC6269 |
| Option 5 |
In: Copay $5/10 | Out: 60%-40% |
BRC6270 |
| Option 6 |
In: Copay $10/20 | Out: 60%-40% |
BRC6271 |
| Option 7 |
In: Copay $15/25 | Out: 60%-40% |
BRC6272 |
| Option 8 |
In: Copay $20/30 | Out: 60%-40% |
BRC6273 |
| Option 13 |
In: Copay $30/40 | Out: 80%-20% |
BRC6316 |
| Option 14 |
In: Copay $30/40 | Out: 80%-20% |
BRC6317 |
| Option A |
Copay: $10/20 $500 Ded. |
BRC6398 |
| Option B |
Copay $20/30 $500 Ded. |
BRC6399 |
| Option C |
Copay $30/40 $500 Ded. |
BRC6400 |
| Option D |
Copay $10/20 $500 Ded. |
BRC6401 |
| Option E |
Copay $20/30 $500 Ded. |
BRC6402 |
| Option F |
Copay $30/40 $500 Ded. |
BRC6403 |
| Option G |
Copay $10/20 $500 Ded. |
BRC6404 |
| Option H |
Copay $20/30 $500 Ded. |
BRC6405 |
| Option I |
Copay $30/40 $500 Ded. |
BRC6406 |
| Option J |
Copay $10/20 $500 Ded. |
BRC6407 |
| Option K |
Copay $20/30 $500 Ded. |
BRC6408 |
| Option L |
Copay $30/40 $500 Ded. |
BRC6409 |
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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 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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