BlueFund CDH Prescription Drugs Benefit Summaries -
BlueChoice Opt Out Plus (Open Access) Benefit Summaries

The following BlueFund CDH prescription drug plans are BlueChoice Opt-Out Plus (Open Access) based drug plans and are only available as an Integrated Medical & Prescription Deducitible CDH plan. They may not be sold separately.

The information is presented in a printer-friendly, PDF** format. Please check the site frequently for summary updates. Visit our Pharmacy home page for more information and updates.

Availability: Rx Benefit Summaries for all new BlueChoice Rx plans for MSGR, DC and Virginia are available. Benefit Summaries for BlueFund BlueChoice Rx plans for Maryland options not subject to Maryland Small Group Reform (Non-MSGR) will be posted once available.

Please select from the following:
MSGR: HSA Integrated Plan
Non-MSGR:
  1-50 HSA & HRA Integrated Plans
51-199 HSA & HRA Integrated Plans
District of Columbia:
  1-50 HSA & HRA Integrated Plan
51-199 HSA & HRA Integrated Plans
 
Virginia:
  1-50 HSA & HRA Integrated Plan
51-199 HSA & HRA Integrated Plans
Standard Rx Portfolio:
  MSGR
Non-MSGR
District of Columbia
Virginia

MSGR HSA Integrated Deductible Rx Plan
Features Brochure Number
$0/$25/$45 CUT7060

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Non-MSGR (1-50) HSA & HRA Integrated Deductible Rx Plan
Features Brochure Number
$0/$25/$45 CUT7051

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Non-MSGR (51-199) HSA & HRA Integrated Deductible Rx Plan
Features Brochure Number
$0/$25/$45 CUT7051

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District of Columbia 1-50 HSA & HRA Integrated Deductible Rx Plan
Features Brochure Number
$0/$25/$45 CUT7054

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District of Columbia 51-199 HSA & HRA Integrated Deductible Rx Plans
Features Brochure Number
$0/$25/$45 CUT7054
$10/$25/$45 CUT6982
$15/$35/$60 CUT6979

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Virginia 1-50 HSA & HRA Integrated Deductible Rx Plan
Features Brochure Number
$0/$25/$45 BRC6577

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Virginia 51-199 HSA & HRA Integrated Deductible Rx Plans
Features Brochure Number
$0/$25/$45 BRC6577
$10/$25/$45 BRC6558
$15/$35/$60 BRC6556

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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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