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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.
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| MSGR |
| Option |
Features |
Brochure Number |
| Option 1 |
In: $250 Ded; 100% | Out: $250 Ded; 80% |
CUT6033 |
| Option 2 |
In: $250 Ded; 90% |Out $250 Ded; 70% |
CUT6034 |
| Option 4 |
In: $0 Ded; 100% |Out: $250 Ded; 80% |
CUT6035 |
| Option 5 |
In: $0 Ded; 90% |Out: $250 Ded; 70% |
CUT6036 |
| Option 7 |
In: $400 Ded; 100% |Out $400 Ded; 80% |
CUT6037 |
| Option 8 |
In: $0 Ded; 100% |Out: $400 Ded; 80% |
CUT6038 |
| Option 9 |
In: $1,000 Ded; 100% |Out: $1,000 Ded; 80% |
CUT6039 |
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| Non-MSGR 1-50 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: $0 Ded; 100% | Out: $250 Ded; 80% |
CUT6040 |
| Option 2 |
In: $0 Ded; 90% | Out: $300 Ded; 70% |
CUT6041 |
| Option 3 |
In: $100 Ded; 90% | Out: $500 Ded; 70%
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CUT6042 |
| Option 4 |
In: $0 Ded; 80% | Out: $300 Ded; 70% Not Available for New Sales; Renewing Groups Only |
CUT6043 |
| Option 5 |
In: $100 Ded; 80% | Out: $500 Ded; 65% |
CUT6044 |
| Option 6 |
In: $0 Ded; 100% | Out: $ 500 Ded; 80% |
CUT6045 |
| Option 7 |
In: $250 Ded; 100% | Out: $500 Ded; 80% |
CUT6046 |
| Option 8 |
In: $0 Ded; 90% | Out: $500 Ded; 70% |
CUT6047 |
| Option 9 |
In: $500 Ded; 100% | Out: $1,000 Ded; 80% |
CUT6048 |
| Option 14 |
In: $1,000 Ded; 100% | Out: $2,000; 80% |
CUT6208 |
| Option 15 |
In: $1,000 Ded; 90% | Out: $2,000 Ded; 70% |
CUT6209 |
| Option 16 |
In: $1,000 Ded; 80% | Out: $2,000 Ded; 60% |
CUT6210 |
| Option 17 |
In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
CUT6211 |
| Option 18 |
In: $3,000 Ded; 100% | Out: $6,000 Ded; 80% |
CUT6212 |
| Option 19 |
In: $5,000 Ded; 100% | Out: $10,000 Ded; 80% |
CUT6213 |
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| Non-MSGR 51-199 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: $0 Ded; 100% | Out: $250 Ded; 80% |
CUT6040 |
| Option 2 |
In: $0 Ded; 90% | Out: $300 Ded; 70% |
CUT6041 |
| Option 3 |
In: $100 Ded; 90% | Out: $500 Ded; 70% Not Available for New Sales; Renewing Groups Only |
CUT6042 |
| Option 4 |
In: $0 Ded; 80% | Out: $300 Ded; 70% Not Available for New Sales; Renewing Groups Only |
CUT6043 |
| Option 5 |
In: $100 Ded; 80% | Out: $500 Ded; 65% Not Available for New Sales; Renewing Groups Only |
CUT6044 |
| Option 6 |
In: $0 Ded; 100% | Out: $ 500 Ded; 80% |
CUT6045 |
| Option 7 |
In: $250 Ded; 100% | Out: $500 Ded; 80% |
CUT6046 |
| Option 8 |
In: $0 Ded; 90% | Out: $500 Ded; 70% |
CUT6047 |
| Option 9 |
In: $500 Ded; 100% | Out: $1,000 Ded; 80% |
CUT6048 |
| Option 10 |
In: $0 Ded; 100% | Out: $500 Ded; 80% |
CUT6049 |
| Option 11 |
In: $0 Ded; 80% | Out: $300 Ded; 60% |
CUT6050 |
| Option 12 |
In: $250 Ded; 80% | Out: $500 Ded; 60% |
CUT6051 |
| Option 13 |
In: $0 Ded; 100% | Out: $200 Ded; 80% |
CUT6052 |
| Option 14 |
In: $1,000 Ded; 100% | Out: $2,000; 80% |
CUT6208 |
| Option 15 |
In: $1,000 Ded; 90% | Out: $2,000 Ded; 70% |
CUT6209 |
| Option 16 |
In: $1,000 Ded; 80% | Out: $2,000 Ded; 60% |
CUT6210 |
| Option 17 |
In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
CUT6211 |
| Option 18 |
In: $3,000 Ded; 100% | Out: $6,000 Ded; 80% |
CUT6212 |
| Option 19 |
In: $5,000 Ded; 100% | Out: $10,000 Ded; 80% |
CUT6213 |
| Option 20 |
In: $250 Ded; 90% | Out: $500 Ded; 70% |
CUT6968 |
| Option 21 |
In: $500 Ded; 90% | Out: $1,000 Ded; 70% |
CUT6969 |
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| District of Columbia 1-50 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: $0 Ded; 100% | Out: $300 Ded; 80% |
CUT6020 |
| Option 2 |
In: $0 Ded; 90% |Out: $300 Ded; 70% |
CUT6021 |
| Option 3 |
In: $100 Ded; 90% |Out: $500 Ded; 70% |
CUT6022 |
| Option 4 |
In: $0 Ded; 80% |Out: $300 Ded; 70% Not Available for New Sales; Renewing Groups Only |
CUT6023 |
| Option 5 |
In: $100 Ded; 80% |Out: $500 Ded; 60% |
CUT6024 |
| Option 6 |
In: $0 Ded; 100% |Out: $500 Ded; 80% |
CUT6025 |
| Option 7 |
In: $250 Ded; 100% |Out: $500 Ded; 80% |
CUT6026 |
| Option 8 |
In: $0 Ded; 90% | Out: $500 Ded; 70% |
CUT6027 |
| Option 9 |
In: $500 Ded; 100% | Out: $1,000 Ded; 80% |
CUT6028 |
| Option 14 |
In: $1,000 Ded; 100% | Out: $2,000 Ded; 80% |
CUT6202 |
| Option 15 |
In: $1,000 Ded; 90% | Out: $2,000 Ded; 70% |
CUT6203 |
| Option 16 |
In: $1,000 Ded; 80% | Out: $2,000 Ded; 60% |
CUT6204 |
| Option 17 |
In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
CUT6205 |
| Option 18 |
In: $3,000 Ded; 100% | Out: $6,000 Ded; 80% |
CUT6206 |
| Option 19 |
In: $5,000 Ded; 100% | Out: $10,000 Ded; 80%
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CUT6207 |
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| District of Columbia 51-199 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: $0 Ded; 100% | Out: $300 Ded; 80% |
CUT6020 |
| Option 2 |
In: $0 Ded; 90% |Out: $300 Ded; 70% |
CUT6021 |
| Option 3 |
In: $100 Ded; 90% |Out: $500 Ded; 70% Not Available for New Sales; Renewing Groups Only |
CUT6022 |
| Option 4 |
In: $0 Ded; 80% |Out: $300 Ded; 70% Not Available for New Sales; Renewing Groups Only |
CUT6023 |
| Option 5 |
In: $100 Ded; 80% |Out: $500 Ded; 60% Not Available for New Sales; Renewing Groups Only |
CUT6024 |
| Option 6 |
In: $0 Ded; 100% |Out: $500 Ded; 80% |
CUT6025 |
| Option 7 |
In: $250 Ded; 100% |Out: $500 Ded; 80% |
CUT6026 |
| Option 8 |
In: $0 Ded; 90% | Out: $500 Ded; 70% |
CUT6027 |
| Option 9 |
In: $500 Ded; 100% | Out: $1,000 Ded; 80% |
CUT6028 |
| Option 10 |
In: $0 Ded; 100% | Out: $500 Ded; 80% |
CUT6029 |
| Option 11 |
In: $0 Ded; 80% | Out: $300 Ded; 60% |
CUT6030 |
| Option 12 |
In: $250 Ded; 80% | Out: $500 Ded; 60% |
CUT6031 |
| Option 13 |
In: $0 Ded; 100% | Out: $200 Ded; 80% |
CUT6032 |
| Option 14 |
In: $1,000 Ded; 100% | Out: $2,000 Ded; 80% |
CUT6202 |
| Option 15 |
In: $1,000 Ded; 90% | Out: $2,000 Ded; 70% |
CUT6203 |
| Option 16 |
In: $1,000 Ded; 80% | Out: $2,000 Ded; 60% |
CUT6204 |
| Option 17 |
In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
CUT6205 |
| Option 18 |
In: $3,000 Ded; 100% | Out: $6,000 Ded; 80% |
CUT6206 |
| Option 19 |
In: $5,000 Ded; 100% | Out: $10,000 Ded; 80%
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CUT6207 |
| Option 20 |
In: $250 Ded; 90% | Out: $500 Ded; 70% |
CUT6970 |
| Option 21 |
In: $500 Ded; 90% | Out: $1,000 Ded; 70% |
CUT6971 |
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| Virginia 1-50 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: $0 Ded; 100% | Out: $300 Ded; 80% |
BRC5109 |
| Option 2 |
In: $0 Ded; 90% |Out: $300 Ded; 70% |
BRC5110 |
| Option 3 |
In: $100 Ded; 90% | Out: $500 Ded; 70% |
BRC5111 |
| Option 4 |
In: $0 Ded; 80% | Out: $300 Ded; 70% Not Available for New Sales; Renewing Groups Only |
BRC5112 |
| Option 5 |
In: $100 Ded; 80% | Out: $500 Ded; 60%
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BRC5113 |
| Option 6 |
In: $0 Ded; 100% |Out: $500 Ded; 80% |
BRC6177 |
| Option 7 |
In: $250 Ded; 100% |Out: $500 Ded; 80% |
BRC6195 |
| Option 8 |
In: $0 Ded; 90% | Out: $500 Ded; 70% |
BRC6179 |
| Option 9 |
In: $500 Ded; 100% | Out: $1,000 Ded; 80% |
BRC6180 |
| Option 14 |
In: $1,000 Ded; 100% | Out: $2,000 Ded; 80% |
BRC6345 |
| Option 15 |
In: $1,000 Ded; 90% | Out: $2,000 Ded; 70% |
BRC6346 |
| Option 16 |
In: $1,000 Ded; 80% | Out: $2,000 Ded; 60% |
BRC6347 |
| Option 17 |
In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
BRC6348 |
| Option 18 |
In: $3,000 Ded; 100% | Out: $6,000 Ded; 80% |
BRC6349 |
| Option 19 |
In: $5,000 Ded; 100% | Out: $10,000 Ded; 80% |
BRC6350 |
| Virginia 51-199 |
| Option |
Features |
Brochure Number |
| Option 1 |
In: $0 Ded; 100% | Out: $300 Ded; 80% |
BRC5109 |
| Option 2 |
In: $0 Ded; 90% |Out: $300 Ded; 70% |
BRC5110 |
| Option 3 |
In: $100 Ded; 90% | Out: $500 Ded; 70% Not Available for New Sales; Renewing Groups Only |
BRC5111 |
| Option 4 |
In: $0 Ded; 80% | Out: $300 Ded; 70% Not Available for New Sales; Renewing Groups Only |
BRC5112 |
| Option 5 |
In: $100 Ded; 80% | Out: $500 Ded; 60% Not Available for New Sales; Renewing Groups Only |
BRC5113 |
| Option 6 |
In: $0 Ded; 100% |Out: $500 Ded; 80% |
BRC6177 |
| Option 7 |
In: $250 Ded; 100% |Out: $500 Ded; 80% |
BRC6195 |
| Option 8 |
In: $0 Ded; 90% | Out: $500 Ded; 70% |
BRC6179 |
| Option 9 |
In: $500 Ded; 100% | Out: $1,000 Ded; 80% |
BRC6180 |
| Option 10 |
In: $0 Ded; 100% | Out: $500 Ded; 80% |
BRC6181 |
| Option 11 |
In: $0 Ded; 80% | Out: $300 Ded; 60% |
BRC6182 |
| Option 12 |
In: $250 Ded; 80% | Out: $500 Ded; 60% |
BRC6183 |
| Option 13 |
In: $0 Ded; 100% | Out: $200 Ded; 80% |
BRC6184 |
| Option 14 |
In: $1,000 Ded; 100% | Out: $2,000 Ded; 80% |
BRC6345 |
| Option 15 |
In: $1,000 Ded; 90% | Out: $2,000 Ded; 70% |
BRC6346 |
| Option 16 |
In: $1,000 Ded; 80% | Out: $2,000 Ded; 60% |
BRC6347 |
| Option 17 |
In: $2,000 Ded; 100% | Out: $4,000 Ded; 80% |
BRC6348 |
| Option 18 |
In: $3,000 Ded; 100% | Out: $6,000 Ded; 80% |
BRC6349 |
| Option 19 |
In: $5,000 Ded; 100% | Out: $10,000 Ded; 80% |
BRC6350 |
| Option 20 |
In: $250 Ded; 90% | Out: $500 Ded; 70% |
BRC6549 |
| Option 21 |
In: $500 Ded; 90% | Out: $1,000 Ded; 70% |
BRC6550 |
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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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