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The following benefit summaries are now available for groups 1-50 & 51+. The information is presented in a printer-friendly, PDF format.  Please check the site frequently for summary updates.
| Ridered Dental HMO (DHMO) Products |
| Available ridered to BlueChoice medical products only. |
| Plan |
Premium | Co-pay |
Brochure Number |
| Plan 10 |
Basic Dental Service (per office visit co-pay) $10 |
BRC6341 |
| Plan 20 |
Basic Dental Service (per office visit co-pay) $20 |
BRC6340 |
| Plan 10 Opt-Out |
high premium option |
BRC6338 |
| Plan 20 Opt-Out |
low premium option |
BRC6339 |
| Freestanding DHMO Dental Products - MD |
| Available with any medical product or can be sold as freestanding. |
| Plan |
Premium | Co-pay |
Brochure Number |
| Freestanding Plan PC-5 |
high premium | low co-pay |
BOK5256 |
| Freestanding Plan PC-10 |
medium premium | medium co-pay |
BOK5254 |
| Freestanding Plan PC-20 |
low premium | high co-pay |
BOK5255 |
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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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