CareFirst Vision Plans - Benefit Summaries

The following benefit summaries are now available for small and large groups. The information is presented in a printer-friendly, PDF format. Download Acrobat Reader Please check the site frequently for summary updates.

BlueVision
Option Features Brochure Number
Option 1 Core to BlueChoice HMO, BlueChoice HMO Open Access and BlueChoice Opt-Out Plus Open Access (non-MSGR only) and BlueChoice Advantage BRC6420
Option 2 Core to BlueChoice Opt-Out Open Access and MSGR BlueChoice Opt-Out Plus Open Access BRC6421
Option 3 Core to BluePreferred and SPPP Options A and B. For MSGR: Use with MSGR BluePreferred and MSGR SPPP options. (Refer to SPPP section for more information.) BRC6422

BlueVision Plus
Option Features Brochure Number
Option 1 $0 exam copay / 12 month benefit period BRC6424
Option 2 $0 exam copay / 24 month benefit period BRC6425
Option 3 $10 exam copay / 12 month benefit period BRC6426
Option 4 $10 exam copay / 24 month benefit period BRC6427

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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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