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Individual Product Marketing Materials

MD Under 65 | MD Over 65 | DC Under 65 | DC Over 65 | VA Under 65 | VA Over 65

The following individual marketing materials are now available for you to access electronically. The information is presented in a printer-friendly, PDF format. PDF

Maryland - Under 65
Marketing Material Product Number
BlueChoice Underwritten Brochure BOK5199
BlueChoice Underwritten Application CUT5348
BlueChoice Underwritten Rate Sheet CUT7132
BlueChoice - Saver Brochure BRC6446
BlueChoice - Saver Application CUT6613
BlueChoice - Saver Rate Sheet CUT6650
BlueChoice HSA Brochure BRC6540
BlueChoice HSA Application CUT6937
BlueChoice HSA Rate Sheet CUT7016
BluePreferred Underwritten Brochure BOK5011
BluePreferred Underwritten Application CUT5036
BluePreferred Underwritten $100-300 Rate Sheet CUT5046
BluePreferred Underwritten $300-500 Rate Sheet CUT5047
BluePreferred - Saver Brochure BRC6443
BluePreferred - Saver Application CUT6610
BluePreferred Saver $2,500-$5,000 Rate Sheet CUT6655
BluePreferred Saver $5,000-$10,000 Rate Sheet CUT6656
BluePreferred Saver $10,000-$12,500 Rate Sheet CUT6657
BluePreferred HSA Brochure BRC6530
BluePreferred HSA Application CUT6725
BluePreferred HSA Rate Sheet CUT6850
Personal Comp Brochure BRC5009
Personal Comp Application CUT5156
Personal Comp Rate Sheet CUT6713

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Maryland - Over 65
Marketing Material Product Number
MediGap-65 Brochure FOL5092
MediGap Outline of Coverage BOK5021
MediGap Application CUT5057
MediGap Representative Form CUT5897

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District of Columbia - Under 65
Marketing Material Product Number
BlueChoice Underwritten Brochure BOK5200
BlueChoice Underwritten Application CUT5347
BlueChoice Underwritten Rate Sheet CUT7131
BlueChoice - Saver Brochure BRC6447
BlueChoice - Saver Application CUT6614
BlueChoice - Saver Rate Sheet CUT6651
BlueChoice HSA Application CUT6936
BlueChoice HSA Brochure BRC6567
BlueChoice HSA Rate Sheet CUT7018
BlueChoice HIPAA Application CUT5354
BlueChoice HIPAA Brochure BOK5201
BlueChoice HIPAA Rate Sheet CUT7436
BluePreferred Underwritten Brochure BOK5013
BluePreferred Underwritten Application CUT5035
BluePreferred Underwritten $100- $300 Rate Sheet CUT5043
BluePreferred Underwritten $300-$600 Rate Sheet CUT5044
BluePreferred Underwritten $750- $1500 Rate Sheet CUT5045
BluePreferred - Saver Brochure BRC6444
BluePreferred - Saver Application CUT6611
BluePreferred Saver $2500-$5000 Rate Sheet CUT6652
BluePreferred Saver $5000-$10000 Rate Sheet CUT6653
BluePreferred Saver $10000-$12500 Rate Sheet CUT6654
BluePreferred HSA Brochure BRC6531
BluePreferred HSA Application CUT6727
BluePreferred HSA Rate Sheet CUT6851
BluePreferred HIPAA Brochure BOK5149
BluePreferred HIPAA Application CUT5070
BluePreferred HIPAA Rate Sheet CUT5052

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District of Columbia - Over 65
Marketing Material Product Number
Supplement 65 Brochure FOL5093
Supplement 65 Outline of Coverage BOK5017
Supplement 65 Application CUT5155
Supplement 65 Representative Form CUT5899

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Virginia - Under 65
Marketing Material Product Number
BlueChoice HSA Brochure BRC6568
BlueChoice HSA Application CUT6938
BlueChoice HSA Rate Sheet CUT7017
BlueChoice HIPAA Brochure BOK5133
BlueChoice HIPAA Application CUT6939
BlueChoice HIPAA Rate Sheet CUT7044
BluePreferred Underwritten Brochure BOK5012
BluePreferred Underwritten $100-$300 Rate Sheet CUT5013
BluePreferred Underwritten $300-$600 Rate Sheet CUT5020
BluePreferred Underwritten $750-$1500 Rate Sheet CUT5014
BluePreferred - Saver Brochure BRC6445
BluePreferred - Saver Application CUT6612
BluePreferred Saver $2500-$5000 Rate Sheet CUT6658
BluePreferred Saver $5000-$10000 Rate Sheet CUT6659
BluePreferred Saver $10000-$12500 Rate Sheet CUT6660

BluePreferred - Saver HIPAA Brochure

 BRC6455
BluePreferred - Saver HIPAA Application CUT6612

BluePreferred - Saver HIPAA $2500-$5000 Rate Sheet

 CUT6661
BluePreferred - Saver HIPAA $5000-$10000 Rate Sheet CUT6662
BluePreferred - Saver HIPAA $10000-$12500 Rate Sheet CUT6663
BluePreferred HSA Brochure BRC6532
BluePreferred HSA Application CUT6722
BluePreferred HSA Rate Sheet CUT6852
BluePreferred HSA HIPAA Brochure BRC6533
BluePreferred HSA HIPAA & Underwritten Application CUT6722
BluePreferred HSA HIPAA Rate Sheet CUT6853
BluePreferred HIPAA Brochure BOK5151
BluePreferred HIPAA $100-$300 Rate Sheet CUT5048
BluePreferred HIPAA $300-$600 Rate Sheet CUT5049
BluePreferred HIPAA $750-$1500 Rate Sheet CUT5050
BluePreferred HIPAA & Underwritten Application CUT5111

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Virginia - Over 65
Marketing Material Product Number
Supplement 65 FOL5094
Supplement 65 Outline of Coverage BOK5016
Supplement 65 Application CUT5101
Supplement 65 Representative Form CUT5898

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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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