Benefit Summaries

Not all summaries are currently available online. For additional information, contact your HR benefits representative, call Member Services at the number on your member ID card or refer to your Evidence of Coverage.

Medical | Dental | Vision | Pretax Spending Accounts

Medical:

Health Maintenance Organization (HMO):

• BlueChoice HMO (Referral-based)
• BlueChoice HMO Open Access
• BlueChoice Open Enrollment (HMO for DC residents only)

BlueFund Consumer Directed Health Care (CDH):

• BlueChoice HMO HSA (Referral-based) (for individual members only)
• BlueChoice HMO HRA (Open Access)
• BlueChoice HMO HSA (Open Access)
• BlueChoice Opt-Out Plus HRA (Open Access) 
• BlueChoice Opt-Out Plus HSA (Open Access) 
• BluePreferred HRA (PPO)
• BluePreferred HSA (PPO)

HealthyBlue:

• HealthyBlue Dual Options HSA (for individual members only)
• HealthyBlue Triple Options HRA 
• HealthyBlue Triple Options HSA 
• HealthyBlue Triple Option Summary 

Point of Service (POS):

• BlueChoice Opt-Out Open Access (POS)
• BlueChoice Opt-Out Plus Open Access (POS)
• Maryland Point of Service (MPOS)

Preferred Provider Organization (PPO):

• BluePreferred (PPO)
• Preferred Provider Organization (PPO/PPN)
• Select Preferred Provider Plan (PPO)

Tiered-Network Plans:

• BlueChoice Advantage

Traditional Indemnity:

• Major Medical (for individuals only)
• Personal Comp (for individuals only)

Magellan Mental Health:

If your Mental Health benefits are managed by Magellan, the following documents will help you understand how Magellan determines the most appropriate treatment plan for various types of conditions:

• Magellan Medical Necessity Criteria 
• Maryland Medical Necessity Criteria for Residential Crisis Services 

Dental:

• CareFirst BlueChoice Discount Dental Program 
• DHMO Dental 
• Individual Select Dental HMO 
• Individual Select Preferred Dental 
• Individual Select Preferred Dental (for DC residents only)
• Preferred Dental (PPO)
• Traditional Dental 

Vision:

• BlueVision
• BlueVision Plus
• Select

Pretax Spending Accounts:

• Flexible Spending Accounts (FSA)