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State of Maryland Plan Descriptions Point of Service (POS)

Point of Service (POS)

Plan Highlights:

The POS plan allows you the flexibility to select any doctor you wish. When you enroll, you must select a primary care physician (PCP) from either the Point of Service or the BlueChoice networks. Then, when you need medical care, you can choose to see your PCP or you can go "out-of-network" to see any doctor you choose. When you see your PCP, you save money by paying fewer out-of-pocket costs.

POS offers:

  • Two levels of benefits in one health plan. At the time you need care, you can visit your PCP or go "out-of-network" and visit any doctor you wish.
  • Office visits, maternity care, well-baby visits, routine physicals and GYN exams are covered - for little or no copay when care is provided by your PCP or a referred specialist.
  • Women's health coverage such as PAP tests and mammograms, and men's health coverage, which includes routine prostate screenings.
  • No paper work for you. If you receive care from an POS doctor, he or she will submit claims directly to us.
  • Out-of-Area Coverage is subject to "out-of-network" deductibles and coinsurance.
  • Advice Line- A 24-hour nurse-line, called FirstHelp, when all you need is a little advice
  • Options Discount Program - As a BlueChoice member, you will also receive access to our Options Discount Program, which provides you with discounts alternative therapies such as acupuncture, chiropractic services, yoga and much more.

Select a Primary Care Physician (PCP)

When you enroll in POS, you must select a PCP or your claims may be denied. Selecting a PCP is easy, just follow these steps:

  1. Find a Doctor online
  2. Inform CareFirst of your selection by:
    • Calling Member Services at 410-581-0021 or 1-800-203-2763
      or
    • Downloading, completing and returning the PCP Selection Form(34KB, 2 pgs.)Adobe Acrobat Reader

Routine Vision Benefits Schedule

Click here for more information about your routine vision benefits.

Benefit Highlights and Enrollment Booklet (July 1, 2007-June 30, 2008)

State of Maryland Health Care Options Booklet(1.05MB, 14 pgs.)PDF
State of Maryland Vision Chart(353KB, 1 pg.)PDF

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