Plan Information & Forms
Below you’ll find plan documents to help you understand what your benefits cover and how to use them. Read through each for important benefit details.
Have a question? Contact CareFirst Member Services at 800-628-8549.
2025 Plan Documents
Resources
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Find a Doctor Guide (PDF) |
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BlueChoice Advantage FAQs (PDF) |
| Prescription Drug Formulary |
Summary of Benefits and Coverages (SBCs)
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SBC BlueChoice Advantage (PDF) |
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SBC BlueChoice HMO Open Access (PDF) |
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SBC Traditional Plan (PDF) |
Member Forms
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Medical/Mental Health Claim Form (PDF) |
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BlueChoice Claim Form (PDF) |
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Dental Claim Form (PDF) |
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Vision Claim Form (PDF) |
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Prescription Claim Form (PDF) |
|
Prescription Mail Order Form (PDF) |
Medicare Advantage Resources
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Group Medicare Advantage Enrollment Request Form (PDF) |
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MAPD Summary of Benefits (PDF) |
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Hearing Benefits (PDF) |
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MAPD Healthcare Benefit Guide (PDF) |
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MAPD EOC (PDF) |