Medicare Advantage Plans

Get to know our new Medicare Advantage (Medicare Part C) plans, designed exclusively for the people of Maryland.

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CareFirst BlueCross BlueShield Advantage Core (HMO)

Our Core plan covers all your Medicare covered benefits, prescription drug coverage and additional benefits like dental, vision, fitness and more all at a low premium.

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CareFirst BlueCross BlueShield Advantage Enhanced (HMO)

Our Enhanced plan is packed with additional benefits beyond Medicare with no to low copays. This plan also offers a few extra benefits beyond the Core plan like routine chiropractic, acupuncture and podiatry.

Members of this plan can also enroll in our Dental and Vision Add-On. For only an extra $17 a month, you get even more comprehensive dental and vision coverage.

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Are you eligible for Medicare through Medicaid?

2021 Dual Prime Plan (HMO D-SNP)

The 2021 Dual Prime plan (HMO D-SNP) is a Medicare Advantage Prescription Drug Plan for those with both Medicare and Medicaid (Maryland Medical Assistance Program) as a Qualified Medicare Beneficiary (QMB) or a Full Benefit Dual Eligible (FBDE). This plan combines your Medical, Hospital and Prescription Drug coverage with extra services and personalized programs focused on improving your health.

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Which Medicare Advantage Plan Is Right for You?

That depends on your health needs and your budget. Use the chart below to get a sense of what each plan covers. You must continue paying your Medicare Part B premium in addition to the premiums outlined below.

 
Medicare Advantage Coverage Overview
Benefit CareFirst BlueCross BlueShield Advantage Core (HMO) CareFirst BlueCross BlueShield Advantage Enhanced (HMO)
Monthly Premium $35.00
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$95.00
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Out-Of-Pocket Maximum $7,550.00 $6,550.00
Prescription Drug Coverage Generics starting at $7 copay—Mail order available Generics starting at $5 copay—Mail order available
Medical Deductible $0.00 $0.00
Annual Drug Deductible $0.00 $0.00
Primary Care -Provider (PCP) $5.00 copay $0.00 copay
Specialist

Referrals from your PCP may be required before seeing a specialist.
$50.00 copay $30.00 copay
Urgent Care $30.00 copay $20.00 copay
Emergency Room Visit $90.00 copay $90.00 copay
Medicare-Covered Preventive Services $0.00 copay $0.00 copay
Lab Services $0.00 copay $0.00 copay
Inpatient Hospital $350.00,copay, days 1-5 $275.00 copay, days 1-5
Outpatient Hospital Services $250.00 copay $150.00 copay
 
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Find A Doctor

Find out if your doctors are part of our network.

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Search for Your Prescriptions

Both plans include Rx coverage, including 30-,60- and 90-day supplies via mail order.

 
 

Enrolling Is Easy

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Enroll by Phone

To reach one of our Licensed Sales Agents call 833-987-0765 Monday through Friday, 8:00 a.m.-6:00 p.m., and Saturday 8:00 a.m.- 12:00 p.m.

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Enroll by Mail

Download the application, print and mail to
CareFirst Advantage Inc.
Enrollment and Correspondence
PO Box 3236
Scranton, PA 18505

 

Our Partners in Health

We’ve partnered with major health systems to increase your access to care statewide.

  • MedStar Health
  • Privia Medical Group
  • Luminis Health
  • AAMC
  • LifeBridge Health
  • Adventist Health
  • Frederick Memorial Health System
  • Anne Arundel Medical Center
  • Adventist HealthCare
  • Carroll Hospital Center, Inc.
  • Doctor’s Community Hospital
  • Frederick Health
  • Northwest Hospital Center, Inc.
  • Sinai Hospital of Baltimore

Plus, we’ve partnered with other local community providers, labs and facilities.

 

Our Service Area

CareFirst offers Medicare Advantage coverage to residents of the following Maryland counties:

  • Anne Arundel
  • Baltimore
  • Baltimore City
  • Carroll
  • Frederick
  • Harford
  • Howard
  • Montgomery
  • Prince George’s
Medicare Advantage Service Area Map