Welcome
Welcome to the CareFirst Medicare Advantage website for Frederick County Government. Use this site to find doctors in our network, access your Summary of Benefits, check to see if your drugs are on the formulary and review other information about your plan.
CareFirst BlueCross BlueShield Group Advantage (PPO) Plan Information
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, prescription drug coverage and more.
For eligibility and premium questions, contact RetireeFirst at 301-685-3471 or toll-free at 800-558-8157, TTY: 711. (Monday-Friday, 8 a.m.-5 p.m. ET)
For plan and benefit questions, call CareFirst Medicare Advantage at 833-939-4103 (Monday-Friday, 8 a.m.-6 p.m. ET).
General Plan Information
2025 Documents
2026 Documents
Your Evidence of Coverage - Detailed Plan Benefits
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EOC (PDF) - EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
2026 Documents
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EOC (PDF) - EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
Medical Benefits/Materials
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Summary of Benefits (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Medical Provider Directory (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Network FAQs (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
2026 Documents
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Summary of Benefits (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Medical Provider Directory (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Network FAQs (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
Prescription Drug Information - For the CareFirst BlueCross BlueShield Group Advantage (PPO) Plan only
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Formulary (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Formulary Changes (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Standard Enhanced Drug List (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Pharmacy Directory (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Step Therapy Criteria (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Prior Authorization Criteria (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
2026 Documents
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Formulary (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Formulary Changes (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Standard Rider 3T (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Pharmacy Directory (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Step Therapy Criteria (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Prior Authorization Criteria (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
Vision Benefits/Materials
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Vision Directory (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Vision Directory (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
Hearing Benefits/Materials
2025 Documents
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Hearing Directory (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
2026 Documents
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Hearing Directory (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
Forms
2025 Documents
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Reconsideration Request Form (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Mail Order Pharmacy Enrollment FormThis link opens in a new window. (PDF) |
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Coverage Determination Form (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Coverage Redetermination Form (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Designation of Personal Representative FormThis link opens in a new window. (PDF) |
2026 Documents
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Reconsideration Request Form (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Mail Order Pharmacy Enrollment FormThis link opens in a new window. (PDF) |
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Coverage Determination Form (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Coverage Redetermination Form (PDF) EnglishThis link opens in a new window. | SpanishThis link opens in a new window. |
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Designation of Personal Representative FormThis link opens in a new window. (PDF) |
Search for your Prescriptions
Find out if your prescription is covered.
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