Recent Changes in 2027
Some details about our existing plans have changed. We’ve highlighted these changes below to help you compare your options for 2027.*
- Maternity: The plans will add group-based prenatal care through CenteringPregnancy at $0 copay for Blue Value Plus and deductible, then $0 copay for HDHP.
- Zerigo Health: The plans will add Zerigo Health, a home-based NB-UVB (narrowband ultraviolet B) phototherapy program for members diagnosed with psoriasis, atopic dermatitis (eczema), and vitiligo across all skin types and ages.
- BlueRewards: The plans are adding Flex Earnings to the BlueRewards program providing members more opportunities to earn their $400 BlueRewards.
- Prior Authorization: The plans are removing prior authorization from certain services rendered in an outpatient hospital. Prior authorization will be required only for the specific services and procedures identified in Section 3.
- Prescription Drugs: The plans are increasing the cost share on GLP-1s for weight loss to a $200 for a 30-day supply and $400 for a 90-day supply.
- Smart Shopper: The SmartShopper incentive and engagement Program will no longer be offered to members. Members are encouraged to use the enhanced Find Care tool found at carefirst.com/pshbp for locating providers.
- Premium Rates: Your share of the premium rate will increase for Self Only or increase for Self+1 and Self and Family.
- Catastrophic Maximum: The in-network catastrophic maximum is increasing from $6,500 to $7,500 for Self Only and from $13,000 to $15,000 for Self+1 and Self and Family. The out-of-network catastrophic maximum is increasing from $8,500 to $9,500 for Self Only and from $17,000 to $19,000 for Self+1 and Self and Family.
- Deductible: The in-network deductible is increasing to $1,750 for Self Only and $3,500 for Self+1 and Self and Family. The out-of-network deductible is changing to $3,500 for Self Only and $7,000 for Self+1 and Self and Family.
- Diagnostic Services: The plan will increase the in-network cost share for the following services when rendered at an outpatient hospital or ambulatory surgical center. Labs will increase from deductible then, $35 copay to deductible then, $60 copay, x-ray will increase from deductible then, $50 copay to deductible then, $75 copay and other diagnostic services will increase from deductible then, $50 copay to deductible then, $75 copay.
- Specialty Imaging: The plan will increase the in-network cost share for specialty imaging from deductible then, $100 copay to deductible then, $125 copay when rendered at an outpatient hospital or ambulatory surgical center.
- Outpatient hospital or other covered facility: The plan will decrease the in-network cost share for Mental Health and Substance Use Disorder outpatient facility charges from deductible then, $100 copay to deductible then, $75 copay.
- Premium Rates: Your share of the premium rate will increase for Self Only or increase for Self+1 and Self and Family.
- Catastrophic Maximum: The in-network catastrophic maximum is increasing from $7,500 to $8,500 for Self Only and from $15,000 to $17,000 for Self+1 and Self and Family.
- Deductible: The plan is adding a deductible to facility services rendered in an outpatient or inpatient hospital. The in-network deductible is $500 for Self Only and $1,000 for Self+1 and Self and Family.
*Please note: This is not a complete list of all the changes. To see a complete list of benefit changes with a complete description, please refer to the 2027 BlueChoice Brochure (PDF)