- In-network: Blue Choice and BluePreferred PPO providers locally; BlueCard PPO providers nationally
- Primary Care Provider not required
- Prescription drug benefits are provided through Express Scripts
- CareFirst Video Visits provide an alternative when your Primary Care Provider (PCP) is not available. You can securely connect with a doctor over your mobile device or computer who will provide consultation, diagnosis, and prescriptions (when appropriate) for uncomplicated, non-emergency health concerns for the cost of a PCP sick office visit.
Individual plus one/Family
Primary Care Physician (PCP)
|Coinsurance paid by Plan, where applicable||90%||65%|
|Emergency Room||90% coverage - after $100 copayment*||90% of plan allowance - after $100 copayment*|
|Inpatient Hospital||90% coverage - after $250 copayment*||65% of plan allowance*|
|2019 Monthly Employee Cost
Individual under $35,000
Individual over $35,000
Individual plus one
*Subject to annual deductible.
The amount that BCBS will pay for a given covered service is determined by the Plan Allowance for that service. The Plan Allowance for covered services is determined by the contracted rate or fee schedule that participating providers have agreed to accept for that service or rate or fee that is established by law.
- Go to www.carefirst.com
- Search "Find a Doctor"
- Select BlueChoice Advantage as your plan
- Go to www.bcbs.com
- Follow the instructions to Find a Doctor
- Enter the first three letters of your Member ID number on your insurance card in the "Select a Plan" field
For behavioral health inpatient pre-certification and emergencies 24 hours/day, 7 days/week, contact Magellan directly at:
- Magellan Behavioral Health
Monday through Friday
8 a.m. - 6 p.m.
After hours available for inpatient pre-certification and emergencies 24 hours/day, 7 days/week
You are covered while traveling outside the U.S. For more information, go to the following links:
- BlueCross BlueShield Global Core Website
Enter "RMR" in the sections that says, "Enter the first three letters of the Member ID on your card."
Some restrictions apply. Not all countries are covered.
- CareFirst Discount Dental
- CareFirst Discount Vision (administered by Davis Vision)
- CareFirst Video Visit