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Medical Plan Options


CareFirst BlueChoice Advantage Plan

  • 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.
CareFirst BlueChoice Advantage Medical Overview
Plan Provision CareFirst BlueChoice Advantage
In-Network  Out-of-Network

*Subject to annual deductible.

Deductible: Individual



Deductible: Individual plus one/Family



Copay: Primary Care Physician (PCP)


Not applicable

Copay: Specialist


Not applicable

Coinsurance paid by plan, where applicable



Emergency Room Copay

90% coverage after $100 copay*

90% of plan allowance after $100 copay*

Inpatient Hospital

90% coverage - after $250 copayment*

65% of plan allowance*

Out-of-Pocket Max: Individual



Out-of-Pocket Max: Family



2019 Employee Cost: Individual under $35,000


2019 Employee Cost: Individual over $35,000


2019 Employee Cost: Individual plus one


2019 Employee Cost: Family


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.

CareFirst and Kaiser Medical Plan Comparison

  1. Go to
  2. Search "Find a Doctor"
  3. Select BlueChoice Advantage as your plan
  1. Go to
  2. Follow the instructions to Find a Doctor
  3. 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
    (800) 245-7013
    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:

Some restrictions apply. Not all countries are covered.

  • CareFirst Discount Dental
  • CareFirst Discount Vision (administered by Davis Vision)
    (800) 783-5602
  • CareFirst Video Visit

Important Plan Information

Group Number: 5801532-DC10
Customer Service: (800) 628-8549
Monday through Friday, 8 a.m. - 9 p.m.

First Help: (800) 535-9700
24 hours/day, 7 days/week

To set up an account at CareFirst Online go to

Mobile website:
CareFirst apps are available for iPhone® or Android™ smartphones.

On the CareFirst site, you can:

  • View and print your member ID card
  • Find a provider
  • Find a nearby Urgent Care Center
  • Submit and view claims and deductibles
  • Check your coverage
  • Use the Treatment Cost Estimator tool