In exchange for a lower monthly payment, an HMO offers a narrower network of available doctors, hospitals, and specialists. CareFirst BlueChoice Maryland 1 Welcome We are pleased to offer you enrollment in our CareFirst BlueChoice Health Maintenance Organization (HMO) plan. Consumer Health Insurance Plans 2021Maryland . Check out our Coronavirus Resource Center for information and resources to help you get the care you need and to protect yourself, your family and your community. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. The SBC shows you how you and the plan would share the … When you need lab work done, you can choose the most convenient location under a PPO network. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., Trusted Health Plan (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. To choose the right plan for you and your family, you may want to consider the following: Compare the monthly cost of the HMO and PPO plans. Need an individual and family health insurance plan? The monthly payment for an HMO plan is lower than for a PPO plan with a comparable deductible and out of pocket maximum. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. Designed for today’s health conscious and busy families, CareFirst BlueChoice offers one less thing to worry about during your hectic day. The main differences between the two are the size of the health care provider network, the flexibility of coverage or payment assistance for doctors in-network vs out-of-network, and the monthly payment. View the 2019 updates to CareFirst BlueCross BlueShield's three Federal Employee Health plans. Unlike an HMO, you are not limited to providers who are in-network, though your copay or out-of-pocket cost for out-of-network visits may be higher than for in-network providers. PPO stands for Preferred Provider Organization. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). The Blue Cross and Blue Shield Names and Symbols are registered trademarks of the Blue Cross and Blue Shield Association. 202-479-8000 . If you would like to keep your doctor, you can determine whether he or she is in-network under an HMO plan, a PPO plan or both. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (Used in VA by: First Care, Inc.). In Virginia, CareFirst MedPlus is the business *LabCorp is the only network national lab that BlueChoice (HMO) members can use. To choose the right plan for you, consider the price and flexibility you need in a health plan. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. This also means when you are traveling, you can receive care wherever you are. An independent licensee of the Blue Cross and Blue … Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, hospital services, accepted doctors and more. LabCorp and Quest Diagnostics, the national laboratories for CareFirst, are a cost-effective choice when referring patients. Choosing the right health plan can give you peace of mind, knowing that your insurance plan has your health needs covered. BlueChoice HMO Standard Silver $4,000 Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. As the largest healthcare insurer in the Mid-Atlantic region, we know how much you and your family depend on us for your health coverage. If you need a lot of specialist care, say you are managing a rare or chronic condition, you may also prefer the ease of choosing specialists and seeing them right away that you get with a HMO plan. Shield plans, and allows CareFirst BlueChoice members and their covered dependents to receive care from any Blue Cross and Blue Shield health maintenance organization (HMO) while away from home for at least 90 consecutive days or more. BlueChoice HMO HSA Bronze $4,000 Coverage Period: 01/01/2020 - 12/31/2020 Coverage for: Individual | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. • Periodically review your claims history for accuracy to ensure we have not been billed for services you did not receive. BlueChoice. Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc., The Dental Network and First Care, Inc. are independent licensees of the Blue Cross and Blue Shield Association. CareFirst BlueCross BlueShield website for Providers & Physicians. BlueChoice HMO Gold 500: $10/$45/$65/50% to $100/50% to $150 : Non-Integrated: … BlueChoice HMO Platinum 0: $10/$45/$65/50% up to $100 max/50% up to $150 max : Non … Like an HMO, a Preferred Provider Organization is a network of doctors, hospitals and health care providers who agree to provide care at a certain rate. PDFs require Adobe Acrobat Reader to open. Additionally, PPO plans offer more options for laboratory service providers. What Impacts the Cost of Health Insurance? The SBC shows you how you and the plan would share the cost for covered health care services. HMO plans are generally less expensive than PPO plans, with lower monthly payments, making them ideal if your favorite doctors are already in the network, or if you receive most of your care close to home. For a more complete summary of your benefits, please see your 2018 Plan Information Booklet. If you need a lower monthly fee, consider an HMO plan. The member will pay their copay/coinsurance and deductible (if applicable) and CareFirst will pay the remaining amount up to $50. If you mostly get care in your home city or mostly from your family physician, an HMO is more likely to provide the right coverage for you. Thank you for considering CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. (CareFirst) for your healthcare coverage. As Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc. and First Care, Inc. are affiliate companies and also offer health benefit products and services on this site. The BlueChoice HMO is a managed health care plan consisting of a network of physicians and other medical providers. HMO stands for Health Maintenance Organization. HMO stands for Health Maintenance Organization. To keep costs low, HMOs may require you to select a primary care physician (sometimes called a primary care provider or PCP), who can refer you to specialists when needed. If you travel frequently and are more likely to need care while away from home, especially if you are living with a chronic condition, or enjoy high-risk hobbies such as certain sports, you may need a PPO to provide the best coverage for your needs. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., First Care, Inc., The Dental Network and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association. BlueChoice HMO Platinum 0: $10/$45/$65/50% up to $100 max/50% up to $150 max : Non-Integrated: SUM5136: BlueChoice HMO Gold 500: ... (District of Columbia), Inc., CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. CareFirst's PPO plans offer a wide network of providers. See all Plastic Surgeon office locations in Potomac that accept CareFirst BlueChoice HMO and doctor ratings. Welcome. These are the differences between an HMO and a PPO. CareFirst has built its plans with patients' freedom to see the doctor of their choice in mind, and the HMO plan still covers a wider network of doctors than many other health insurance providers. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueCross BlueShield Medicare Advantage is the business name of CareFirst Advantage, Inc. CareFirst BlueCross BlueShield Community Health Plan District of Columbia is the business name of Trusted Health Plan (District of Columbia), Inc. Learn more about CareFirst BlueCross BlueShield medical, dental, and vision insurance in Maryland, Washington D.C., and Northern Virginia. With BlueChoice HMO Open Access-High Option, your primary care provider (PCP) provides routine care and coordinates specialty care. If you enroll in the BlueChoice HMO, all of your health care must be coordinated and approved by your primary care physician and received in-network. Serving Maryland, the District of Columbia and portions of Virginia, CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc. and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Find a Plastic Surgeon who accepts CareFirst BlueChoice HMO near you in Potomac, MD. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. This plan allows members to visit specialists directly without referrals. Members can easily request an appointment online with LabCorp* at www.labcorp.com or with Quest Diagnostics at www.questdiagnostics.com. CFBC HMO . Members from other Blue Cross and Blue Shield HMOs can enroll in CareFirst BlueChoice, select BlueChoice HSA Silver 1500 Coverage Period: 01/01/2017 - 12/31/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual | Plan Type: HMO … With a PPO, you do not need to maintain a primary care physician, and can see a different doctor of your choice at any time, including specialists. CareFirst BlueChoice, Inc. 840 First Street, NE . In-depth: HMOs. Choosing between an HMO or a PPO health plan doesn't have to be complicated. Nondiscrimination Notice and Foreign Language Assistance, Summary of Preventive and Contraceptive Services. MD/CFBC/SE/HMO-BCOO/GCA (R. 1/19) 1 . CDH - BlueChoice HMO Open Access Group and Member Forms and Applications - District of Columbia. BlueChoice HMO Open Access An HMO Plan with No Referrals Required With a BlueChoice HMO Open Access plan, your primary care provider (PCP) provides preventive care and works with you to find specialty care using a large network of CareFirst BlueChoice specialists. Lab work, such as a blood draw, or a urine test, is also limited to one laboratory provider covered by the HMO network. You have access to comprehensive services such as after-hours care including 24-hour nurse advice line, video visits, convenience care clinics, and urgent care visits. Find a Endocrinologist who accepts CareFirst BlueChoice HMO near you in Rockville, MD. n. 1. obtained from CareFirst BlueChoice. First Care, Inc., CareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst BlueChoice, Inc. and The Dental Network are independent licensees of the Blue Cross and Blue Shield Association. Get Health Insurance plan info on BlueChoice HMO Value Silver $2,250 from CareFirst BlueChoice. BlueChoice HMO Platinum 0: $10/$45/$65/50% up to $100 max/50% up to $150 max : Non … BlueChoice HMO Open Access Summary of Benefits : ... To be part of CareFirst’s network, he has agreed to accept $50 for the visit. An HMO plan will only pay for care from health care providers in the HMO network, except for emergency care, which may be covered out-of-network. PPO plans typically require higher monthly payments in exchange for increased flexibility. BlueChoice Plus Gold 1000: Search Doctors BlueChoice HMO Referral Gold 0: Search Doctors BlueChoice HMO Gold 500 : Search Doctors BlueChoice HMO Gold 1500: Search Doctors BlueChoice HMO Referral Gold 500: Search Doctors BlueChoice HMO HSA/HRA Gold 1500: Search Doctors While CareFirst's HMO plans have especially wide networks compared to many other HMOs, the PPO plans still offer in-network coverage for more health care providers. Trusted for over 80 years. CareFirst is closely monitoring the coronavirus situation and working in close partnership with state and local public health authorities. Get Health Insurance plan info on BlueChoice HMO Value Gold $1,000 from CareFirst BlueChoice. CareFirst has built its plans with patients' freedom to see the doctor of their choice in mind, and the HMO plan still covers a wider network of doctors than many other health insurance providers. “World’s Most Ethical Companies” and “Ethisphere” names and marks are registered trademarks of Ethisphere LLC. Members may choose to take part in our Away From Home Care program which allows you to take your plan benefits with you if you’re in- or out-of-area for at least 90 days. A Health Maintenance Organization is a network of doctors, hospitals and other health care providers who agree to provide care at a reduced rate. These health insurance plans offer choice and provide flexibility in how you manage your health, your health care and your health care costs. However, unique to this plan is its Open Access feature which 2019 CareFirst BlueChoice, Inc. 4 Introduction/Plain Language/Advisory • Carefully review explanations of benefits (EOBs) that you receive from us. Washington, DC 20065 . Note: If the group is adding a BlueFund HRA at renewal or purchasing it as a new group, the group must complete the HRA Set-Up Form as well as the Employer ACH Authorization. See all Endocrinologist office locations in Rockville that accept CareFirst BlueChoice HMO and doctor ratings. Download it free from the Adobe site. BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. F. 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