Minimum Value Benefit Summaries - District of Columbia

Benefit summaries are now available for the health plans listed below. Please check the site frequently for summary updates.

Spanish benefit summaries are available upon request. Please contact your CareFirst sales representative for more information.

NOTE: Employers can consult with a CareFirst account executive to explore other plan options that fit their organization's benefit needs.

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All plans are fully insured. Please consult with your CareFirst sales representative for information about self-insured options.

OptionsFeaturesMedical SummaryRx Summary
BlueChoice HMO
Option MV 1		 $4,500 Deductible SUM2695 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
Option MV 2		 $5,000 Deductible SUM3295 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
HSA/HRA Option MV 1		 $4,000 Deductible SUM4650 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access
HSA/HRA Option MV 1		 $4,000 Deductible SUM2694 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage Option MV 1 $5,000 Deductible SUM2697 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage
HSA/HRA Option MV 1		 $4,000 Deductible SUM2696 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage
HSA/HRA Option MV 2		 $5,500 Deductible SUM3290 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
Option MV 3		 $3,000 Deductible SUM5095 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access
Option MV 3		 $3,000 Deductible SUM5100 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage
Option MV 3		 $3,000 Deductible SUM5090 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
Option MV 4		 $5,000 Deductible SUM5096 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access
Option MV 4		 $5,000 Deductible SUM5101 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage
Option MV 4		 $5,000 Deductible SUM5091 Non-Integrated Minimum Value (MV) Rx Options
BlueChoice HMO HSA/HRA
Option MV 3		 $3,000 Deductible SUM5098 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 3		 $3,000 Deductible SUM5103 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage HSA/HRA
Option MV 3		 $3,000 Deductible SUM5093 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO HSA/HRA
Option MV 4		 $5,000 Deductible SUM5099 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO Open Access HSA/HRA
Option MV 4		 $5,000 Deductible SUM5104 Integrated Minimum Value (MV) Rx Options
BlueChoice Advantage HSA/HRA
Option MV 4		 $5,000 Deductible SUM5094 Integrated Minimum Value (MV) Rx Options
BlueChoice HMO
Option MV5		 $7,000 Deductible SUM5097 Non-Integrated Minimum Value Rx Options
BlueChoice HMO Open Access
Option MV5		 $7,000 Deductible SUM5102 Non-Integrated Minimum Value Rx Options
BlueChoice Advantage
Option MV5		 $7,000 Deductible SUM5092 Non-Integrated Minimum Value Rx Options