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Plan Profile

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You are here: FEHB Home > 2002 Plan Comparison > Maryland > Plan Profile: CareFirst BlueChoice

General Information
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Plan Name: CareFirst BlueChoice
Service Area: All of Maryland
Brochure: PDF Version
Brochure: Text Version
NCQA Accreditation: Yes
JCAHO Accreditation: No
URAC Accreditation: No
Plan Type: HMO
Enrollment Code-Self: 2G1
Enrollment Code-Self & Family: 2G2
Link to Plan Home Page: http://www.carefirst.com
Telephone: 800/680-9495
Summary results of the 2001 consumers assessment of health plans survey
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Benefits
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Doctor Care/ Primary Office Visits: $10.00
Hospital Inpatient Room and Board Charges: None
RX/ Generic/ Retail: $10.00
RX/ Brand/ Retail: $20.00
RX/ Brand/ NonFormulary: $35.00
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Rates
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Non-Postal
___Monthly Self: $69.10 Self: & Family: $155.45
___Biweekly Self: $31.89 Self: & Family: $71.75
___Twice Biweekly Self: $63.78 Self: & Family: $143.50
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Annuitants
___Monthly Self: $69.10 Self: & Family: $155.45
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U.S. Postal Service Employees (Type A)
___Biweekly Self: $14.35 Self: & Family: $32.29
___Monthly Self: $31.09 Self: & Family: $69.95
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U.S. Postal Service Employees (Type B)
___Monthly Self: $39.73 Self: & Family: $112.34
___Biweekly Self: $18.34 Self: & Family: $51.85
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Worker's Compensation Recipients
___Twice Biweekly Self: $63.78 Self: & Family: $143.50
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Certain Temporary Employees
___Biweekly Self: $127.57 Self: & Family: $286.99
___Monthly Self: $276.40 Self: & Family: $621.81
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Former Spouse Enrollees
___Biweekly Self: $127.57 Self: & Family: $286.99
___Monthly Self: $276.40 Self: & Family: $621.81
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Temporary Continuation of Coverage
___Biweekly Self: $130.12 Self: & Family: $292.73
___Monthly Self: $281.93 Self: & Family: $634.25
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FDIC
___Biweekly Self: $14.35 Self: & Family: $32.29
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